V-20. Managing Double Primary in Stomach and Esophagus: Esophagectomy and Total Gastrectomy With Colonic Interposition
TL;DR
This video demonstrates a safe, reproducible approach to complex upper GI reconstruction using colonic interposition, a technique infrequently showcased in contemporary surgical videos.
Abstract
Esophageal Cancer: Surgical Treatment of Esophageal Cancer – technique Video Description This video demonstrates the surgical management of synchronous malignancies of the esophagus and stomach in a single operative setting. The procedure includes esophagectomy combined with total gastrectomy, followed by colonic interposition as the conduit for alimentary reconstruction. The video highlights operative planning, conduit selection, vascular assessment, mobilization of colon, route of reconstruction, and anastomotic techniques, emphasizing key technical steps and intraoperative decision-making. Synchronous esophageal and gastric malignancies are rare and pose significant oncologic and reconstructive challenges, particularly when the stomach is unavailable as a conduit. This video demonstrates a safe, reproducible approach to complex upper GI reconstruction using colonic interposition, a technique infrequently showcased in contemporary surgical videos. The content provides high educational value by addressing conduit choice, technical pitfalls, and reconstruction strategies, making it highly relevant for upper GI and advanced gastrointestinal surgeons.