title: [Clinical analysis of laparoscopic D2 lymphadenectomy for distal gastric cancer].
abstract: OBJECTIVE
  To investigate the surgical approach, feasibility and surgical outcomes of laparascopic distal gastrectomy D2(LDGD2).
  
  
  METHODS
  Fifty-four patients who underwent LDGD2 were examined in terms of pathologic findings, operative outcomes, and complications. A simple and effective surgical procedure was as follows: gastrocolic ligament--transverse mesocolon anterior lobe--pancreatic capsule--4sb--4d--6--14v, 8a--12a--9--7--11p, 1--3--5--lesser omental bursa. Efficacy and feasibility of this procedure was analyzed.
  
  
  RESULTS
  The mean operative time was (236±51) minutes, the mean number of  lymph nodes was(18±5), the mean positive lymph nodes were 0-14, the mean blood loss was(217±65) ml, and postoperative mean hospital stay was(15±4) days.
  
  
  CONCLUSIONS
  LDGD2 for lower and lower-middle gastric cancer is feasible and safe, and can meet the oncological demand.
authors.affiliation: Department of General Surgery, Shanxi Provincial People's Hospital, Taiyuan, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Xu
authors.forename: Yong-hong
authors.initials: YH
authors.lastname: Dong
authors.forename: Bao-yu
authors.initials: BY
authors.lastname: Zhao
authors.forename: Wei
authors.initials: W
authors.lastname: Ding
authors.forename: Zhi
authors.initials: Z
authors.lastname: Chen
authors.forename: Shu-sheng
authors.initials: SS
authors.lastname: Wu
mesh_terms: D044684:Colon, Transverse; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008197:Lymph Node Excision; D008198:Lymph Nodes; D008646:Mesocolon; D010179:Pancreas; D013274:Stomach Neoplasms / Q000601:surgery*