Laparoscopic Distal/Subtotal Gastrectomy

  • John B. Hamner
  • Joseph KimEmail author


Gastric cancer remains a leading cause of cancer-related deaths worldwide. Historically, curative surgical intervention was open gastrectomy but recent studies suggest that laparoscopic gastrectomy may be equivalent to or better than open gastrectomy. Although a laparoscopic approach may not be ideal for all patients, the procedure may result in less blood loss, shorter recovery time, and similar survival rates compared to open gastrectomy. One of the critical components of laparoscopic gastric surgery is lymph node dissection because of its technical complexity. This chapter outlines the step-by-step surgical procedure to perform laparoscopic gastrectomy and lymph node dissection. The chapter highlights key techniques, discusses anatomic considerations, and describes proper care for a successful laparoscopic gastrectomy.


Gastric cancer Laparoscopic gastrectomy Distal gastrectomy D2 lymph node dissection 

Supplementary material

Video 7.1

In this video, the surgeon demonstrates his approach to laparoscopic distal subtotal gastrectomy. (WMV 100154 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Surgical OncologyCity of HopeDuarteUSA

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