LAPAROSCOPIC AND MINILAPAROTOMY PROXIMAL GASTRECTOMY AND ESOPHAGOGASTROSTOMY - TECHNIQUE AND CASE-REPORT

A laparoscopic and minilaparotomy proximal gastrectomy with esophagoga strostomy (end-to-side anastomosis) was performed on a 56-year-old wom an with a leiomyoma located just below the esophagogastric junction. G astroscopic examination revealed a leiomyoma (diameter of 2.5 cm) just be low the esophagogastric junction. We considered a laparoscopic pro ximal gastrectomy safer than a laparoscopic partial gastrectomy becaus e of the risk of postoperative anastomotic stenosis in this case. Ther efore, the patient underwent laparoscopic minilaparotomy proximal gast rectomy with esophagogastrostomy, On postoperative day 1, she was able to walk. On postoperative day 4, she started on a clear liquid diet a nd was discharged on postoperative day 14. During her postoperative re covery, the patient experienced little pain and did not request narcot ic analgesia.