Intraoperative Complications of Laparoscopic Gastrectomy

  • Tsuyoshi Etoh
  • Ho Young Chung
  • Min-Chan Kim


In Japan, a nationwide survey conducted by the Japan Society of Endoscopic Surgery (JSES) has shown that the number of laparoscopic gastrectomies being performed is gradually increasing [1]. As laparoscopic techniques and instruments have developed, surgeons have performed advanced laparoscopic procedures, including laparoscopy-assisted total gastrectomy (LATG) and laparoscopy-assisted proximal gastrectomy (LAPG), with laparoscopic extended lymph node dissection [2–4]. Thus far, some case–control studies and one Phase II study have demonstrated that LADG with D2 dissection is technically feasible and safe [5–7]. For the use of laparoscopic gastrectomy (LAG) with D2 dissection against advanced gastric cancers, further safe techniques must be developed in the future.


Advanced Gastric Cancer Nationwide Survey Anastomotic Site Laparoscopic Gastrectomy Operative Complication 
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  1. 1.
    Japan Society for Endoscopic Survey (2008) Nationwide survey on endoscopic surgery in Japan. J Jpn Soc Endosc Surg 5:525–529 (in Japanese)Google Scholar
  2. 2.
    Asao T, Hosouchi Y, Nakabayashi T et al (2001) Laparoscopically assisted total or distal gastrectomy with lymph node dissection for early gastric cancer. Br J Surg 88:128–132PubMedCrossRefGoogle Scholar
  3. 3.
    Ikeda Y, Sasaki Y, Niimi M et al (2002) Hand-assisted laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy. J Am Coll Surg 195:578–581PubMedCrossRefGoogle Scholar
  4. 4.
    Tanimura S, Higashino M, Fukunaga Y et al (2007) Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer. Br J Surg 94:204–207PubMedCrossRefGoogle Scholar
  5. 5.
    Goh PM, Khan AZ, So JB et al (2001) Early experience with laparoscopic radical gastrectomy for advanced gastric cancer. Surg Laparosc Endosc Percutan Tech 11:83–87PubMedGoogle Scholar
  6. 6.
    Song KY, Kim SN, Park CH (2008) Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer: technical and oncological aspects. Surg Endosc 22:635–659CrossRefGoogle Scholar
  7. 7.
    Lee JH, Kim YW, Ryu KW et al (2007) A phase II clinical trial of laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer patients. Ann Surg Oncol 14:3148–3153PubMedCrossRefGoogle Scholar
  8. 8.
    Etoh T, Shiraishi N, Kitano S (2009) Current trends of laparoscopic gastrectomy for gastric cancer in Japan. Asian J Endosc Surg 2:18–23CrossRefGoogle Scholar
  9. 9.
    Kim MC, Kim W, Kim HH et al (2008) Risk factors associated with complication following laparoscopy-assisted gastrectomy for gastric cancer: a large scale Korean multicenter study. Ann Surg Oncol 15:2692–2700PubMedCrossRefGoogle Scholar
  10. 10.
    Kim W, Song KY, Lee HJ et al (2008) The impact of comorbidity on surgical outcomes in laparoscopy-assisted distal gastrectomy: a retrospective analysis of multicenter results. Ann Surg 248:793–799PubMedCrossRefGoogle Scholar
  11. 11.
    Ryu KW, Kim YW, Lee JH et al (2008) Surgical complications and the risk factors of laparoscopy-assisted distal gastrectomy in early gastric cancer. Ann Surg Oncol 15:1625–1631PubMedCrossRefGoogle Scholar
  12. 12.
    Ueda J, Ichimiya H, Okido M et al (2009) The impact of visceral fat accumulation on laparoscopy-assisted distal gastrectomy for early gastric cancer. J Laparoendosc Adv Surg Tech A 19:157–162PubMedCrossRefGoogle Scholar
  13. 13.
    Hwang SH, Park do J, Jee YS et al (2009) Risk factors for operative complications in elderly patients during laparoscopy-assisted gastrectomy. J Am Coll Surg 208:186–192PubMedCrossRefGoogle Scholar
  14. 14.
    Etoh T, Shiraishi N, Tajima M et al (2007) Transient liver dysfunction after laparoscopic gastrectomy for gastric cancer patients. World J Surg 31:1115–1120PubMedCrossRefGoogle Scholar
  15. 15.
    Birkmeyer JD, Siewers AE, Finlayson EV et al (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137PubMedCrossRefGoogle Scholar
  16. 16.
    Smith DL, Elting LS, Learn PA et al (2007) Factors influencing the volume-outcome relationship in gastrectomies: a population-based study. Ann Surg Oncol 14:1846–1852PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2012

Authors and Affiliations

  1. 1.Department of Surgery IOita University Faculty of MedicineHasama-machiJapan
  2. 2.Department of SurgeryKyungpook National University HospitalDae-GuKorea
  3. 3.Department of Surgery, Minimally Invasive and Robot CenterDong-A University Medical CenterBusanKorea

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