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Updated: May 28, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Minimally invasive esophagogastrectomy for esophagogastric junctional cancer
Hirokazu Noshiro1, Yoshihiro Miyasaka, Michiaki Akashi
1Department of Surgery, Faculty of Medicine, Saga University, Saga, Japan. noshiro@cc.saga-u.ac.jp
Background:
Because surgery for esophagogastric junctional cancer (EGJC) occasionally requires a thoracotomy in addition to a laparotomy, surgery is associated with high mortality and morbidity rates. Therefore, minimally invasive surgery should be developed as an alternative to conventional open surgery.
Methods:
We herein describe our first series of seven patients with EGJC who were treated by minimally-invasive surgery using thoracoscopy in addition to the laparoscopic procedure. During the thoracoscopic procedures, transection of the esophagus was performed at the cancer-free portion with a dissection of lower mediastinal nodes and a side-to-side Roux-en-Y esophagojejunostomy was made intrathoracically.
Results:
In the seven patients treated using this procedure, the mean total length of the operation was 606 minutes and the mean number of retrieved lymph nodes was 58. No adverse events occurred intraoperatively and no failure in the intrathoracic esophagojejunostomy was observed, and favorable short-term results were obtained.
Conclusions:
The described procedure for the treatment of patients with EGJC is a minimally invasive alternative to conventional open surgery that looks promising.
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