Laparoscopic total gastrectomy with D2 lymphadenectomy for adenocarcinoma
Epublication WebSurg.com, Jun 2013;13(06). URL: http://websurg.com/doi/vd01en3973
Total gastrectomy with D2 lymphadenectomy is recommended for T1-T2 gastric cancer. The laparoscopic approach for this procedure has been validated by extensive clinical randomized trials in Asia, leading to fewer postoperative complications and morbidity and identical oncological outcome. This video presents a laparoscopic total gastrectomy with D2 lymphadenectomy in a 54-year-old woman presenting with a T1-T2 poorly differentiated adenocarcinoma of the lesser curvature of the stomach. Due to the location of the tumor, lymphadenectomy of stations 10 and 11d are not performed. An original technique of circular eso-jejunal anastomosis is described.