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Laparoscopic Proximal Gastrectomy with Double Tract Anastomosis

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Abstract

Laparoscopic surgery for gastric cancer has increased remarkably, and laparoscopic proximal gastrectomy has also come to be useful as a less invasive surgery for early gastric cancer located in the upper stomach. As laparoscopic proximal gastrectomy is one of the modified surgical approaches, the curability and postoperative quality of life are the critical points of the method. Although there are mainly three reconstruction methods for proximal gastrectomy, the optimal method has not been established. Double tract anastomosis method has advantages as follows: the anastomosis can be performed even if the remnant stomach is small; part of food passes the duodenum; and the remnant stomach can be checked postoperatively using esophagogastroduodenoscopy. The important points of the surgical technique of laparoscopic proximal gastrectomy with double tract anastomosis are described in this section.

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Correspondence to Yukinori Kurokawa MD .

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Electronic Supplementary Material

Video 23.1

Laparoscopic proximal gastrectomy with double tract anastomosis: dissection of the left gastrocolic ligament (MP4 112931 kb)

Video 23.2

Laparoscopic proximal gastrectomy with double tract anastomosis: lymph node dissection along the left gastroepiploic artery and the short gastric artery (MP4 230416 kb)

Video 23.3

Laparoscopic proximal gastrectomy with double tract anastomosis: resection of the abdominal esophagus (MP4 525904 kb)

Video 23.4

Laparoscopic proximal gastrectomy with double tract anastomosis: dissection of the lesser curvature (MP4 221764 kb)

Video 23.5

Laparoscopic proximal gastrectomy with double tract anastomosis: lymph node dissection along the common hepatic artery (MP4 562525 kb)

Video 23.6

Laparoscopic proximal gastrectomy with double tract anastomosis: lymph node dissection along the splenic artery (MP4 225296 kb)

Video 23.7

Laparoscopic proximal gastrectomy with double tract anastomosis: reconstruction (MP4 368572 kb)

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© 2015 Springer International Publishing Switzerland

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Kurokawa, Y., Wada, N., Takiguchi, S., Doki, Y. (2015). Laparoscopic Proximal Gastrectomy with Double Tract Anastomosis. In: Hochwald, S., Kukar, M. (eds) Minimally Invasive Foregut Surgery for Malignancy. Springer, Cham. https://doi.org/10.1007/978-3-319-09342-0_23

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  • DOI: https://doi.org/10.1007/978-3-319-09342-0_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-09341-3

  • Online ISBN: 978-3-319-09342-0

  • eBook Packages: MedicineMedicine (R0)

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