title: Totally Laparoscopic D2 Radical Distal Gastrectomy Using Delta-Shaped Anastomosis: Initial Experience.
abstract: OBJECTIVE
  We presented our preliminary clinical data for totally laparoscopic D2 radical distal gastrectomy using delta-shaped anastomosis (TLG-DSA) to evaluate its effectiveness in terms of minimal invasiveness, technical feasibility, and safety for resection of early gastric cancer.
  
  
  METHODS
  Five consecutive patients who underwent TLG-DSA in our institution from October 22th 2013 to November 29th 2013 were enrolled in this study. In all five cases, only laparoscopic linear staplers were used for intra-corporeal anastomosis.
  
  
  RESULTS
  There were 3 men and 2 women, with a mean age of 67.6 years and a mean body mass index (BMI) of 21.4. All the patients with early gastric cancer were received TLG-DSA. No postoperative complications were found in all five patients, and no postoperative mortality occurred.
  
  
  CONCLUSIONS
  TLG-DSA using laparoscopic linear staplers for early gastric cancer was safe and feasible. Delta-shaped anastomosis is a simple, easy and safe method of intracorporeal gastroduodenostomy.
authors.forename: Ketao
authors.initials: K
authors.lastname: Jin
authors.forename: Tienan
authors.initials: T
authors.lastname: Biz
authors.forename: Shenkang
authors.initials: S
authors.lastname: Zhou
authors.forename: Liangxian
authors.initials: L
authors.lastname: Jiang
authors.forename: Ruili
authors.initials: R
authors.lastname: Zhang
mesh_terms: D000368:Aged; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation / Q000379:methods*; D005763:Gastroenterostomy / Q000295:instrumentation; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000295:instrumentation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome