[Common causes and management strategies for intra-operative bleeding during radical laparoscopic distal gastrectomy...

Intraoperative bleeding is a major challenge for performing radical laparoscopic distal gastrectomy with D2 lymphadenectomy. We summarize our experience in laparoscopic surgery from the Department of General Surgery, at Nanfang Hospital of Southern Medical University. We believe that good exposure of the surgical field, following the correct surgical plane, accuratedissection of perigastric structures, proper usage of energy equipment, and awareness of possible vascular variations were key strategies for dealing with intraoperative bleeding.