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Laparoscopic Gastrectomy

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Surgical Principles of Minimally Invasive Procedures

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Abstract

The stomach is roughly J-shaped and its size and shape depends on whether it is full or empty, on the position of the body, and on the phase of respiration. The stomach is divided into four portions: cardia, fundus, corpus, and pylorus. The stomach has an anterior and posterior surface. It also has two curvatures, the greater and lesser. The junction of the body with the pyloric antrum is marked by a distinct notch on the lesser curvature known as the incisura angularis. The thickened pyloric sphincter is easily palpated and surrounds the lumen of the pyloric canal. The greater omentum is attached along the greater curvature of the stomach meanwhile the lesser omentum is attached along the lesser curvature. The omentum contains the vascular and lymphatic supply of the stomach.

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References

  1. Altekruse SF, Kosary CL, Krapcho M, Neyman N, Aminou R, Waldron W, Ruhl J, Howlader N, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Cronin K, Chen HS, Feuer EJ, Stinchcomb DG, Edwards BK, editors. SEER Cancer Statistics Review, 1975–2007. Bethesda: National Cancer Institute; 2010. http://seer.cancer.gov/csr/1975_2007/, based on November 2009 SEER data submission, posted to the SEER web site.

  2. Collins BJ, Miyashita T, Schweitzer M, Magnuson T, Harmon J. Gastric bypass: why Roux-en-Y? a review of experimental data. Arch Surg. 2007;142(10):1000–3.

    Article  PubMed  Google Scholar 

  3. Csendes A, Braghetto I, Burdiles P, Korn O. Roux en Y limb diversion as the first option for patients who have Barrett’s esophagus. Chest Surg Clin N Am. 2002;12(1):157–84.

    Article  PubMed  Google Scholar 

  4. Grantcharov TP, Kehlet H. Laparoscopic gastric surgery in an enhanced recovery programme. Br J Surg. Article first published online: 21 Jul 2010. doi:10.1002/bjs.7184.

  5. Cuschieri A. Gastric resections. In: Cuschieri A, editor. The SAGES manual – fundamentals of laparoscopy, thoracoscopy, and GI endoscopy. New York: Springer Science & Business Media; 2006.

    Google Scholar 

  6. Saidi RF, Remine SG, Dudrick PS, Hanna NN. Is there a role for palliative gastrectomy in patients with stage IV gastric cancer. World J Surg. 2006;30(1):21–7.

    Article  PubMed  Google Scholar 

  7. Pugliese R, Maggioni D, Sansonna F, Scandroglio I, Ferrari GC, Di Lernia S, Costanzi A, Pauna J, de Martini P. Total and subtotal laparoscopic gastrectomy for adenocarcinoma. Surg Endosc. 2007;21(1):21–7.

    Article  CAS  PubMed  Google Scholar 

  8. Mori Y, Arita T, Shimoda K, Yasuda K, Yoshida T, Kitano S. Effect of periodic endoscopy for gastric cancer on early detection and improvement of survival. Gastric Cancer. 2001;4(3):132–6.

    Article  CAS  PubMed  Google Scholar 

  9. Kim JH, Park SH, Hong HS, et al. CT Gastrography. Abdom Imaging. 2005;30:509–17.

    Article  CAS  PubMed  Google Scholar 

  10. Kim AY, Kim HJ, Ha K. Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging. 2005;30:465–72.

    Article  CAS  PubMed  Google Scholar 

  11. Kim JH, Eun HW, Hong SS, et al. Early gastric cancer: virtual gastroscopy. Abdom Imaging. 2006;31:507–13.

    Article  CAS  PubMed  Google Scholar 

  12. Dulucq JL, Wintringer P, Perissat J, Mahajna A. Completely laparoscopic total and partial gastrectomy for benign and malignant diseases: a single institute’s prospective analysis. J Am Coll Surg. 2005;200(2):191–7.

    Google Scholar 

  13. Salvon-Harman JC, Cady B, Nikulasson S, Khettry U, Stone MD, Lavin P. Shifting proportions of gastric adenocarcinomas. Arch Surg. 1994;129:381–9.

    Article  CAS  PubMed  Google Scholar 

  14. Nakajima T. Gastric cancer treatment guideline in Japan. Gastric Cancer. 2002;5(1):1–5.

    Article  PubMed  Google Scholar 

  15. Papachristou DN, Fortner JG. Adenocarcinoma of the gastric cardia: the choice of gastrectomy. Ann Surg. 1996;192:58–64.

    Article  Google Scholar 

  16. Harrison LE, Karpeh MS, Brennan MF. Total gastrectomy is not necessary for proximal gastric cancer. Surgery. 1998;123:127–30.

    Article  CAS  PubMed  Google Scholar 

  17. Adachi Y, Inoue T, Hagino Y, Shiraishi N, Shimoda K, Kitano S. Surgical results of proximal gastrectomy for early-stage gastric cancer: jejunal interposition and gastric tube reconstruction. Gastric Cancer. 1999;2:40–50.

    Article  PubMed  Google Scholar 

  18. Shiraishi N, Adachi Y, Kitano S, Kakisako K, Inomata M, Yasuda K. Clinical outcome of proximal versus total gastrectomy for proximal gastric cancer. World J Surg. 2002;26:1150–4.

    Article  PubMed  Google Scholar 

  19. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189–98.

    Article  PubMed  Google Scholar 

  20. Petrowsky H, Demartines N, Valentin R, et al. Evidence-based value of prophylactic drainage in gastrointestinal surgery. A systematic review and meta-analyses. Ann Surg. 2004;240:1074–84.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kawai M, Tani M, Terasawa H, et al. Early removal of prophylactic drains reduces the risk of intra-abdominal infections in patients with pancreatic head resection: prospective study for 104 consecutive patients. Ann Surg. 2006;244:1–7.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, St. Michael’s Hospital, Toronto, ON, Canada

    Wiley Chung MD & Teodor P. Grantcharov MD, PhD, FACS

Authors
  1. Wiley Chung MD
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  2. Teodor P. Grantcharov MD, PhD, FACS
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Corresponding author

Correspondence to Teodor P. Grantcharov MD, PhD, FACS .

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Editors and Affiliations

  1. Department of Surgery, VU University Medical Center Amsterdam, Amsterdam, The Netherlands

    H. Jaap Bonjer

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Chung, W., Grantcharov, T.P. (2017). Laparoscopic Gastrectomy. In: Bonjer, H. (eds) Surgical Principles of Minimally Invasive Procedures. Springer, Cham. https://doi.org/10.1007/978-3-319-43196-3_10

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  • DOI: https://doi.org/10.1007/978-3-319-43196-3_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43194-9

  • Online ISBN: 978-3-319-43196-3

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