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Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer

Gastric cancer (GC) constitutes a major health problem. In addition to the popularity of laparoscopic gastrectomy, many reconstructive procedures have been reported in the literature. Surgical resection and lymphatic dissection determine long-term survival; however, the election of a reconstruction...

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Autores principales: Giordano, Alessio, Giudicissi, Rosina, Vellei, Samantha, Cantafio, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034816/
https://www.ncbi.nlm.nih.gov/pubmed/36722542
http://dx.doi.org/10.4103/jmas.jmas_39_22
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author Giordano, Alessio
Giudicissi, Rosina
Vellei, Samantha
Cantafio, Stefano
author_facet Giordano, Alessio
Giudicissi, Rosina
Vellei, Samantha
Cantafio, Stefano
author_sort Giordano, Alessio
collection PubMed
description Gastric cancer (GC) constitutes a major health problem. In addition to the popularity of laparoscopic gastrectomy, many reconstructive procedures have been reported in the literature. Surgical resection and lymphatic dissection determine long-term survival; however, the election of a reconstruction procedure determines the postoperative quality of life for patients with GC. At present, no consensus exists regarding the optimal reconstructive procedure. A new reconstructive approach was recently adopted at our center. Laparoscopic distal or total gastrectomy with D2 lymphadenectomy and a so called ‘double-loop’ reconstruction method with intracorporeal mechanical anastomosis was performed in our patients and we describe the technical note and outcome. The intuition in its use comes from the packaging of gastric bypasses in bariatric surgery. The double-loop method is a valid simplification of the traditional technique of construction of the Roux-limb that could increase the feasibility and safety in performing a full laparoscopic intracorporeal reconstruction with greater ergonomics for the surgeon.
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spelling pubmed-100348162023-03-24 Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer Giordano, Alessio Giudicissi, Rosina Vellei, Samantha Cantafio, Stefano J Minim Access Surg How I Do It Gastric cancer (GC) constitutes a major health problem. In addition to the popularity of laparoscopic gastrectomy, many reconstructive procedures have been reported in the literature. Surgical resection and lymphatic dissection determine long-term survival; however, the election of a reconstruction procedure determines the postoperative quality of life for patients with GC. At present, no consensus exists regarding the optimal reconstructive procedure. A new reconstructive approach was recently adopted at our center. Laparoscopic distal or total gastrectomy with D2 lymphadenectomy and a so called ‘double-loop’ reconstruction method with intracorporeal mechanical anastomosis was performed in our patients and we describe the technical note and outcome. The intuition in its use comes from the packaging of gastric bypasses in bariatric surgery. The double-loop method is a valid simplification of the traditional technique of construction of the Roux-limb that could increase the feasibility and safety in performing a full laparoscopic intracorporeal reconstruction with greater ergonomics for the surgeon. Wolters Kluwer - Medknow 2023 2022-05-17 /pmc/articles/PMC10034816/ /pubmed/36722542 http://dx.doi.org/10.4103/jmas.jmas_39_22 Text en Copyright: © 2022 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle How I Do It
Giordano, Alessio
Giudicissi, Rosina
Vellei, Samantha
Cantafio, Stefano
Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title_full Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title_fullStr Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title_full_unstemmed Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title_short Double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
title_sort double-loop reconstruction after laparoscopic gastrectomy for gastric cancer
topic How I Do It
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034816/
https://www.ncbi.nlm.nih.gov/pubmed/36722542
http://dx.doi.org/10.4103/jmas.jmas_39_22
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