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ROBOTIC GASTRECTOMY AFTER RYGB
Rodrigo Moisés de Almeida Leite
*1, Leandro C. Barchi
2, Danilo D. Marchi
2,3, Bruno Zilberstein
3,21Colon And Rectal Surgery, Massachusetts General Hospital, Boston, MA; 2gastromed, Sao Paulo, SP, Brazil; 3Faculdade Sao Leopoldo Mandic, Campinas, São Paulo, Brazil
Gastric cancer after Roux-en-Y Gastric Bypass for surgical treatment of obesity has presented an increase in incidence in the last decades. Around 77 % of cases are diagnosed in the excluded stomach , usually in advanced stages. We present a case of a 34 years-old female patient, who was diagnosed with gastric adenocarcinoma in the Gastric pouch in a routine endoscopy after Roux-en-Y gastric bypass. The decision was made to perform Robotic Total Gastrectomy with D2 lymphadenectomy, and reconstruction by Roux-en-Y Esophageal-jejunal anastomosis qith Da Vinci Xi The patient presented a good postoperative evolution, started clear liquid diet on post-operative day 2 and had early discharge home.
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