New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes.

ABSTRACT:

Aim

To show outcomes of our series of patients that underwent a total gastrectomy with a robotic approach and highlight the technical details of a proposed solution for the reconstruction phase.

Methods

Data of gastrectomies performed from May 2014 to October 2016, were extracted and analyzed. Basic characteristics of patients, surgical and clinical outcomes were reported. The technique for reconstruction (Parisi Technique) consists on a loop of bowel shifted up antecolic to directly perform the esophago-enteric anastomosis followed by a second loop, measured up to 40 cm starting from the esojejunostomy, fixed to the biliary limb to create an enteroenteric anastomosis. The continuity between the two anastomoses is interrupted just firing a linear stapler, so obtaining the Ro

SUBMITTER: Parisi A 

PROVIDER: S-EPMC5483504 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature