Observational Study
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 21, 2017; 23(23): 4293-4302
Published online Jun 21, 2017. doi: 10.3748/wjg.v23.i23.4293
New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes
Amilcare Parisi, Francesco Ricci, Alessandro Gemini, Stefano Trastulli, Roberto Cirocchi, Giorgio Palazzini, Vito D’Andrea, Jacopo Desiderio
Amilcare Parisi, Francesco Ricci, Alessandro Gemini, Stefano Trastulli, Roberto Cirocchi, Jacopo Desiderio, Department of Digestive Surgery, St. Mary’s Hospital of Terni, University of Perugia, 05100 Terni, Italy
Roberto Cirocchi, Department of General Surgery, St. Mary's Hospital of Terni, University of Perugia, 05100 Terni, Italy
Giorgio Palazzini, Vito D’Andrea, Department of Surgical Science, “La Sapienza” University, 00185 Rome, Italy
Author contributions: Parisi A and Desiderio J were involved in study conception and design; Parisi A, Ricci F, Gemini A, Trastulli S, Cirocchi R, Palazzini G, D’Andrea V and Desiderio J collected data and were involved in critical revision and drafting of the final manuscript.
Institutional review board statement: The study was approved by the region ethics committee (CEAS Umbria).
Informed consent statement: Not required for the present study.
Conflict-of-interest statement: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Data sharing statement: Technical appendix available from the corresponding author at djdesi85@hotmail.it.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jacopo Desiderio, MD, Department of Digestive Surgery, St. Mary’s Hospital of Terni, University of Perugia, Via Tristano di Joannuccio 1, 05100 Terni, Italy. jacopo.desiderio@studenti.unipg.it
Telephone: +39-349-7531121 Fax: +39-744-205078
Received: January 25, 2017
Peer-review started: February 1, 2017
First decision: March 3, 2017
Revised: March 31, 2017
Accepted: May 9, 2017
Article in press: May 9, 2017
Published online: June 21, 2017
Core Tip

Core tip: Minimally invasive surgery is growing interest for gastric cancer. Technology has allowed to increase the safety and feasibility of this approach, even in demanding procedures. Total gastrectomy represents a challenge in this context due to the need to ensure a safe esophagojejunal anastomosis. Leakages can strongly influence the postoperative course of the patient until lead to serious consequences.