Reconstruction for esophagojejunostomy

Hyung Ho Kim; Young Kyu Park; Ichiro Uyama

doi:10.1007/978-4-431-54003-8_24

Reconstruction for esophagojejunostomy

Hyung Ho Kim, Young Kyu Park, Ichiro Uyama

Advanced Robotic and Endoscopic Surgery

Research output: Chapter in Book/Report/Conference proceeding › Chapter

2 Citations (Scopus)

Abstract

Although esophagojejunostomy is the most important step in laparoscopic total gastrectomy, it is still mired in controversy with no existing standard protocol. The first point of contention is the time of esophageal transection. There are two alternatives: before dissection of lymph node stations 11d and 10 or after completing the dissection of the lymph nodes around the splenic hilum. We prefer the former because it enables wider exposure of the splenic hilum, thus making the subsequent nodal dissection of station 10 safer.

Original language	English
Title of host publication	Laparoscopic Gastrectomy for Cancer
Subtitle of host publication	Standard Techniques and Clinical Evidences
Publisher	Springer Japan
Pages	111-118
Number of pages	8
ISBN (Electronic)	9784431540038
ISBN (Print)	9784431540021
DOIs	https://doi.org/10.1007/978-4-431-54003-8_24
Publication status	Published - 01-01-2012

All Science Journal Classification (ASJC) codes

General Medicine

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10.1007/978-4-431-54003-8_24

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AB - Although esophagojejunostomy is the most important step in laparoscopic total gastrectomy, it is still mired in controversy with no existing standard protocol. The first point of contention is the time of esophageal transection. There are two alternatives: before dissection of lymph node stations 11d and 10 or after completing the dissection of the lymph nodes around the splenic hilum. We prefer the former because it enables wider exposure of the splenic hilum, thus making the subsequent nodal dissection of station 10 safer.

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Reconstruction for esophagojejunostomy

Abstract

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