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Video preload image for Robotic-Assisted Proximal Gastrectomy with a Laparoscopic-Assisted Double-Tract Reconstruction for Proximal Early Gastric Cancer
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  • 1. Introduction
  • 2. Access and Placement of Ports
  • 3. Robot Docking
  • 4. Exposure
  • 5. Stomach Mobilization and Lymph Node Dissection
  • 6. Stomach Transection
  • 7. Further Lymph Node Dissection
  • 8. Esophageal Dissection
  • 9. Robot Undocking
  • 10. Esophageal Transection
  • 11. Removal of Specimen
  • 12. Specimen Dissection and Sending Full-Thickness Margins to Pathology
  • 13. Changing Gloves
  • 14. Double-Tract Reconstruction
  • 15. Hemostasis and Irrigation
  • 16. Drain Placement
  • 17. Closure
  • 18. Post-op Remarks

Robotic-Assisted Proximal Gastrectomy with a Laparoscopic-Assisted Double-Tract Reconstruction for Proximal Early Gastric Cancer

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Raja R. Narayan, MD, MPH1,2,3; Jane C. Kim, MD1; Do Joong Park, MD, PhD1
1Seoul National University Hospital
2Dana-Farber Cancer Institute
3Brigham and Women’s Hospital

Procedure Outline

  1. Dissection of the Lesser Omentum
  2. Ligation of Accessory Left Hepatic Artery
  3. Liver Retraction
  1. Ligation of Left Gastroepiploic Artery and Vein
  2. Ligation of a Short Gastric Artery
  3. Lysis of Posterior Adhesions
  4. Delineation of 3A and 3B Lymph Nodes
  1. Ligation of Left Gastric Artery and Vein
  1. Placement of Purse-String Suture on Proximal End of the Esophagus
  2. Transection of Esophagus Distal to Purse-String Suture
  1. Preparation of Esophagus for Stapled Anastomosis
  2. Preparation of Jejunum for Double-Tract Reconstruction
  3. Jejunojejunostomy
  4. Gastrojejunostomy
  5. Esophagojejunostomy
  6. Final Views of Anastomoses
  7. Fixation of Stomach Remnant

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Authors

Filmed At:

Seoul National University Hospital

Article Information

Publication Date
Article ID427
Production ID0427
Volume2024
Issue427
DOI
https://doi.org/10.24296/jomi/427