Laparoscopy-assisted D2 radical distal gastrectomy

This video presents the whole process of treating a patient with early gastric cancer (T1N0M0) with laparoscopy-assisted D2 radical distal gastrectomy. A 36-year-old male patient was admitted due to “dull pain and discomfort in the upper abdomen”. Gastroscopy indicated a poorly differentiated adenocarcinoma (1 cm × 1 cm in size) in gastric antrum. A diagnosis of “early gastric cancer” was made. On October 24, 2012, he received laparoscopy-assisted D2 radical distal gastrectomy under general anesthesia. The surgical procedures included exposure and disconnection of perigastric vessels, dissection of gastric lymph nodes, and gastrointestinal (GI) tract reconstruction. The surgery was smooth, and the patient recovered well from the surgery. By presenting this video, we wish to share our knowledge and experiences in endoscopic techniques with all the colleagues.