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Updated: Jul 4, 2026
05:30
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Functional evaluation after vagus-nerve-sparing laparoscopically assisted distal gastrectomy
Kazuyuki Kojima1, Hiroyuki Yamada, Mikito Inokuchi
1Department of Esophagogastric Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo, Japan. k-kojima.srg2@tmd.ac.jp
Surgical Endoscopy
|July 3, 2008
Summary
Vagus nerve-sparing (Vs-LADG) gastrectomy for early gastric cancer is safe and may reduce gallstone formation. Clinical and functional outcomes were compared to standard laparoscopically assisted distal gastrectomy (LADG).
Area of Science:
- Surgical Oncology
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Early gastric cancer treatment often involves gastrectomy.
- Postgastrectomy syndrome is a common complication.
- Vagus nerve-sparing laparoscopically assisted distal gastrectomy (Vs-LADG) aims to mitigate these issues.
Purpose of the Study:
- To evaluate the clinical and functional outcomes of Vs-LADG.
- To compare Vs-LADG with standard laparoscopically assisted distal gastrectomy (LADG).
Main Methods:
- A retrospective review of 105 patients with gastric cancer.
- 75 patients underwent Vs-LADG, and 30 underwent LADG.
- Comparison of clinical and functional outcomes between the two groups.
Main Results:
- No significant differences in clinical or pathological backgrounds.
- Significantly lower incidence of gallstone formation in the Vs-LADG group (p < 0.05).
- No differences in surgery duration, blood loss, lymph node retrieval, flatus time, or hospital stay.
Conclusions:
- Vs-LADG is a safe and minimally invasive surgical option.
- Vs-LADG may reduce the incidence of gallstones after gastrectomy.
