scholarly journals The Retropancreatic Fusion Fascia Oriented Splenic Hilar Lymphadenectomy Versus Laparoscopic Approach In D2 Total Gastrectomy

2020 ◽  
Vol 26 ◽  
Author(s):  
Mengyin Peng ◽  
Jian Liu ◽  
XiaoBo Yang ◽  
ShiChen Liu ◽  
Miao Wu
Keyword(s):  
Total Gastrectomy ◽  
Laparoscopic Approach ◽  
Fusion Fascia ◽  
Splenic Hilar Lymphadenectomy

scholarly journals Proctotomy leak following laparoscopic total gastrectomy with transrectal specimen extraction for gastric cancer: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haipeng Meng ◽  
Jinchao Liu ◽  
Hui Xu ◽  
Song Wang ◽  
Yu Rong ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Rare Complication ◽  
Laparoscopic Approach ◽  
Anterior Wall ◽  
Laparoscopic Total Gastrectomy ◽  
Pathological Examination ◽  
Specimen Extraction ◽  
Natural Orifice Specimen Extraction ◽  
First Case

Abstract Background Despite increasing acceptance in colorectal surgery, natural orifice specimen extraction (NOSE) surgery for the treatment of gastric cancer is still in its infancy, especially via the transrectal approach, which was barely reported. So little is known about its complications. Here we report the first case of proctotomy leak after transrectal NOSE gastrectomy, and our experience in preventive interventions. Case presentation A 62-year-old male patient complaining of upper abdominal pain who underwent open distal gastrectomy for gastric cancer one year ago was diagnosed with recurrent gastric cancer by gastroscopic biopsy. We performed laparoscopic total gastrectomy with transrectal specimen extraction on the patient. The operation was completed in a total laparoscopic approach and the specimen was extracted through a 3 cm longitudinal incision in the anterior wall of the upper rectum, then interrupted sutures were used for full-thickness closure of the rectal incision. The operative time was 470 min and intra-operative blood loss was 100 mL. The postoperative pathological examination showed pT1bN0M0 gastric adenocarcinoma. The patient developed proctotomy leak on the 10th postoperative day. We analyzed the causes of this rare complication and put forward a series of technical improvements. After failure of conservative treatment, a diverting ileostomy was created and the patient eventually recovered. We successfully prevented proctotomy leak in the subsequent 20 transrectal NOSE gastrectomies using improved techniques. Conclusions Proctotomy leak after transrectal specimen extraction should be considered among the complications of NOSE surgery and can be prevented by technical precautions.

scholarly journals Laparoscopic trans-cystic common bile duct exploration and treatment of choledocholithiasis in a patient with Roux-en-Y reconstruction after gastrectomy: report of an emergency case

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
Marco Giacometti ◽  
Francesco Battafarano ◽  
Orazio Geraci ◽  
Sandro Zonta
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Total Gastrectomy ◽  
Laparoscopic Approach ◽  
Common Bile Duct Exploration ◽  
Direct Vision ◽  
Emergency Case ◽  
The Common ◽  
Reconstruction After Gastrectomy

Abstract We present the case of choledocholithiasis with purulent cholangitis treated with laparoscopic approach in a patient with Roux-en-Y reconstruction after total gastrectomy. After cholangiography, the common bile duct was explored with trans-cystic choledochoscopy and the retained stone extracted under direct vision.

scholarly journals Laparoscopic Approach for Esophagojejunal Anastomotic Leak in Patients Requiring Re-Look Intervention: How We Do It

2021 ◽  
pp. 1-3
Author(s):  
Steven T F Chan ◽  
Hai T Bui ◽  
Steven T F Chan
Keyword(s):  
Minimally Invasive ◽  
Anastomotic Leak ◽  
Total Gastrectomy ◽  
Laparoscopic Approach ◽  
Operative Management ◽  
Clinical Results ◽  
Complete Healing ◽  
Laparoscopic Technique ◽  
Clinical Report ◽  
Optimal Approach

Background: Esophagojejunal anastomotic leak (EJAL) is a serious and often a life-threatening complication following total gastrectomy. There is no standard management strategy, and the optimal approach remains controversial. Whilst non-operative approach (with or without percutaneous drainage), endoscopic approach (stents, clips, and vacuum devices) is the preferred initial management, and there remains a subset of EJAL patients that require operative intervention because of the uncontrolled leak with sepsis and potential high mortality. Methods: We present early clinical results of a minimally invasive novel surgical technique (continuous suction isoperistaltic jejuno-esophagostomy tube, SIJET) to divert saliva and enteric secretions away from the anastomotic area thus creating a hypothesised concept of “no leak” scenario. The details of this technique are described and illustrated. Results: This is the first clinical report of a laparoscopic technique for insertion of SIJET in two patients with esophagojejunal anastomotic leaks managed successfully. Both patients had failed to progress on non-operative management because of the uncontrolled leak with sepsis. Conclusion: The absolute prerequisite for complete healing of an anastomotic leak is adequate drainage of undrained fluid collections and diversion of luminal fluid away from the anastomotic defect. Laparoscopic SIJET provides a minimally invasive option for the management of esophagojejunal leak following total gastrectomy in patients with uncontrolled leak with sepsis.

scholarly journals Total gastrectomy for locally advanced cancer: the pure laparoscopic approach

2013 ◽  
Vol 1 (2) ◽  
pp. 119-126 ◽  
Author(s):  
J. S. Azagra ◽  
M. Goergen ◽  
L. Arru ◽  
O. Facy
Keyword(s):  
Total Gastrectomy ◽  
Advanced Cancer ◽  
Locally Advanced ◽  
Laparoscopic Approach ◽  
Locally Advanced Cancer

Pernicious Anemia Following Total Gastrectomy for Giant Hypertrophy of the Gastric Rugae (Menetrier’s Disease)

1960 ◽  
Vol 39 (3) ◽  
pp. 347-350 ◽  
Author(s):  
Earl E. Gambill ◽  
Donald C. Campbell ◽  
Donald C. Balfour ◽  
John M. Waugh ◽  
Malcolm B. Dockerty
Keyword(s):  
Pernicious Anemia ◽  
Total Gastrectomy ◽  
Menetrier’S Disease ◽  
Ménétrier's Disease ◽  
Menetrier's Disease
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