Complications - Total laparoscopic gastrectomy with D2 lymphadenectomy

  1. Intraoperative complications

    Vascular injury
    Management: Oversew, vascular reconstruction

    Bile duct injury
    Management: Oversew, possibly T-drain; bilioenteric anastomosis

    Pancreatic injury
    Management: Oversew and extensive drainage

    Splenic injury
    Management: Coagulation with argon beamer, fibrin sealant patch, e.g., TachoSil®
    Last resort: Splenectomy

Postoperative complications

Failure of the esophagojejunostomyConfirmation by endoscopy; sensitivity of radiological detection

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