Safe, simple & efficient totally laparoscopic Billroth II gastrectomy by only stapling devices

Gastric cancer is the fourth most common cancer diagnosis worldwide in men with an expected incidence of 640,000 cases and the fifth most common in women with an expected incidence of 350,000 cases in 2011 (1). Approximately, 8% of total cases and 10% of annual cancer deaths worldwide are attributed to this dreaded disease. Surgical resection offers the only durable cure from gastric cancer (2). Since the introduction of Billroth’s procedure of gastrectomy and reconstruction in 1881, surgical techniques in gastric surgery has progressed gradually.