Laparoscopy-assisted radical total gastrectomy plus D2 lymph node dissection/dissection of lymph node station 16

Laparoscopy-assisted D2 radical resection for gastric cancer has been carried out in quite a few Chinese hospitals. However, the techniques that are feasible for the dissection of lymph node station 3, particularly for lymph node station 16, under the laparoscope require further investigation. We have successfully employed the “middle approach” under the laparoscope for the implementation of D2+No.16 dissection in 18 patients with advanced gastric cancer. This video (Video 1) describes the process of laparoscopy-assisted radical total gastrectomy (D2 + No. 16 dissection). In conclusion, upon the completion of laparoscopy-assisted radical D2 surgery for gastric cancer, laparoscopic dissection of lymph node station 16 is feasible for carefully selected patients with advanced gastric cancer.