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Related Experiment Videos

Hand-assisted laparoscopic total gastrectomy.

Young-Woo Kim1, Ho-Seong Han, Gary D Fleischer

  • 1Department of Surgery, College of Medicine, Ewha Woman's University, Seoul, Korea. gskim@ncc.re.kr

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|February 25, 2003
PubMed
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Laparoscopic total gastrectomy using a hand-access device is a feasible option for early gastric cancer. This minimally invasive approach offers a reasonable alternative to open surgery, potentially improving patient recovery and quality of life.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Radical gastrectomy remains the standard treatment for gastric cancer.
  • Minimally invasive surgery (MIS) is gaining interest for early gastric cancer due to potential quality of life benefits.
  • Laparoscopic total gastrectomy (LTG) presents technical challenges, limiting its widespread adoption.

Observation:

  • A complete laparoscopic total gastrectomy with Roux-en-Y esophagojejunostomy, D1 plus alpha lymph node dissection, and omentectomy was successfully performed using a hand-access device.
  • The procedure took 6 hours with 500 mL blood loss.
  • The patient experienced an uneventful recovery and was discharged on postoperative day 16.

Findings:

  • Laparoscopic total gastrectomy is technically feasible for early gastric cancer in the proximal stomach.

Related Experiment Videos

  • This MIS approach is a viable option when endoscopic mucosal resection is not indicated.
  • The procedure demonstrated acceptable operative time and blood loss.

    • Implications:

    • LTG can be a safe and effective alternative to open surgery for select early gastric cancer patients.
    • This technique may enhance postoperative recovery and improve the quality of life for patients with early gastric cancer.
    • Further adoption of LTG could expand MIS options for gastric cancer management.