In recent years, laparoscopic gastrectomy has been applied to the treatment of gastric cancers in centres. Various types of procedures like hand assisted laparoscopic gastrectomy, totally laparoscopic gastrectomy with reconstruction using staplers have been reported in recent literature. But laparoscopic total gastrectomy has been performed very rarely.

We have performed 15 cases of lap assisted total gastrectomy with jejunal interposition for the treatment of malignancies of proximal stomach. The right gastroepiploic and the right gastric vessels are divided followed by the division of stomach 2-3 cm distal to the level of pylorus. The lesser omentum is dissected, left gastric vessels identified, ligated and divided along with complete lymph nodal clearance along the branches of celiac axis. The esophagogastric junction is mobilized and the distal end of esophagus divided with a linear stapler. The specimen is extracted through a minilaparotomy incision and the jejunal pouch is created extra corporeally. The pouch is replaced inside, minilaparotomy closed and esophagojejunal pouch anastamosis done intracorporeally with the help of linear or circular staplers. The minilaparotomy wound is closed in layers.

We present our technique of total laparoscopic total Gastrectomy for carcinoma stomach.