Technical aspects of D1+β lymph node dissection during laparoscopy-assisted distal gastrectomy for gastric cancer Hideo MATSUI 1 , Yuichi OKAMOTO 1 , Kazuhito NABESHIMA 1 , Kazuhiro ISHIZU 1 , Akiko ISHII 1 , Yasumasa KONDOH 1 , Kyoji OGOSHI 1 , Hiroyasu MAKUUCHI 1 1Department of Surgery, Tokai University School of Medicine Keyword: 胃癌 , 腹腔鏡下手術 , リンパ節郭清 pp.151-155
Published Date 2008/4/15
DOI https://doi.org/10.11477/mf.4426100167
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 Laparoscopy-assisted gastrectomy with lymph node dissection has a potential risk for some unique complications due to the laparoscopic procedure per se. Tissue dissection using a triangulation method allows an excellent exposure as well as a good traction on the tissues. Understanding the characteristic of the devices used for lymph node dissection also contributes to reduced complications. Meticulous and gentle maneuver along with the precise evaluation of an individual anatomy are prerequisite for a favorable outcome in terms of technical and oncological point of view. In this article, we have demonstrated a detailed procedure for lymph node dissection including perigastric and suprapancreatic regions(D1+nos. 7, 8a, and 9).

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