title: V-shaped lymph node dissection in laparoscopic distal gastrectomy; new technique of intra-abdominal dissection and surgical outcomes.
abstract: BACKGROUND
  Recently, laparoscopic-assisted distal gastrectomy (LADG) has become popular for the treatment of early gastric cancer. Furthermore, the use of totally laparoscopic gastrectomy (TLG), a more difficult procedure than LADG, has been increasing in Japan. Laparoscopic-assisted distal gastrectomy is currently performed more frequently than laparoscopic distal gastrectomy (LDG) in hospitals in Japan.
  
  
  METHODS
  Reconstruction after LDG is commonly performed extra-abdominally and lymph node dissection of the lesser curvature is performed at the same time. We have developed a new method of intra-abdominal lymph node dissection for the lesser curvature.
  
  
  RESULTS
  Our technique showed positive results, is easy to perform, and is reasonable in terms of general oncology theory.
  
  
  CONCLUSIONS
  In oncological therapy, this technique could be a valuable surgical option for totally laparoscopic surgery.
authors.affiliation: Department of Surgery, Gifu Prefectural General Medical Center, 1-1 Yanagido, Gifu City, Japan. nobuhisa517@hotmail.com
authors.forename: Nobuhisa
authors.initials: N
authors.lastname: Matsuhashi
authors.forename: Narutoshi
authors.initials: N
authors.lastname: Nagao
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Iwata
authors.forename: Sang-Woong
authors.initials: SW
authors.lastname: Lee
authors.forename: Takaya
authors.initials: T
authors.lastname: Tokuhara
authors.forename: Chihiro
authors.initials: C
authors.lastname: Tanaka
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kawai
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Kunieda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007564:Japan; D010535:Laparoscopy; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome