Gyomorrák ncbi,

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DOI: Gastroscopy revealed a 2 cm ulcerated lesion in the antrum region. Biopsy confirmed an invasive intestinal type adenocc.

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Mobilisation of the duodenum and stomach was performed with gyomorrák ncbi 5 mm Ligasure. Distal and proximal resection was performed using Endo GIA 60 mm staplers.

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We performed a modified D1 lymphadenectomy including the region of the gyomorrák ncbi axis, splenic artery and the hepato-duodenal ligament. A side-to-side retrocolic loop gastro-jejunostomy was fashioned using Endo GIA. To transform the loop jejunostomy to a Roux-n-Y setting, the efferent loop of the jejunum was divided using Endo GIA, while the open end of the stomach was sealed with this same stapler line.

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This way, the loop anastomosis was fashioned into Roux-Y. The end-to-side jejuno-jejunostomy component of the Roux-Y anastomosis was performed through the specimen extraction site with hand-sewn technique.

Duration of surgery: min.

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Blood loss: ml. The postop period was uneventful, and the patient was discharged on day 9.

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Histology: Invasive intestinal type adenocc. Discussion: Laparoscopic subtotal gastric resection with Roux-Y reconstruction is feasable without oncologic compromise and with excellent functional results in early gastric cancer.

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Keywords: Roux-en-Y; Roux-en-Y rekonstrukció; korai gyomorrák; laparoscopic subtotal gastric resection; laparoscopos subtotalis gyomorresectio; rearly gastric cancer.

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