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Minimally Invasive Gastrectomy

  • Suguru Yamauchi,
  • Seira Honjo,
  • Hajime Orita,
  • Jun Chen,
  • Hiroyuki Egawa,
  • Yutaro Yoshimoto,
  • Akira Kubota,
  • Osamu Itose,
  • Yukinori Yube,
  • Sanae Kaji,
  • Tetsu Fukunaga

摘要

Minimally invasive surgical techniques for gastric cancer have progressed rapidly over the past decade. In our institution, laparoscopic or robot-assisted surgery is the first choice in the surgical treatment of gastric cancer. For laparoscopic or robot-assisted gastrectomies for gastric cancer, the reconstruction method is critical for a better outcome. However, the optimal reconstruction technique remains controversial. In this chapter, we reported the augmented rectangle technique as a reconstruction option for totally laparoscopic Billroth-I reconstructions after distal gastrectomy and hemi-double stapling technique performed with an EEA™OrVil™ circular stapler for totally laparoscopic esophagojejunostomy after total gastrectomy and its innovations and tips.