Totally laparoscopic gastrectomy for an early gastric cancer patient

Hao Xu, Li Yang, Zekuan Xu. The First Affliated Hospital of Nanjing Medical University

INTRODUCTION: The use of laparoscopic gastrectomy for treating gastric cancer has spread rapidly. We describe a totally laparoscopic D1 radical distal gastrectomy for an early gastric cancer.

METHODS AND PROCEDURES: A 63-year-old male patient was admitted due to “upper abdominal discomfort for 1 year”. Endoscopic ultrasonography (EUS) showed a 2 × 1.5 cm lesion located in gastric angle with infiltration into the submucosa and adenocarcinoma was confirmed by pathology. No evidence of distant metastasis was found during the preoperative imaging. Because positive margins of endoscopic submucosal resection (ESD), totally laparoscopic D1 radical distal gastrectomy with delta-shaped anastomosis was performed.

RESULTS: The post-operative pathological stage was T1N0M0 with negative margins. He recovered well and was smoothly discharged 5 days after surgery.

CONCLUSION: Totally laparoscopic D1 radical distal gastrectomy can be performed safely in experienced surgical centers.

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