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

World Journal of Surgical Oncology

Technical Innovations

Sang-Woong Lee¹  Takaya Tokuhara¹  Chihiro Tanaka²  Narutoshi Nagao²  Katsuyuki Kunieda²  Yoshinori Iwata²  Masahiko Kawai²  Nobuhisa Matsuhashi³  Kazuhiro Yoshida⁴ 

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

关键词: Laparoscopic gastrectomy;    Lymph node dissection;   

DOI  :  10.1186/1477-7819-10-205

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

来源: Springer

【 摘 要 】

BackgroundRecently, 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.MethodReconstruction 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.ResultsOur technique showed positive results, is easy to perform, and is reasonable in terms of general oncology theory.ConclusionIn oncological therapy, this technique could be a valuable surgical option for totally laparoscopic surgery.

【 授权许可】

CC BY   
© Matsuhashi et al.; licensee BioMed Central Ltd. 2012