Laparoscopic Proximal Gastrectomy with Double Tract Anastomosis

Abstract

Laparoscopic surgery for gastric cancer has increased remarkably, and laparoscopic proximal gastrectomy has also come to be useful as a less invasive surgery for early gastric cancer located in the upper stomach. As laparoscopic proximal gastrectomy is one of the modified surgical approaches, the curability and postoperative quality of life are the critical points of the method. Although there are mainly three reconstruction methods for proximal gastrectomy, the optimal method has not been established. Double tract anastomosis method has advantages as follows: the anastomosis can be performed even if the remnant stomach is small; part of food passes the duodenum; and the remnant stomach can be checked postoperatively using esophagogastroduodenoscopy. The important points of the surgical technique of laparoscopic proximal gastrectomy with double tract anastomosis are described in this section.