title: Completely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomach.
abstract: Dissection of the extraperigastric lymph nodes is necessary in most submucosal gastric cancers. Laparoscopy-assisted gastrectomy with extraperigastric lymph node dissection via minilaparotomy has been performed, but, to our knowledge, completely laparoscopic extraperigastric lymph node dissection has never been reported. We successfully performed completely laparoscopic distal gastrectomy with extraperigastric lymph node dissection in 12 patients, of whom 11 had early gastric cancer and 1 had malignant lymphoma. This surgery is technically feasible, has an acceptable complication rate, and a curability similar to that with open surgery.
authors.affiliation: Department of Surgery, Fujita Health University, School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Uyama
authors.forename: Atsushi
authors.initials: A
authors.lastname: Sugioka
authors.forename: Junko
authors.initials: J
authors.lastname: Fujita
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Komori
authors.forename: Hideo
authors.initials: H
authors.lastname: Matsui
authors.forename: Ryohei
authors.initials: R
authors.lastname: Soga
authors.forename: Atsushi
authors.initials: A
authors.lastname: Wakayama
authors.forename: Kiichiro
authors.initials: K
authors.lastname: Okamoto
authors.forename: Akihiro
authors.initials: A
authors.lastname: Ohyama
authors.forename: Akitake
authors.initials: A
authors.lastname: Hasumi