Laparoscopic Total Gastrectomy and Omentectomy with Roux-en-Y Reconstruction

2018-02-12T19:55:33Z (GMT) by Admad S. Ashrafi Carlyn McNeely

General thoracic surgeons are gaining expertise with minimally invasive esophagectomy (MIE). Laparoscopic total gastrectomy, however, remains an uncommon procedure for most general thoracic surgeons. This video demonstrates a laparoscopic total gastrectomy and omentectomy with roux-en-y reconstruction. The patient was a 61-year-old man who presented with dysphagia, weight loss, and anemia, and he was referred to the authors for investigation of microcytic anemia. Gastroscopy revealed a gastric mass, which a biopsy showed to be a gastric adenocarcinoma. Computed tomography and positron emission tomography showed no metastatic disease. The patient had no postoperative complications and was discharged home on postoperative day seven.



CC BY 4.0