Robotic Multivisceral Resection for Gastroesophageal Junction Tumor: Proximal Gastrectomy with Double-Tract Reconstruction and Distal Pancreatectomy.
Anneliese N Hierl, Taisuke Imamura, Brian D Badgwell et al.
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Case in brief
A 70-year-old man with Siewert type II gastroesophageal junction adenocarcinoma underwent robotic proximal gastrectomy with double-tract reconstruction and en bloc distal pancreatectomy after responding well to neoadjuvant chemotherapy. The surgery was completed in under 6 hours, and pathology revealed a moderately differentiated T4bN2 adenocarcinoma. The patient recovered quickly, highlighting the potential benefits of this surgical approach.
Diagnostic / clinical pearl
Robotic proximal gastrectomy with double-tract reconstruction can be a viable option for patients with locally advanced gastroesophageal junction tumors, potentially improving functional outcomes and recovery.
Why it matters
This case underscores the importance of careful patient selection and surgical technique in managing complex gastroesophageal junction tumors, particularly those with pancreatic invasion.