title: Laparoscopy-assisted total gastrectomy with D2 lymphadenectomy and Roux-en-Y reconstruction--case report.
abstract: We report a case of patient with stage IIIb gastric cancer qualified for laparoscopy-assisted gastrectomy and our first impressions about this procedure. Total gastrectomy with complete omentectomy and extended lymphadenectomy (D2) was performed laparoscopically. The intestinal continuity was restored in a Roux-en-Y mode extracorporeally through the abdominal access system. The orogastric tube with anvil of the circular stapler was transorally introduced into the esophagus. Subsequently, intracorporeal stapling esophagojejunostomy was performed. There were no complications after the operation and the patient was discharged in good shape. Oncological radicality was sufficient and patient has undergone chemotherapy treatment.
authors: Piotr
authors: P
authors: Papaj
authors: Sławomir
authors: S
authors: Kozieł
authors: Przemysław
authors: P
authors: Śleziński
authors: Katarzyna
authors: K
authors: Dobija-Kubica
authors: Józef
authors: J
authors: Wróbel
mesh_terms: D000368:Aged; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D011044:Poland; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome