Technique of Laparoscopic D2 Gastrectomy for Gastric Cancer

Juan S. Azagra, MD, PhD; Javier Ibanez-Aguirre, MD, PhD; Martine Goergen, MD

Product Details
Product ID: ACS-2487
Year Produced: 2006
Length: 13 min.


Laparoscopic staging for gastric cancer is a well recognized procedure in current surgical practice. Endoscopic gastrectomy for gastric cancer has become a routine procedure for some surgeons and at specially devoted Hospitals in Advanced Laparoscopic Surgery. Between June 1993 and January 2004, 91 video-assisted gastrectomies with associated lymphadenectomy D1-D3 have been done by our surgical team. Our video presentation contains the description and the technique employed enphasizing the feassibility of a correct and extended lymphadenectomy - 1 patient received total gastrectomy plus splenectomy along with a D2 lympadenectomy and the second had a subtotal D2 gastrectomy - in resectable gastric cancer. Technical detail are clearly and widely showed. 5-years curative resection (81/91) actuarial survival of the series is 34%. Gastrectomy along with apropriate lymphadenectomy for gastric cancer can be done proper and correctly from an oncological point of view by means of a video assisted laparoscopic approach.