Abstract
Laparoscopic gastrectomy has recently gained acceptance as a less invasive treatment for early stages of gastric cancers. The applications for laparoscopic gastrectomy for malignancy have gradually expanded, with improvements in both surgical techniques and instruments. Although laparoscopic gastrectomy for early gastric cancer is performed in many institutions in Japan now, laparoscopic operations for advanced gastric cancer is currently performed mainly in institutions that deal with many such cases on a regular basis.
More recently, reduced port laparoscopic gastrectomy has been introduced as an advanced technique, in which fewer access trocar points and/or small caliber forceps may prove less invasive than traditional laparoscopic approaches. One of the ultimate goals of this type of surgery is single-incision laparoscopic (SLS) gastrectomy, in which gastrectomy with reconstruction is performed through a single transumbilical incision. Although this approach provides an excellent cosmetic result, the procedure is technically demanding due to the difficulty in creating the proper operative field with the appropriate counter-traction. To overcome these issues, the position of the forceps must be systematized in each surgical field to gain a better view and to prevent the interference of forceps. In this chapter, SLS distal gastrectomy will be described in detail.
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© 2014 Springer Japan
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Omori, T., Nishida, T. (2014). Distal Gastrectomy. In: Mori, T., Dapri, G. (eds) Reduced Port Laparoscopic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54601-6_17
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DOI: https://doi.org/10.1007/978-4-431-54601-6_17
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