Wipusit Taesombat, MD, Methee Sutherasan, MD, Bunthoon Nonthasoot, MD, Supanit Nivatvongs, MD, Boonchoo Sirichindakul, MD. Department of Surgery, King Chulalongkorn memorial hospital, Chulalongkorn university, Thailand
Introduction: Laparoscopic surgery for gastric cancer is challenging and technically demanding procedure especially combining lymph node dissection. We presented a 72 year-old female with gastric cancer at antrum underwent totally laparoscopic subtotal gastrectomy with D2 lymph node dissection and Roux-en Y gastrojejunostomy in step by step approach.
Methods: Five ports were used to performed the operation (two 12 mm- and three 5 mm-ports). After careful intraperitoneal laparoscopic exploration, standard subtotal gastrectomy and D2 lymph node dissection were performed. We presented the video of this procedure in each important steps that facilitated the operation and be easy to follow.
Results: Laparoscopic subtotal gastrectomy with D2 lymph node dissection and Roux-en Y gastrojejunostomy were performed successfully without intraoperative complications. Operative time was 320 minutes and minimal blood loss. The patient was discharged on postoperative day 5 without complications. Pathology showed poorly differentiated adenocarcinoma (T3 and N2) and free all resection-margins.
Conclusions: Laparoscopic subtotal gastrectomy with D2 lymph node dissection and Roux-en Y gastrojejunostomy is feasible and could be performed by following these important steps.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87299
Program Number: V106
Presentation Session: Foregut/Gastric Session
Presentation Type: Video