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Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer

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Recently, a minimally invasive operation for gastric malignancies has been advocated, and the laparoscopic operation is noted as a technique that increases the quality of life. We performed distal gastrectomy with regional lymph node dissection on 160 cases of gastric cancer located in the middle or lower third of the stomach. In 123 cases, Billroth I reconstruction was performed intracorporeally using the quadrilateral (square) stapling technique with a laparoscopic linear stapling device to prevent postoperative anastomotic bleeding and stenosis. In the remaining 37 cases, the Billroth II method was performed with a linear stapling device [1]. This technique is not only less invasive but also as safe as open gastrectomy, which was performed on 100 gastric cancer cases of similar staging.

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  1. InstitutionalAuthorNameJapanese Gastric Cancer Association (1999) Japanese classification of gastric carcinoma, 13th edn. Kanehara Tokyo

    Google Scholar 

  2. InstitutionalAuthorNameJapanese Research Society for Gastric Cancer (1993) The general rules for the gastric cancer study, 12th edn. Kanehara Tokyo

    Google Scholar 

  3. S Kitano K Shimoda M Miyahara N Shiraishi T Bandoh T Yoshida K Shuto M Kobayashi (1995) ArticleTitleLaparoscopic approaches in the management of patients with early gastric carcinomas. Surg Laparosc Endosc 5 359–362 Occurrence Handle1:STN:280:BymC3cfjtlE%3D Occurrence Handle8845979

    CAS  PubMed  Google Scholar 

  4. RE Kusminsky JP Boland EH Tiley (1995) ArticleTitleHand-assisted laparoscopic splenectomy. Surg Laparosc Endosc 5 463–467 Occurrence Handle1:STN:280:BymC1cjlt1c%3D Occurrence Handle8611994

    CAS  PubMed  Google Scholar 

  5. K Manabe H Ishimura O Nishida F Sano J Uchino (1989) ArticleTitleBillroth I gastrectomy with EEA stapler [in Japanese with English abstract]. Jpn J Gastroenterol Surg 22 60–64

    Google Scholar 

  6. TM Mayers MG Orebaugh (1998) ArticleTitleTotally laparoscopic Billroth I gastrectomy. J Am Coll Surg 186 100–103 Occurrence Handle10.1016/S1072-7515(97)00142-7 Occurrence Handle1:STN:280:DyaK1c7gvFKmuw%3D%3D Occurrence Handle9449605

    Article  CAS  PubMed  Google Scholar 

  7. M Moriya S Shimizu T Okano S Yamaguchi (1997) ArticleTitleExperimental study of laparoscopic gastrectomy: intracorporeal Billroth I gastroduodenostomy. Surg Laparosc Endosc 7 32–37 Occurrence Handle10.1097/00019509-199702000-00009 Occurrence Handle1:STN:280:ByiC1cjoslY%3D Occurrence Handle9116944

    Article  CAS  PubMed  Google Scholar 

  8. Y Nagai H Tanimura K Takifuji H Kashiwagi H Yamoto Y Nakatani (1995) ArticleTitleLaparoscope-assisted Billroth I gastrectomy. Surg Laparosc Endosc 5 281–287 Occurrence Handle1:STN:280:BymD2MfgsVQ%3D Occurrence Handle7551280

    CAS  PubMed  Google Scholar 

  9. MJ O’Reilly WB Saye SG Mullins SE Pinto PT Falkner (1996) ArticleTitleTechnique of hand-assisted laparoscopic surgery. J Laparoendosc Surg 6 239–244 Occurrence Handle1:STN:280:ByiD3s7otlI%3D Occurrence Handle8877742

    CAS  PubMed  Google Scholar 

  10. MM Ravitch FM Steichen (1972) ArticleTitleTechniques of staple suturing in the gastrointestinal tract. Ann Surg 175 815–837 Occurrence Handle1:STN:280:CS2C1Mzjs1E%3D Occurrence Handle4555242

    CAS  PubMed  Google Scholar 

  11. H Ura R Denno K Hirata T Tsuruma H Kameshima T Yasojima (1995) ArticleTitleAccuracy estimation of endoscopic ultrasonography for assessing the depth of invasion in early gastric cancer [in Japanese with English abstract]. Jpn J Gastroenterol Surg 28 1973–1979

    Google Scholar 

  12. KS Venkatesh N Morrison DM Larson P Ramanujam (1993) ArticleTitleTriangulating stapling technique: an alternative approach to colorectal anastomosis. Dis Colon Rectum 36 73–76 Occurrence Handle1:STN:280:ByyC3crnsVM%3D Occurrence Handle8416783

    CAS  PubMed  Google Scholar 

  13. DI Watson PA Game (1997) ArticleTitleHand-assisted laparoscope vertical banded gastroplasty: initial report. Surg Endosc 11 1218–1220 Occurrence Handle10.1007/s004649900574 Occurrence Handle1:STN:280:DyaK1c%2FktlKktQ%3D%3D Occurrence Handle9373299

    Article  CAS  PubMed  Google Scholar 

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Correspondence to S. Tanimura.

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Tanimura, S., Higashino, M., Fukunaga, Y. et al. Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer . Surg Endosc 17, 758–762 (2003).

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