期刊
ASIAN JOURNAL OF ENDOSCOPIC SURGERY
卷 15, 期 3, 页码 665-669出版社
WILEY
DOI: 10.1111/ases.13047
关键词
completion gastrectomy; preservation of interposed jejunum; robot-assisted gastrectomy
类别
This article presents a case of robot-assisted completion gastrectomy preserving the interposed jejunum in remnant gastric cancer. The surgery is technically demanding but has been performed successfully with good postoperative outcomes.
Minimally invasive completion gastrectomy is technically demanding and comprises a variety of procedures depending on the previous operation. We present herein a case of robot-assisted completion gastrectomy preserving the interposed jejunum in remnant gastric cancer following a proximal gastrectomy reconstructed by jejunal interposition. A 76-year-old, male patient experienced newly developed stage cT1bN0M0 gastric cancer in the distal remnant stomach 5 years after his initial proximal gastrectomy. Endoscopic submucosal dissection was not feasible because of tumor depth and poor cancer cell differentiation. The robotic approach was chosen because of the early cancer stage, prior laparoscopic surgery, and the patient's advanced age. The interposed jejunum was successfully preserved, and a new overlap anastomosis was created between it and the retrocolic Roux-en-Y limb. Robot-assisted completion gastrectomy was safely performed even after a proximal gastrectomy with jejunal interposition.
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