Mesenteric closure after laparoscopic total gastrectomy with Roux-en-Y reconstruction is effective for prevention of internal hernia: a multicenter retrospective study

2021 ◽  
Author(s):  
Katsuhiro Murakami ◽  
Kazutaka Obama ◽  
Seiichiro Kanaya ◽  
Seiji Satoh ◽  
Dai Manaka ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Total Gastrectomy ◽  
Internal Hernia ◽  
Laparoscopic Total Gastrectomy

Internal Hernia After Laparoscopic Total Gastrectomy for Gastric Cancer

2017 ◽  
Vol 27 (6) ◽  
pp. 470-473 ◽  
Author(s):  
Toshiyasu Ojima ◽  
Mikihito Nakamori ◽  
Masaki Nakamura ◽  
Masahiro Katsuda ◽  
Keiji Hayata ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Internal Hernia ◽  
Laparoscopic Total Gastrectomy

scholarly journals Internal Hernia after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction

2012 ◽  
Vol 45 (1) ◽  
pp. 113-122 ◽  
Author(s):  
Kazunori Shibao ◽  
Aiichiro Higure ◽  
Mitsuhiro Nakamoto ◽  
Koji Yamaguchi
Keyword(s):  
Total Gastrectomy ◽  
Internal Hernia ◽  
Laparoscopic Total Gastrectomy

scholarly journals Gastric liposarcoma resected by laparoscopic total gastrectomy to achieve a wide surgical margin

2017 ◽  
pp. bcr-2017-221703 ◽  
Author(s):  
Katsuhiro Tomofuji ◽  
Jota Watanabe ◽  
Naoki Ishida ◽  
Shinsuke Kajiwara
Keyword(s):  
Total Gastrectomy ◽  
Surgical Margin ◽  
Laparoscopic Total Gastrectomy

Evaluation of the Safety and Feasibility of Laparoscopic Total Gastrectomy in Clinical Stage I Gastric Cancer Patients

2015 ◽  
Vol 39 (7) ◽  
pp. 1782-1788 ◽  
Author(s):  
Daisuke Ichikawa ◽  
Shuhei Komatsu ◽  
Takeshi Kubota ◽  
Kazuma Okamoto ◽  
Hirotaka Konishi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Cancer Patients ◽  
Total Gastrectomy ◽  
Clinical Stage ◽  
Laparoscopic Total Gastrectomy ◽  
Stage I ◽  
Gastric Cancer Patients

scholarly journals Esophagojejunostomy through minilaparotomy after laparoscopic total gastrectomy

2007 ◽  
Vol 10 (3) ◽  
pp. 176-180 ◽  
Author(s):  
Hiroshi Okabe ◽  
Seiji Satoh ◽  
Harutaka Inoue ◽  
Masato Kondo ◽  
Jun-ichiro Kawamura ◽  
...  
Keyword(s):  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy

scholarly journals Internal hernia following total gastrectomy with Roux-en-Y reconstruction

2011 ◽  
Vol 93 (6) ◽  
pp. e71-e73 ◽  
Author(s):  
JO Larkin ◽  
F Cooke ◽  
N Ravi ◽  
JV Reynolds
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Total Gastrectomy ◽  
Internal Hernia ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Postoperative Recovery ◽  
Entire Small Bowel ◽  
History Of ◽  
Swirl Sign

Internal herniation is a well-described complication after a gastric bypass, particularly when performed laparoscopically, although it is rarely described following a total gastrectomy. A 55-year-old lady presented with a 24-hour history of vomiting and rigors 10 months after a radical total gastrectomy with Roux-en-Y reconstruction for a gastric adenocarcinoma. Computed tomography (CT) showed a complete small bowel obstruction and a mesenteric swirl sign, indicating a possible internal hernia. The entire small bowel was found at laparotomy to have migrated through the mesenteric defect adjacent to the site of the previous jejunojejunostomy and was dark purple and aperistaltic. The small bowel was reduced through the defect. At a second laparotomy, the small bowel looked healthy and the defect was repaired. Postoperative recovery was unremarkable. Of numerous signs described, the mesenteric swirl sign is considered the best indicator on CT of an internal hernia following Roux-en-Y reconstruction in gastric bypass surgery. A swirl sign on CT in a patient with abdominal pain should always raise the suspicion of an internal hernia.

Hand-Assisted Laparoscopic Total Gastrectomy for Early Gastric Cancer

2003 ◽  
pp. 304-307 ◽  
Author(s):  
Shinsuke Usui ◽  
Haruhiro Inoue ◽  
Tatsuya Yoshida ◽  
Norio Fukami ◽  
Shin-ei Kudo ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Total Gastrectomy ◽  
Laparoscopic Total Gastrectomy
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