Completion gastrectomy by laparoscopic approach for cancer of the gastric stump
Epublication WebSurg.com, Feb 2008;08(02). URL: http://websurg.com/doi/vd01en2274
This operative video demonstrates the performance of a completion gastrectomy in a patient who has had prior partial gastrectomy. This patient had a previous partial gastrectomy. To mobilize the distal esophagus, the author divides the phrenoesophageal membrane, and then frees the esophagus of all its attachments in the lower mediastinum. This aids in retracting the esophagus into the abdomen. The author then carries out dissection with the ultrasonic scalpel, dividing the posterior and the anterior vagus nerves. To perform partial division of the esophagus, he uses the linear Endo-GIA (Covidien, North Haven, CT) and uses the stomach as a lever.