A 72 year old male underwent a gastroscopy showing a 2 cm antral ulcer. The biopsy finding was adenocarcinoma whilst endoscopic ultrasound showed a T1b neoplasia. The ESD was unfeasible. The patient underwent a laparoscopic distal gastrectomy with en bloc D2 . Dissection started on the gastro-colic leagament and continued until the Van Goethem's point on the left side. The right gastroepiloic vessels and their lymph nodes were clipped and divided. The pars flaccida is dissected and the lymphadenectomy of epato-duodenal leagament is completed at this time. The right gastric vessels are clipped and divided. We usually perform a cholecystectomy. The duodenum is transected with a 60 mm linear stapler. D2 lymphadenectomy continues along the epatic artery from bottom up. The left gastric vessels are clipped and divided with en block resection of lymph nodes. The D2 is completed with dissection of the stations 1. The stomach is transected with a 60 mm linear stapler and the specimen is extractedwith an endobag trough a suprapubic minilaparotomy. A Billroth II reconstruction is performed using a 60 mm linear stapler and the residual defect is closed using a barbed running suture. We usually check for the perfusion with the green indocianyne test. Recovery was uneventful and the patient has been discharged on 6 post-operative day. The histological examination revealed a T2NO. 98 limphnodes were harvested and no one of theme was metastatic.