• Gan To Kagaku Ryoho · Nov 2014

    [Laparoscopic hemi-double stapling and reduced-port laparoscopic distal gastrectomy for gastric cancer].

    • Taku Nishimura, Kouichiro Sakata, Junya Kondo, Yukiko Nagashima, Toshimasa Okada, and Mitsuo Nakamura.
    • Dept. of Surgery, Japan Community Health care Organization, Shimonoseki Medical Center.
    • Gan To Kagaku Ryoho. 2014 Nov 1;41(12):2220-2.

    IntroductionThe hemi-double stapling method (HDS) is typically used for extracorporeal Billroth-I anastomosis. We used HDS for reduced-port surgery. Laparoscopic HDS is used for intracorporeal Billroth-I anastomosis after laparoscopic distal gastrectomy. We performed reduced-port laparoscopic distal gastrectomy for gastric cancer.MethodsReduced-port laparoscopic distal gastrectomy was performed using the multi-trocar method with 5mm and 3mm ports. Laparoscopic HDS was performed using an umbilical incision and a left upper abdominal incision. A total of 17 patients underwent reduced-port laparoscopic distal gastrectomy. A D1+or D1 lymph node dissection was performed, and laparoscopic HDS was used for reconstruction.ResultsThe patients had no short-term complications.ConclusionsLaparoscopic HDS and reduced-port laparoscopic distal gastrectomy are safe and feasible procedures.

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