[Laparoscopic hemi-double stapling and reduced-port laparoscopic distal gastrectomy for gastric cancer].
BACKGROUND
The hemi-double stapling method (HDS) is typically used for extracorporeal Billroth-I anastomosis. We used HDS for reduced-port surgery. Laparoscopic HDS is used for intracorporeal Billroth-I anastomosis after laparoscopic distal gastrectomy. We performed reduced-port laparoscopic distal gastrectomy for gastric cancer.


METHODS
Reduced-port laparoscopic distal gastrectomy was performed using the multi-trocar method with 5mm and 3mm ports. Laparoscopic HDS was performed using an umbilical incision and a left upper abdominal incision. A total of 17 patients underwent reduced-port laparoscopic distal gastrectomy. A D1+or D1 lymph node dissection was performed, and laparoscopic HDS was used for reconstruction.


RESULTS
The patients had no short-term complications.


CONCLUSIONS
Laparoscopic HDS and reduced-port laparoscopic distal gastrectomy are safe and feasible procedures.
Dept. of Surgery, Japan Community Health care Organization, Shimonoseki Medical Center.
Taku
T
Nishimura
Kouichiro
K
Sakata
Junya
J
Kondo
Yukiko
Y
Nagashima
Toshimasa
T
Okada
Mitsuo
M
Nakamura
D005260:Female; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D008197:Lymph Node Excision; D008297:Male; D013274:Stomach Neoplasms / Q000601:surgery*; D017792:Surgical Stapling / Q000295:instrumentation*