Open AccessThe technique of fourth jejunal artery-based jejunal conduit for oesophagojejunostomy after thoracolaparoscopic oesophagogastrectomy for locally advanced Siewert type II tumour
Author(s) -
Gopalakrishnan Gunasekaran,
Raja Kalayarasan,
Senthil Gnanasekaran,
Biju Pottakkat
Publication year - 2021
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_99_20
Subject(s) - medicine , esophagectomy , anastomosis , mediastinum , lymphadenectomy , surgery , gastrectomy , esophageal cancer , lymph node , radiology , cancer
Locally advanced long Siewert type II tumor requires total gastrectomy and D2 lymphadenectomy with distal esophagectomy and mediastinal lymphadenectomy for curative resection. In this scenario, a laparoscopic transhiatal approach is not feasible, and the conventional left thoracoabdominal approach is associated with increased morbidity.