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Related Experiment Video

Updated: Jul 1, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Fully robotic extended total gastrectomy with transthoracic long Roux limb reconstruction.

Adam Zeyara1,2,3, Marc J van Det4, Franco Badaloni5

  • 1Department of Surgery, ZGT Almelo, Almelo, The Netherlands. adam.zeyara@med.lu.se.

Surgical Endoscopy
|June 30, 2026
PubMed
Summary

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This study shows that a fully robotic approach for stomach and esophageal junction tumors is feasible and safe, potentially leading to better recovery than open surgery. While challenging cases showed high R1 resection rates, the technique offers a viable minimally invasive option.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Junctional tumors of the stomach and esophagus present challenges for achieving negative margins and safe reconstruction.
  • Traditional open approaches for these tumors are associated with high morbidity.
  • Minimally invasive surgery, particularly robotic techniques, may offer a solution to mitigate these limitations.

Purpose of the Study:

  • To assess the feasibility and safety of a fully robotic approach for extended total gastrectomy with transthoracic long Roux limb reconstruction.
  • To evaluate outcomes in a highly selected patient population with advanced or unfavorable junctional tumors.

Main Methods:

  • A prospective registry of all fully robotic extended total gastrectomies with transthoracic long Roux limb reconstructions at ZGT Hospital was reviewed.
Keywords:
Extended total gastrectomyLong Roux limbRobotic

Related Experiment Videos

Last Updated: Jul 1, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
05:30

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

  • Data included patient demographics, tumor characteristics, operative details, complications, and survival.
  • Kaplan-Meier analyses were used for survival calculations.

    • Main Results:

    • Twenty-three patients with advanced (cT3-4N+) tumors and unfavorable histology were included.
    • Major complications (Clavien-Dindo ≥3) occurred in 22% and anastomotic leaks in 8.7%.
    • Thirty-day mortality was 0%, 90-day mortality was 9%, with a median overall survival of 13.1 months and disease-free survival of 6.4 months. R1 resections were observed in 22% of cases.

    Conclusions:

    • The fully robotic approach for extended total gastrectomy with transthoracic long Roux limb reconstruction is feasible and safe.
    • This technique may offer favorable recovery compared to open surgery for selected patients.
    • The observed R1 resection rate reflects the difficulty of these tumor subtypes, not procedural limitations.