Short segment of left colon substitution following proximal gastrectomy.
For improved quality of life, limited surgery for early gastric cancer has been preferred over the standard operation with lymph node dissection. Therefore, we have developed a modified technique: the proximal gastrectomy is reconstructed with a short segment of the left colon. The anastomoses of both esophagocolonostomy and colono-gastric remnantstomy are made using stapling devices. A His' angle is formed to reduce reflux esophagitis. We described here the detail of an operative technique.
Second Department of Surgery, Gunma University School of Medicine, Japan.
S
S
Ohwada
S
S
Nakamura
Y
Y
Sato
S
S
Iwazaki
N
N
Oriuchi
M
M
Izumi
Y
Y
Kawashima
T
T
Ogawa
Y
Y
Iino
Y
Y
Morishita
D003082:Colectomy; D003106:Colon / Q000637:transplantation*; D004942:Esophagitis, Peptic / Q000517:prevention & control; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D013274:Stomach Neoplasms / Q000601:surgery*; D017792:Surgical Stapling