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[Laparoscopic total gastrectomy with extended lymphadenectomy and intracorporal circular stapled esophagojejunostomy].

Authors
  • Hoeppner, J
  • Kulemann, B
  • Hopt, U T
  • Marjanovic, G
Type
Published Article
Journal
Zentralblatt für Chirurgie
Publication Date
Feb 01, 2014
Volume
139
Issue
1
Pages
17–19
Identifiers
DOI: 10.1055/s-0033-1360122
PMID: 24585190
Source
Medline
License
Unknown

Abstract

Laparoscopic total gastrectomy for early and advanced gastric cancer is an exacting procedure which is increasingly performed in specialised institutions. Not only gastric resection and extended lymphadenectomy but especially the reconstruction by oesophagojejunostomy is a technically demanding and vulnerable operative step. In this article we present our laparoscopic technique of total gastrectomy with extended lymphadenectomy and complete intracorporal reconstruction by end-to-side circular stapled oesophagojejunostomy. The operative technique of the gastric resection, the extended lymphadenectomy and the reconstruction are described in detail in a step-by-step approach and demonstrated in a supplemental video.

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