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Japanese

Technical Standardization of Laparoscopy-assisted Distal Gastrectomy: How to Approach and Dissect Lymph Nodes Stations? Kazuyuki KOJIMA 1 , Toshiki YAMASHITA 1 , Mikito INOKUCHI 1 , Kenji SHITARA 1 , Kenichi SUGIHARA 1 1Digestive Surgery, Tokyo Medical and Dental University Keyword: 腹腔鏡下手術 , 胃癌 , リンパ節郭清 pp.254-258
Published Date 2002/6/15
DOI https://doi.org/10.11477/mf.4426900322
  • Abstract
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Laparoscopy-assisted distal gastrectomy has been criticized for its difficulty and imcomplete dissection of perigastric lymph nodes, despite its merits such as less wound pain, and early resumption of normal function. We have been trying to perform D1+α, D2 dissection that ar equivalent to open surgery. We defined lymph node dissection as complete when the perigastric vessels were exposed and divided at their roots. We have also stan-dardized how to approach the roots of perigastric vessels. In this way, we can evaluate objectively whether the lymph node dissection is complete or not.


Copyright © 2002, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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