Wei Wang, Wenjun Xiong, Jin Wan, Xiaofeng Zhu. Guangdong Provincial Hospital of Chinese Medicine
Laparoscopic distal gastrectomy for advanced gastric cancer is widely perform in East Asia. Herein, we introduce the technique of laparoscopic D2 radical distal gastrectomy with complete mesogastrium excision.
First step was dissecting the gastrocolic omentum from left to right. The superior border of pancreas was exposed and the No.4sb and 4sa lymph nodes (LNs) dissection. Secondly, the right part of gastrocolic omentum was separate to expose the duodenum and pancreas head with No.6 LNs dissection. The Gerota fascia was dissected from pancreatic tail to pancreatic neck with the abdominal aorta, celiac trunk and its branches were exposed. The left gastric artery and vein were ligated and the No. 7, 8a, 9 and 11p lymph nodes were dissected. Exposing the right gastric artery and portal vein, the No.5 and 12a LNs were dissected. The lesser curvature of the stomach was separated and the No.3 lymph nodes were dissected. The third step was separating the lesser omentum to dissect No.1, 3 and 5 LNs. The mobilizing and dissecting procedure was finished.
LDG with D2 lymphadenectomy complete mesogastrium excision for advanced gastric cancer is technically feasible.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93425
Program Number: V364
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop