STOMACH > Laparoscopic Resection of Gastric Gist

Patient and Port position: Patient placed in modified Lloyd Davies position.
Pneumoperitoneum created by veress needle through 10 mm Supraumbilical skin incision which was later on converted into 10mm camera port.  Right MCL 12mm, left MCL-10mm, right lumbar 5mm, epigastric 5mm and left anterior axillary 5mm ports were made.

STEPS:
Initial step is to visualize all quadrants of peritoneal cavity, liver surfaces and primary tumor location for metastasis, lymphadenopathy and ascites.

Greater omentum divided beyond gastric arcade from right gastroepiploic  vessels to angle of His. Lesser omentum divided. Left gastric vessels dissected clipped by LT 300 and divided. Esophageal hiatus dissected. Proximal division of stomach done beyond tumor and small  gastric tube was made by sequential firing of staples (endo GIA stapler blue). Lower esophagus divided at the level of GE junction. Esophagogastric anastomosis done in continuous single layer by 3-0 PDS suture. Feeding Jejunostomy done 20cms away from DJ flexure.