Related Experiment Video
Updated: May 18, 2026
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
V-shaped lymph node dissection in laparoscopic distal gastrectomy; new technique of intra-abdominal dissection and
Nobuhisa Matsuhashi1, Narutoshi Nagao, Yoshinori Iwata
1Department of Surgery, Gifu Prefectural General Medical Center, 1-1 Yanagido, Gifu City, Japan. nobuhisa517@hotmail.com
Background:
Recently, laparoscopic-assisted distal gastrectomy (LADG) has become popular for the treatment of early gastric cancer. Furthermore, the use of totally laparoscopic gastrectomy (TLG), a more difficult procedure than LADG, has been increasing in Japan. Laparoscopic-assisted distal gastrectomy is currently performed more frequently than laparoscopic distal gastrectomy (LDG) in hospitals in Japan.
Method:
Reconstruction after LDG is commonly performed extra-abdominally and lymph node dissection of the lesser curvature is performed at the same time. We have developed a new method of intra-abdominal lymph node dissection for the lesser curvature.
Results:
Our technique showed positive results, is easy to perform, and is reasonable in terms of general oncology theory.
Conclusion:
In oncological therapy, this technique could be a valuable surgical option for totally laparoscopic surgery.