LATG with extracorporeal esophagojejunostomy: is this minimal invasive surgery for gastric cancer?

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Sang-Gi KimKyungsoo Bae

Abstract

This retrospective study determined whether extracorporeal esophagojejunostomy after laparoscopy-assisted total gastrectomy (LATG) for gastric cancer can be considered minimally invasive surgery, compared to the conventional open total gastrectomy (OTG). This retrospective study involved 60 patients seen between January 2004 and July 2006. Twenty-seven patients underwent LATG, and 33 patients had OTG. The surgical procedure included the use of five ports with an upper vertical midline incision. In all patients, reconstruction was performed by using a Roux-en-Y esophagojejunostomy through the minilaparotomy site. In all cases, the jejunojejunostomy was performed extracorporeally as the conventional method. In OTG, a Roux-en-Y esophagojejunostomy was performed with an upper midline incision. The mean number of retrieved lymph nodes was smaller and the mean operating time was longer in the LATG group. The postoperative hospital course was similar in both groups. In the LATG group, the mean length of the minilaparotomy incision was 8.0+/-1.2 cm (maximum length, 11 cm), and a direct relationship was observed between the distance from the xiphoid process to the esophageal hiatus (DisXE) and the minilaparotomy incision length (Spearma...Continue Reading

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Citations

Aug 29, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hongliang ShenMing Qiu
Jun 12, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ke Chong-WeiDing Dan
Aug 29, 2013·World Journal of Gastroenterology : WJG·Ke ChenYi-Ping Mou
Dec 7, 2013·World Journal of Gastroenterology : WJG·Jun-Jie XiongXu-Bao Liu
Dec 25, 2012·Surgical Endoscopy·Leonie HaverkampRichard van Hillegersberg
Nov 26, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·L HaverkampR van Hillegersberg
Nov 3, 2010·Journal of the American College of Surgeons·Kazuki InabaIchiro Uyama
Sep 28, 2010·Journal of the American College of Surgeons·Yasuhiro KoderaAkimasa Nakao
Dec 22, 2014·World Journal of Surgical Oncology·Mamoru MorimotoHiromitsu Takeyama
Nov 15, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Stefano OlmiGiovanni Cesana
Feb 11, 2012·Journal of Gastric Cancer·Kwang Oh So, Jong-Min Park
Feb 11, 2015·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Chikara KunisakiItaru Endo
Sep 4, 2015·World Journal of Gastroenterology : WJG·Mikito InokuchiKazuyuki Kojima
Aug 14, 2015·World Journal of Gastroenterology : WJG·Hao WangWen-Xian Guan
Jul 22, 2017·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Nicole van der WielenDonald L van der Peet

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