Masters of Gastrointestinal Surgery


Laparoscopy-assisted radical total gastrectomy plus D2 lymph node dissection

Chaohui Zheng, Changming Huang, Ping Li, Jianwei Xie, Jiabin Wang, Jianxian Lin, Jun Lu

Abstract

The process of laparoscopic radical total gastrectomy plus D2 lymph node dissection for a patient with gastric body cancer was recorded in this video. This was a female patient with gastric body cancer in the preoperative stage of CT2N0M0. The laparoscopic radical total gastrectomy plus D2 lymph node dissection was performed on October 13, 2011 after no operative contraindication was found. The operation process included several steps: surgical exploration, gastrocolic ligament separation, subpyloric lymph node dissection, dissection of superior margin of pancreas, gastrocolic ligament separation, perisplenic hilar dissection, and digestive tract reconstruction. The operation was successful and the postoperative recovery was good. The post-operative pathology reported pT3N0M0.