23] A Roux-en-Y anastomosis was performed in patients who received total gastrectomy
, and a Billroth II anastomosis was performed in patients who received distal gastrectomy.
Duodenogastric Bile reflux is more common after cholecystectomy17, gastric surgery including total gastrectomy
and gastric bypass surgery for weight loss.
Distal esophagectomy and total gastrectomy
are preferred in type II tumors (10, 11).
The Japanese Gastric Cancer Association (7) recommended simultaneous splenectomy during total gastrectomy
to facilitate removal of splenic hilar lymph nodes in advanced gastric cancer involving the upper third of the stomach.
We hereby present the case of a patient who underwent laparoscopic total gastrectomy
because of early-phase gastric cancer and who developed massive intestinal necrosis because of internal herniation in the third year of follow-up.
Clinical and immunological impact od early postoperative enteral immunonutrition after total gastrectomy
in gastric cancerpatients: a prospective randomized study".
The patient underwent a staging laparoscopy followed by an open total gastrectomy
A 54-year-old female with gastric adenocarcinoma (pT4aN3bM0, Stage IIIC) underwent laparoscopic total gastrectomy
in October 2013, followed by eight cycles of adjuvant chemotherapy with an oxaliplatin-containing regimen from November 2013 to June 2014.
The histopathological diagnosis of intestinal or diffuse GC form determined by the pathologist was decisive for the performance of subtotal or total gastrectomy
with lymph node dissection.
A total gastrectomy
was carried out following with an esophagojejunostomy.
The patient was then directed to the Surgery Department of the Regional Institute of Oncology Iasi, where a total gastrectomy
was performed, with a "roux-en-y" anastomosis (termino-lateral eso-jejunoanastomosis and termino-lateral jejuno-jejunoanastomosis).
76%) had total gastrectomy
An R0 resection was performed in 40(56.