J Minim Invasive Surg.  2017 Dec;20(4):163-165. 10.7602/jmis.2017.20.4.163.

Video of Totally Laparoscopic Modified Esophagogastrostomy Using a Spade Shaped Anastomosis Following Proximal Gastrectomy (SPADE Operation)

• Han WH
• Kim YW
• Kim DH
• Shahin MA
• Yun YI

• KMID: 2414845
• DOI: http://doi.org/10.7602/jmis.2017.20.4.163

Abstract

Proximal gastrectomy (PG) has been tried as a function-preserving surgery for management of early upper gastric cancer. However, Reflux symptoms and stricture limit its applicability. We designed an anastomosis between the distal part of the posterior esophageal wall and the proximal part of the anterior wall of the stomach to make an anti-reflux mechanism. We named it the SPADE operation owing to its spade-like shape and because it is an acronym for a spade-shaped esophagogastrostomy after PG, which creates a partially duplicated esophagogastric wall. This video illustrates the case of a 74-year-old man diagnosed with early gastric cancer in the high body of the stomach along the greater curvature. We performed a totally laparoscopic proximal gastrectomy and a SPADE operation. He was discharged on the 7th postoperative day with an uneventful postoperative course and resumption of diet without reflux symptoms.

Keyword

Gastric cancer; Surgery; Anastomosis; Proximal gastrectomy; Gastroesophageal reflux

MeSH Terms

Aged
Constriction, Pathologic
Diet
Gastrectomy*
Gastroesophageal Reflux
Humans
Stomach
Stomach Neoplasms