Laparoscopic assistant distal radical gastrectomy

As a minimally invasive procedure for gastric cancer, laparoscopy-assisted radical gastrectomy has increasingly been accepted, particularly when applied for the early gastric cancer. While its long-term effectiveness for the advanced gastric cancer remains unclear, its technique has become mature enough to meet the requirements of open surgery. In this video, laparoscopic assistant distal radical gastrectomy was performed on a 32-year male patient. The post-operative pathology confirmed that 8 of 25 lymph nodes were positive. The final TNM stage was pT3N3M0 and the pathologic stage was IIIb. The operation lasted 3 hours and 10 minutes. The intra-operative blood loss was about 50 mL and the incision length was 7 cm.