The online version of this article (doi:10.1186/1477-7819-10-205) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
Study conception and design: NM, S-WL. Acquisition of data: MK, NN, CT, YI, S-WL, TT. Analysis and interpretation of data: NM. Drafting of manuscript: NM. Critical revision: NM, S-WL, MK, KK. Supervision: KY. All authors read and approved the final manuscript.
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.
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.
Our technique showed positive results, is easy to perform, and is reasonable in terms of general oncology theory.
In oncological therapy, this technique could be a valuable surgical option for totally laparoscopic surgery.
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