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01.12.2012 | Technical innovations | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

V-shaped lymph node dissection in laparoscopic distal gastrectomy; new technique of intra-abdominal dissection and surgical outcomes

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Nobuhisa Matsuhashi, Narutoshi Nagao, Yoshinori Iwata, Sang-Woong Lee, Takaya Tokuhara, Chihiro Tanaka, Masahiko Kawai, Katsuyuki Kunieda, Kazuhiro Yoshida
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-205) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

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.
Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
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Authors’ original file for figure 5
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Authors’ original file for figure 6
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Authors’ original file for figure 7
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Authors’ original file for figure 8
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Authors’ original file for figure 9
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Authors’ original file for figure 10
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Authors’ original file for figure 11
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Literatur
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