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Related Experiment Video

Updated: Jun 25, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection following standardization--a preliminary study.

Masanori Tokunaga1, Naoki Hiki, Tetsu Fukunaga

  • 1Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo 135-8550, Japan.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|March 10, 2009
PubMed
Summary

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Laparoscopy-assisted distal gastrectomy with complete D2 dissection is feasible for experienced surgeons. Standardizing this advanced gastric cancer treatment requires further prospective trials.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Laparoscopy-assisted distal gastrectomy (LADG) with D2 lymph node dissection is complex.
  • Feasibility of LADG with standard D2 dissection remains unclear.

Purpose of the Study:

  • To determine the feasibility of laparoscopic D2 lymph node dissection in LADG.
  • Compare early surgical outcomes of complete D2 versus D1 + beta dissection in LADG.

Main Methods:

  • Retrospective study of patients undergoing LADG between April 2006 and October 2008.
  • Comparison of early surgical outcomes between complete D2 dissection (n=42) and D1 + beta dissection (n=179) groups.

Main Results:

  • Complete D2 group had longer operation times (253 vs 224 min) and more retrieved lymph nodes (41 vs 35).

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Last Updated: Jun 25, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
03:32

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

  • No significant differences were observed in other early surgical outcomes between the groups.
  • Conclusions:

    • LADG with complete D2 lymph node dissection can be performed safely by experienced surgeons with standardized procedures.
    • Further well-designed prospective trials are needed to establish LADG with D2 dissection as a standard treatment for advanced gastric cancer.