Abstract
Laparoscopy-assisted distal gastrectomy has been applied to the treatment of early gastric cancer in Japan. However, there have been few reports on the laparoscopy-assisted total gastrectomy mainly because of the difficulty of the procedure. Here, we report a series of cases where hand-assisted laparoscopic total gastrectomies were performed successfully. The mobilization of the greater curvature was performed laparoscopically. About 7-cm mini-laparotomy was made at the epigastrium and duodenal transection was performed with linear stapler. After dissection of suprapyloric and anterosuperior lymph nodes was performed through the mini-laparotomy, dissection of lymph nodes along the celiac artery, and the left gastric artery was performed by hand-assisted laparoscopic surgery. Roux-en-Y reconstruction was performed through the mini-laparotomy. We successfully performed this procedure in 5 patients. The mean operating time and blood loss were 275 minutes and 177.5 mL, respectively. Hand-assisted laparoscopic total gastrectomy is suitable and feasible for early gastric cancer.
Original language | English (US) |
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Pages (from-to) | 304-307 |
Number of pages | 4 |
Journal | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
Volume | 13 |
Issue number | 5 |
DOIs | |
State | Published - Oct 2003 |
Keywords
- Gastric cancer
- Hand-assisted laparoscopic surgery
- Laparoscopic surgery
- Mini-laparotomy
- Roux-en-Y reconstruction
- Total gastrectomy
ASJC Scopus subject areas
- Surgery