V-shaped lymph node dissection in laparoscopic distal gastrectomy; new technique of intra-abdominal dissection and surgical outcomes

World Journal of Surgical Oncology

Kazuhiro Yoshida¹  Katsuyuki Kunieda²  Masahiko Kawai²  Chihiro Tanaka²  Takaya Tokuhara³  Sang-Woong Lee³  Yoshinori Iwata²  Narutoshi Nagao²  Nobuhisa Matsuhashi¹ 

[1] Department of Surgical Oncology, Gifu University School of Medicine, Gifu City, Japan;Department of Surgery, Gifu Prefectural General Medical Center, 1-1 Yanagido, Gifu City, Japan;Department of General and Gastroenterological Surgery, Osaka Medical College, Osaka, Japan

关键词: Lymph node dissection;    Laparoscopic gastrectomy;   

Others  :  827208
DOI  :  10.1186/1477-7819-10-205

 received in 2012-06-14, accepted in 2012-09-10,  发布年份 2012

【 摘 要 】

Background

Recently, laparoscopic-assisted distal gastrectomy (LADG) has become popular for the treatment of early gastric cancer. Furthermore, the use of totally laparoscopic gastrectomy (TLG), a more difficult procedure than LADG, has been increasing in Japan. Laparoscopic-assisted distal gastrectomy is currently performed more frequently than laparoscopic distal gastrectomy (LDG) in hospitals in Japan.

Method

Reconstruction after LDG is commonly performed extra-abdominally and lymph node dissection of the lesser curvature is performed at the same time. We have developed a new method of intra-abdominal lymph node dissection for the lesser curvature.

Results

Our technique showed positive results, is easy to perform, and is reasonable in terms of general oncology theory.

Conclusion

In oncological therapy, this technique could be a valuable surgical option for totally laparoscopic surgery.

【 授权许可】

   
2012 Matsuhashi et al.; licensee BioMed Central Ltd.

【 图 表 】

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