Robotic Total Gastrectomy done for very large proximal gastric cancer close to GE junction. Reconstruction was done with a retrocolic RNY limb. The esophageal staple line was resected during construction of the anastamosis and sent for frozen section (negative). Final path revealed a poorly differentiated adenocarcinoma with negative margins (R0). The minimally invasive procedure resulted in an uneventful, almost pain free recovery. A gastrograffin swallow was negative for leak or obstruction and the patient was released home the 4th post-op day.
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