tailieunhanh - Ebook Master techniques in general surgery - Gastric surgery: Part 2

(BQ) Part 1 book "Master techniques in general surgery - Gastric surgery" presentation of content: Laparoscopic resection of gastrointestinal stromal tumors, dumping syndrome, surgical management of the afferent limb syndrome, open bariatric operations, laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy technique,. | 21 Robot-assisted Gastrectomy with Lymph Node Dissection for Gastric Cancer Woo Jin Hyung, Yanghee Woo, and Kazutaka Obama Introduction Robotic surgery for gastric cancer is increasing. Many surgeons have adopted robotic surgery to facilitate the technically challenging procedure of gastrectomy with D2 lymphadenectomy. With robotic gastric cancer surgery training, experienced laparoscopic surgeons can safely provide the advantages of minimally invasive surgery to their patients. Adherence to the oncologic principles of gastric cancer treatment ensures that the long-term survival benefits of surgery will not be compromised. INDICATIONS/CONTRAINDICATIONS The indications for robotic surgery are similar to those of the conventionallaparoscopic approach to gastric cancer. Early gastric cancer patients without parlgastrlc lymph node (LN) involvement are ideal candidates for robotic gastrectomy with limited lymphadenectomy. Locally advanced gastric cancer without evidence of distant metastases is a generally accepted indication for robotic gastrectomy and D2 lymphadenectomy. for robotic gastrectomy with limited lymphadenectomy: cT1NoMo Mucosal and submucosal tumors not eligible for endoscopic l"BSection Failed endoscopic mucosal resection or endoscopic submucosal dissection Indications for robotic gastrectomy requiring D2 lymphadenectomy: cT1N1Mo • cT:aNoMo; cTaNtMo Cur1"8Dtly, there is no evidence to support robotic surgery for gastric cancer with serosal involvement (T4a) or invasion of adjacent organs (T4b), or for palliative intent. Intolerance to pneumoperitoneum is a contraindication. 219 220 Part II Procedures tor Neoplastic Disease ~ PREOPERATIVE WORK-UP The preoperative work-up of patients undergoing robotic surgery for gastric cancer requires complete evaluation of the patient's clinical status, confirmation pathologic diagnosis, and estimation of the location and extent of disease. The preoperative workup will guide each step of the .

• Y khoa - Dược
• Master techniques in general surgery
• Gastric surgery
• Laparoscopic resection
• Gastrointestinal stromal tumors
• Dumping syndrome
• The afferent limb syndrome
• Laparoscopic adjustable gastric banding
• General surgery
• Hepatobiliary and pancreatic surgery
• Laparoscopic pancreatic surgery
• Total pancreatectomy
• Enucleation of a pancreatic tumor
• Pancreatic surgery
• Extended right hepatectomy
• Central hepatectomy
• Hepatic caudate resection
• Enucleation of hepatic lesions
• Hepatic segmental resections
• Truncal vagotomy
• Proximal gastric vagotomy
• Laparoscopic proximal gastric vagotomy
• Patch for perforated ulcer