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Journal of Medical Oncology & Therapeutics | Volume 4
March 18-19, 2019 | London, UK
Oncology & Cancer Therapy
International Conference on
Laparoscopic proximal gastrectomy in gastro esophageal junction tumors
Ihab Ahmed
Cairo University, Egypt
F
or Siewert type I and II gastroesophageal junction tumor
(GEJ) laparoscopic proximal gastrectomy can be performed. It
is associated with several perioperative benefits compared with
open proximal gastrectomy. The use of laparoscopic proximal
gastrectomy (LPG) has become an increasingly popular approach
for select tumors
Methods
: We describe our technique for LPG, including the
preoperative work-up, illustrated images of the main principle
steps of the surgery, and our postoperative course.
Results
: Thirteen pts (nine males, four female) with type I,
II (GEJ) adenocarcinoma had laparoscopic radical proximal
gastrectomy and D2 lymphadenectomy. All our patient received
neoadjuvant chemotherapy, eleven patients had intrathoracic
anastomosis through mini thoracotomy (two hand sewn end
to end anastomoses and the other 9 patient end to side using
circular stapler), two patients with intrathoracic anastomosis
had flap and wrap technique, two patients had thoracoscopic
esophageal andmediastinal lymph node dissection with cervical
anastomosis
The mean blood loss 80ml, no cases were converted to open.
The mean operative time 250 minute Average LN retrieved 19-
25, No sever complication such as leakage, stenosis, pancreatic
fistula,or intra-abdominal abscess were reported. Only One
patient presentedwith empyema 1.5month after discharge that
was managed conservatively.
Conclusion
: For carefully selected patients, LPG in GEJ tumour
type I nad II is a safe and reasonable alternative for open
technique, which is associated with similar oncologic outcomes
and low morbidity. It showed less blood loss, respiratory
infections, with similar 1- and 3-year survival rates.
e:
ihab.saad@nci.cu.edu.eg