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Laparoscopic Methods of Resection and Reconstruction for Subtotal and Total Gastrectomy with D2 Lymphadenectomy

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Abstract

Since Kitano performed the first laparoscopy-assisted distal gastrectomy for early gastric cancer in 1991, laparoscopic gastrectomy has become an alternative option for the treatment of gastric cancer. With advances in instrumentation and accumulation of laparoscopic experience, a variety of different laparoscopic techniques have been introduced and laparoscopic gastrectomy is now used for less invasive but highly technically demanding procedures, such as para-aortic lymphadenectomy and remnant gastric cancer.

Currently, there is a trend for resection and reconstruction after laparoscopic distal or total gastrectomy to be performed using totally laparoscopic procedures rather than laparoscopy-assisted procedures. Various intracorporeal anastomoses have been introduced, such as delta-shaped anastomosis, the beta-shaped anastomosis, and the overlap method using a linear stapler.

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Correspondence to Han-Kwang Yang MD, PhD, FACS .

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© 2015 Springer International Publishing Switzerland

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Yang, HK., Park, D. (2015). Laparoscopic Methods of Resection and Reconstruction for Subtotal and Total Gastrectomy with D2 Lymphadenectomy. In: Strong, V. (eds) Gastric Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-15826-6_15

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  • DOI: https://doi.org/10.1007/978-3-319-15826-6_15

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