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Operative procedure of laparoscopic proximal gastrectomy after prior transection of the stomach Masashi TAKEMURA 1,2 , Kayo YOSHIDA 1 , Kiichirou MORIMURA 3 , Yushi FUJIWARA 3 1Department of Gastroenterological Surgery, Osaka City General Hospital 2Department of Upper Gastrointestinal Surgery, Hyogo Collage of Medicine 3Department of Surgery, Osaka City Jyuso Hospital Keyword: 腹腔鏡下噴門側胃切除術 , 空腸間置法 , 胃切離先行 pp.369-374
Published Date 2011/6/15
DOI https://doi.org/10.11477/mf.4426100647
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 Herein, we show an operative procedure of the laparoscopic proximal gastrectomy after prior transection of the stomach. After the dissection part of No.4 d and No. 3 lymph nodes has been decided, we first perform the transection of the stomach at anal side of preoperative marking. While the resected stomach is grasped or pulled, the No.11 p, No.7 and No.8 a lymph nodes are dissected easily. After this, we pull a resected stomach to the right side of the patient and dissection of No.4 sb and No.4 sa lymph nodes are performed. We can easily show the clear operative field development by pulling the resected stomach. We then extract a resected stomach from a small laparotomy site at epigastric region and perform gastric reconstruction using a jejunal interposition. Three patients underwent this procedure. The average duration of the operation was 227 minutes and the amount of blood loss was 70 g. No postoperative complication was observed, and the average postoperative hospitalization was 12 days. Our operative method is useful for stabilization and shortening of the operative duration for laparoscopic proximal gastrectomy.


Copyright © 2011, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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