Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method.
We performed a hand-assisted laparoscopic resection of the distal stomach for treatment of gastric cancer with use of an abdominal wall-lift method. The surgeon's left hand, which was inserted through a right lower quadrant incision, was extremely useful in accomplishing D2 lymph node dissection, application of a pursestring instrument, and approximation of a circular stapler to carry out a Billroth I anastomosis. Abdominal wall-lift enabled us to perform the gastrectomy without any concern about gas leakage. The combination of the wall-lift method and hand assistance seems to further enlarge the possibilities of laparoscopic procedures, especially in gastrointestinal surgery.
Ohki
J
J
Department of Surgery, Yuki Hospital, 633-1 Yuki City, Ibaraki, 307-0001 Japan.
Nagai
H
H
Hyodo
M
M
Nagashima
T
T
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D013274:Stomach Neoplasms / Q000601:surgery*