Minimally invasive Merendino procedure for a small gastroesophageal junction tumor with ArtiSential articulated instruments (with video)

A proximal gastrectomy is sufficient for patients with small gastroesophageal junction (GEJ) tumors. Continuity can be restored with an esophagojejunostomy with jejunal interposition, offering significant functional advantages. However, the primary challenge is creating a mediastinal anastomosis. Th...

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Bibliographic Details
Published in:Journal of minimally invasive surgery Vol. 28; no. 3; pp. 151 - 153
Main Author: Jagric, Tomaz
Format: Journal Article
Language:English
Published: Korea (South) The Korean Society of Endo-Laparoscopic & Robotic Surgery 15.09.2025
대한내시경로봇외과학회
Subjects:
carcinoma
esophagogastric junction
gastrectomy
laparoscopic
일반외과학
Carcinoma
Esophagogastric junction
Gastrectomy
Laparoscopic
ISSN:2234-778X, 2234-5248, 2234-5248
Online Access:Get full text
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Summary:A proximal gastrectomy is sufficient for patients with small gastroesophageal junction (GEJ) tumors. Continuity can be restored with an esophagojejunostomy with jejunal interposition, offering significant functional advantages. However, the primary challenge is creating a mediastinal anastomosis. This multimedia article demonstrates our technique for laparoscopic proximal gastrectomy with jejunal interposition and hand-sewn esophagojejunostomy, performed using ArtiSential wristed instruments, in a 76-year-old woman with Siewert type II gastroesophageal junction cancer staged as cT2N0M0.
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https://doi.org/10.7602/jmis.2025.28.3.151
ISSN:2234-778X
2234-5248
2234-5248
DOI:10.7602/jmis.2025.28.3.151