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Surgical Endoscopy

, Volume 24, Issue 7, pp 1774–1780 | Cite as

Intracorporeal stapled anastomosis following laparoscopic segmental gastrectomy for gastric cancer: technical report and surgical outcomes

  • Sang-Woong Lee
  • George Bouras
  • Eiji Nomura
  • Ryoji Yoshinaka
  • Takaya Tokuhara
  • Toshikatsu Nitta
  • Soichiro Tsunemi
  • Nobuhiko Tanigawa
Technique

Abstract

Background

Limited gastrectomy for early gastric body cancers can offer a better functional outcome by preserving more remnant stomach. Intracorporeal stapled techniques result in cosmesis and avoid awkward anastomosis through a minilaparotomy.

Methods

Laparoscopic segmental gastrectomy is indicated for early gastric cancers of the body of the stomach with no evidence of lymph node involvement. Laparoscopic pylorus-preserving gastrectomy is a specific type of segmental resection for lower-body lesions with dissection of lymph nodes in station 6. Intracorporeal gastrogastric anastomosis is performed by the delta-shaped technique using linear staplers.

Results

Since January 2008 we have performed 12 laparoscopic pylorus-preserving gastrectomies and 13 laparoscopic segmental gastrectomies. All procedures were completed by laparoscopy. One patient with minor anastomotic leakage was managed conservatively. Bleeding from the anastomosis was not encountered in any of the patients. One patient developed narrowing at the anastomotic site and was treated successfully by balloon dilatation. There was no stasis encountered in any of the patients.

Conclusions

Laparoscopic segmental gastrectomy with acceptable surgical outcomes is technically feasible. Although the impact of such resections on oncological outcomes remains to be further evaluated, laparoscopic segmental gastrectomy represents a minimally invasive limited resection that maximizes the potential for a better quality of life following gastric cancer surgery.

Keywords

Laparoscopic gastrectomy Gastric cancer Surgical technique Anastomosis 

Notes

Disclosures

Sang-Woong Lee, George Bouras, Eiji Nomura, Ryoji Yoshinaka, Takaya Tokuhara, Toshikatsu Nitta, Soichiro Tsunemi, and Nobuhiko Tanigawa have no conflicts of interest or financial ties to disclose in relation to this article.

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Sang-Woong Lee
    • 1
  • George Bouras
    • 1
  • Eiji Nomura
    • 1
  • Ryoji Yoshinaka
    • 1
  • Takaya Tokuhara
    • 1
  • Toshikatsu Nitta
    • 1
  • Soichiro Tsunemi
    • 1
  • Nobuhiko Tanigawa
    • 1
  1. 1.Department of General and Gastrointestinal SurgeryOsaka Medical CollegeOsakaJapan

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