Robot‐assisted completion gastrectomy preserving interposed jejunum in remnant gastric cancer following a proximal gastrectomy reconstructed by jejunal interposition: A case report

Minimally invasive completion gastrectomy is technically demanding and comprises a variety of procedures depending on the previous operation. We present herein a case of robot‐assisted completion gastrectomy preserving the interposed jejunum in remnant gastric cancer following a proximal gastrectomy...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2022-07, Vol.15 (3), p.665-669
Main Authors: Kanai, Tatsuya, Cho, Haruhiko, Takagi, Maki, Funatsu, Nozomi, Sasaki, Naomichi, Ogawa, Rei, Maezawa, Yukio, Tsuchida, Kazuhito
Format: Article
Language:English
Subjects:
Case reports
completion gastrectomy
Gastric cancer
Gastrointestinal surgery
preservation of interposed jejunum
Robotic surgery
robot‐assisted gastrectomy
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Summary:Minimally invasive completion gastrectomy is technically demanding and comprises a variety of procedures depending on the previous operation. We present herein a case of robot‐assisted completion gastrectomy preserving the interposed jejunum in remnant gastric cancer following a proximal gastrectomy reconstructed by jejunal interposition. A 76‐year‐old, male patient experienced newly developed stage cT1bN0M0 gastric cancer in the distal remnant stomach 5 years after his initial proximal gastrectomy. Endoscopic submucosal dissection was not feasible because of tumor depth and poor cancer cell differentiation. The robotic approach was chosen because of the early cancer stage, prior laparoscopic surgery, and the patient's advanced age. The interposed jejunum was successfully preserved, and a new overlap anastomosis was created between it and the retrocolic Roux‐en‐Y limb. Robot‐assisted completion gastrectomy was safely performed even after a proximal gastrectomy with jejunal interposition.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13047