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Title
1. Introduction
2. Incision and Access to the Abdomen
3. Abdominal Exploration
4. Entry into Lesser Sac and Division of Omentum
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a. Divide Right Gastric
5. Infrapyloric Dissection
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a. Divide Gastroepiploic Vessels
6. Suprapyloric Dissection
7. Duodenal Transection
8. Greater Curvature Dissection
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a. Open Peritoneum
b. Divide Left Gastric Pedicle
c. Divide Short Gastrics and Left Gastroepiploics
9. Intra-abdominal Esophageal Dissection
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a. Divide Anterior and Posterior Vagus Nerves
10. Esophageal Transection
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a. Double-Check Z-Line
11. Purse-String Suture for Esophageal Opening
12. Jejunojejunostomy
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a. Measure 60-cm Roux Limb
13. Esophagojejunostomy
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a. Results from Pathology
14. Excision of Open End of Roux Limb
15. Inspection and Hemostasis
16. Closure
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a. Close Defect in Diaphragm
b. Reapproximate Transverse Mesocolon to Roux Limb
17. Post-op Remarks
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Prophylactic Total Gastrectomy for CDH1 Gene Mutation
Zhi Ven Fong, MD, MPH
1
;
John T. Mullen, MD
1
1
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Zhi Ven Fong, MD, MPH
John T. Mullen, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
12/10/2022
Article ID
336
Production ID
0336
Volume
2022
Issue
336
DOI
https://doi.org/10.24296/jomi/336