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Title
1. Introduction
2. Access and Placement of Ports
3. Robot Docking
4. Exposure
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a. Dissection of the Lesser Omentum
b. Ligation of Accessory Left Hepatic Artery
c. Liver Retraction
5. Stomach Mobilization and Lymph Node Dissection
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a. Ligation of Left Gastroepiploic Artery and Vein
b. Ligation of a Short Gastric Artery
c. Lysis of Posterior Adhesions
d. Delineation of 3A and 3B Lymph Nodes
6. Stomach Transection
7. Further Lymph Node Dissection
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a. Ligation of Left Gastric Artery and Vein
8. Esophageal Dissection
9. Robot Undocking
10. Esophageal Transection
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a. Placement of Purse-String Suture on Proximal End of the Esophagus
b. Transection of Esophagus Distal to Purse-String Suture
11. Removal of Specimen
12. Specimen Dissection and Sending Full-Thickness Margins to Pathology
13. Changing Gloves
14. Double-Tract Reconstruction
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a. Preparation of Esophagus for Stapled Anastomosis
b. Preparation of Jejunum for Double-Tract Reconstruction
c. Jejunojejunostomy
d. Gastrojejunostomy
e. Esophagojejunostomy
f. Final Views of Anastomoses
g. Fixation of Stomach Remnant
15. Hemostasis and Irrigation
16. Drain Placement
17. Closure
18. Post-op Remarks
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Robotic-Assisted Proximal Gastrectomy with a Laparoscopic-Assisted Double-Tract Reconstruction for Proximal Early Gastric Cancer
Raja R. Narayan, MD, MPH
1,2,3
;
Jane C. Kim, MD
1
;
Do Joong Park, MD, PhD
1
1
Seoul National University Hospital
2
Dana-Farber Cancer Institute
3
Brigham and Women’s Hospital
Tags:
General Surgery
Oncologic Surgery
Main Text
Procedure Outline
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Authors
Raja R. Narayan, MD, MPH
Jane C. Kim, MD
Do Joong Park, MD, PhD
Filmed At:
Seoul National University Hospital
Article Information
Publication Date
4/17/2024
Article ID
427
Production ID
0427
Volume
2024
Issue
427
DOI
https://doi.org/10.24296/jomi/427