Laparoscopic and Robotic Distal Gastrectomy With Lymphadenectomy for Gastric Adenocarcinoma in an Obese Patient
Joshua Ellenhorn*
City of Hope National Med Ctr, Duarte, CA
In Asia, laparoscopic assisted gastric resection is commonly performed with open reconstruction. In the United States, minimally invasive techniques have been adapted to enable gastric resection with intracorporeal reconstruction. The aim of this video presentation is to demonstrate an approach to minimally invasive gastric cancer surgery. A hybrid laparoscopic and robotic approach is used to accomplish a radical distal gastrectomy with lymphadenectomy in a typical obese Western habitus patient with a mid antral gastric malignancy. Standard laparoscopy is used for omentectomy, gastric transaction and reconstruction. Lymphadenectomy is accomplished with the use of a surgical robot.
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