Intracorporeal Laparoscopic Handmade Gastro-Enteroanastomosis and Brown Anastomosis in Advanced Distal Gastric Cancer

Intracorporeal laparoscopic handmade gastro-enteroanastomosis and Brown anastomosis in advanced distal gastric cancer - an opportunity to optimize palliative gastric surgery. By Dr. Svilen Maslyankov, PhD Clinical case: • ♂, '71 • Prooved pyloric adenocarcinoma; • Discrete data of ascites and parietal peritoneum meta (PET-CT Confirmed) • FGS - fails duodenal penetration • Gastric dilatation Planned laparoscopic GEA: 4 trocars method. • Camera infraumbiculus troacar №1 - 10 mm • Three troacars (№2-4) of 5 mm. During exploration were visualized several liver mets and limited parietal peritoneum nodules of the diaphragm and Omentum majus. The biopsy was performed. Normal anastomotic function was radiographically proved two weeks, postoperatively Conclusion. Palliative surgery of locally advanced and metastatic cancers of the distal stomach, can be accomplished, with good planning, easily by laparoscopic approach. Thus, we have smaller operational trauma and faster patients’ recovery of with a goal to send them for subsequent adjuvant treatment as fast as we can.