Total and Subtotal D2 Laparoscopic Gastrectomy
Fig. 7.1 The patient lies in an articulated table and in the Lloyd-Davies position with the left arm abducted and 20° head-up tilt (reverse Trendelenburg position). A vesical catheter and…
Total Gastrectomy
Figs. 3.1 and 3.2 The inferior (pars flaccida) and superior (pars condensa) portions of the lesser omentum are resected close to the liver, so that they can be removed en…
Lymphadenectomy
Fig. 8.1 Regional lymphatic stations of the stomach according to the Japanese Gastric Cancer Association Table 8.1 Regional gastric lymph nodes No. 1 Right paracardial LN No. 2 Left paracardial…
Stapled Subtotal Gastrectomy
Fig. 5.1 Subtotal gastrectomy is selected when a satisfactory proximal resection margin can be obtained. There are several techniques to perform a stapled subtotal gastrectomy: total or partial inferior anastomosis,…
Special Cases
Figs. 9.1, 9.2, and 9.3 A locally advanced gastric tumor infiltrating the transverse mesocolon without involvement of middle colic vessels. Subtotal gastrectomy with en bloc resection of mesocolic tissue was…
Position of the Patient
Fig. 1.1 The patient is placed supine with the left arm abducted, as required by the anesthetist, and the right arm adducted to leave sufficient room for the surgeon and…
Inflammatory Bowel Diseases
Inflammatory Bowel Diseases Diarrhea is common, and it has been estimated that even in Western countries most experience at least two episodes of infectious diarrhea annually (see chapter on infections)….
Small and Large Bowel Polyps and Tumors
Small and Large Bowel Polyps and Tumors INTRODUCTION This chapter discusses polyps and tumors of the small and large bowel, which are primarily mucosal or epithelial. Lymphoproliferative disorders (see Chapter…
Stomach and Proximal Duodenum: Inflammatory and Miscellaneous Disorders
Stomach and Proximal Duodenum: Inflammatory and Miscellaneous Disorders CLASSIFICATION OF GASTRITIS AND GASTROPATHY Though no classification of gastritis satisfies everyone, the overall goal of any classification is to help clear…
Enteric Infections and Associated Diseases
Enteric Infections and Associated Diseases INRODUCTION Gastrointestinal (GI) infections are a major cause of morbidity and mortality on a global scale, second only to upper respiratory tract infections. The global…
