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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2005

01-09-2005 | Original article

Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer

Authors: S. Tanimura, M. Higashino, Y. Fukunaga, S. Kishida, M. Nishikawa, A. Ogata, H. Osugi

Published in: Surgical Endoscopy | Issue 9/2005

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Abstract

Background

Recent advances in surgical techniques have led to widespread acceptance of laparoscopic gastrectomy for gastric cancer. We performed distal gastrectomy with regional lymph node dissection in 235 patients with gastric cancer located in the middle and lower third of the stomach.

Methods

In 171 cases, reconstruction was done using the Billroth I method intracorporeally and the aid of laparoscopic linear stapling devices. The Billroth II and Roux-en-Y methods were used in the remaining 56 and eight patients, respectively,

Results

Patients who underwent laparoscopic distal gastrectomy had a more rapid postoperative recovery than those treated via the open approach. Postoperative complications with this technique were within a permissible range. In terms of the survival curve, there was no statistical difference between the laparoscopic group diagonesed as clinical T2N0 (c T2N0) Preoperatively and the open group.

Conclusion

The laparoscopic technique is not only less invasive, but is also similarly safe and curative compared to open gastrectomy.
Literature
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Metadata
Title
Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer
Authors
S. Tanimura
M. Higashino
Y. Fukunaga
S. Kishida
M. Nishikawa
A. Ogata
H. Osugi
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8936-4

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