Main Article Content

Abstract

Many technical reports concern minimally invasive surgery for stomach cancer; however, there is poor evidence about employing this approach for gastric stump cancer, which can arise at the anastomotic site in patients who have undergone previous partial gastrectomy for benign diseases such as gastric ulcer. Such surgery was quite common before the introduction of proton pump inhibitors (PPIs), and so today, according to different statistics, gastric stump cancer can be revealed in up to 8% of these patients. This report seeks to highlight the possibility of employing a minimally invasive approach in patients who already had an operation for gastric resection.


The video shows technical notes about the hybrid laparoscopic-robotic approach performed in a patient who previously underwent open distal gastrectomy. Is the previous laparotomy an absolute or relative counterindication to reperform a surgery through a minimally invasive approach?

Keywords

gastric cancer gastric stump cancer completion total gastrectomy minimally invasive surgery laparoscopy robotic surgery

Article Details

How to Cite
Carafa, F., Della Valle, I., Memeo, R., Palazzini, G., & Di Nardo, D. (2020). Completion total gastrectomy with intracorporeal robot-sewn esophago-jejunal anastomosis. Journal of Gastric Surgery, 2(2), 57-59. https://doi.org/10.36159/jgs.v2i2.27

References

  1. Ma FH, Xue LY, Chen YT, Li WK, Li Y, Kang WZ, et al. Surgical resection of gastric stump cancer following proximal gastrectomy for adenocarcinoma of the esophagogastric junction. World J Gastrointest Oncol. 2019;11:416-23.
  2. Nakaji YU, Saeki H, Kudou K, Nakanishi R, Sugiyama M, Nakashima Y, et al. Short- and Long-term Outcomes of Surgical Treatment for Remnant Gastric Cancer After Distal Gastrectomy. Anticancer Res. 2019;39:1411-5.
  3. Qian F, Liu J, Liu J, Fan J, Zhao Y, Shi Y, et al. [Application of robotic surgery to treat carcinoma in the remnant stomach]. Zhonghua Wei Chang Wai Ke Za Zhi. 2018;21:546-50.
  4. Li Y, Gao Z, Zhao X, Wang B, Ye Y, Wang S, et al. [Meta-analysis of gastric stump cancer after gastrectomy for gastric cancer]. Zhonghua Wei Chang Wai Ke Za Zhi. 2018;21:569-77.