Visualized Surgery


Laparoscopy-assisted D2 radical distal gastrectomy for gastric cancer (Billroth I anastomosis)

Jian Zhang, Wei Wei, Fang-Jie Zhang, A-Kao Zhu

Abstract

The process of laparoscopy-assisted D2 radical distal gastrectomy was recorded in the video. This was a 58-year-old man of early gastric cancer. The malignant lesion was located at the lesser gastric curvature near the angular notch. The operation followed the standardized procedure, including separation of the omentum and anterior leaf of transverse mesocolon, dissection of the inferior region of the pylorus, dissection of the superior region of the pancreas, dissection of the superior region of the pylorus, separation of hepatogastric ligament, and dissection of the left gastroepiploic vessel. In the end, a small incision was made to remove the specimen and reconstruct alimentary tract. The pathological stage was pT1N1M0.