Prophylactic Total Gastrectomy for CDH1 Gene Mutation
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Incision and Access to the Abdomen
- 3. Abdominal Exploration
- 4. Entry into Lesser Sac and Division of Omentum
- 5. Infrapyloric Dissection
- 6. Suprapyloric Dissection
- 7. Duodenal Transection
- 8. Greater Curvature Dissection
- 9. Intra-abdominal Esophageal Dissection
- 10. Esophageal Transection
- 11. Purse-String Suture for Esophageal Opening
- 12. Jejunojejunostomy
- 13. Esophagojejunostomy
- 14. Excision of Open End of Roux Limb
- 15. Inspection and Hemostasis
- 16. Closure
- 17. Post-op Remarks
- Divide Right Gastric
- Divide Gastroepiploic Vessels
- Open Peritoneum
- Divide Left Gastric Pedicle
- Divide Short Gastrics and Left Gastroepiploics
- Divide Anterior and Posterior Vagus Nerves
- Double-Check Z-Line
- Measure 60-cm Roux Limb
- Results from Pathology
- Close Defect in Diaphragm
- Reapproximate Transverse Mesocolon to Roux Limb
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