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August 23, 2026Diseases of the Esophagus

P1.251. Minimally Invasive Technique of Esophagojejunal Reconstruction After Extended Total Gastrectomy for OG Junction Cancer

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Authors

RPRamakrishnan ParthasarathiPPProf C PalaniveluDCDr M Bharath Cumar

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Overview

Technical report demonstrates feasible laparoscopic transhiatal esophagojejunal reconstruction in OG junction cancer, suggesting safe lower mediastinal access without thoracotomy.

Key Points

  • To assess the technical feasibility and surgical strategy of intracorporeal esophagojejunal reconstruction following laparoscopic extended total gastrectomy for esophagogastric junction cancer.
  • Laparoscopic extended total gastrectomy with transhiatal distal esophagectomy and D2 lymphadenectomy was performed for OG junction cancer.
  • Intracorporeal circular stapled esophagojejunostomy, Roux-en-Y jejunojejunostomy, and diaphragmatic crural approximation were executed without opening the chest cavity.
  • The entire procedure was completed successfully using a totally minimally invasive transhiatal approach, safely avoiding thoracotomy.
  • Surgical access yielded adequate distal esophageal mobilization, safe lower mediastinal dissection, and a satisfactory, tension-free intracorporeal reconstruction.

Cite This Study

Parthasarathi et al. (2026) studied this question.

synapsesocial.com/papers/6a8aae007677a34114446a6fhttps://doi.org/10.1093/dote/doag077.399
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1[Application of totally laparoscopic right thoracic esophagojejunostomy in adenocarcinoma of the esophagogastric junction (AEG) surgery].2025
  2. 2Esophago-jejunal anastomosis with open approach using the parachute technique to prioritize safety after resection of esophagogastric junction cancer2024
  3. 3Perioperative and Long-Term Outcomes of T-Shaped Esophagojejunostomy After Laparoscopic Total Gastrectomy for Gastric Cancer2026
  4. 4187. SUPRADIAPHRAGMATIC ROUX-EN-Y RECONSTRUCTION AFTER EXTENDED TOTAL GASTRECTOMY FOR ESOPHAGOGASTRIC ADENOCARCINOMA AT A SINGLE INSTITUTION2025
  5. 5Robotic Multivisceral Resection for Gastroesophageal Junction Tumor: Proximal Gastrectomy with Double-Tract Reconstruction and Distal Pancreatectomy2026 · 1 citations