Laparoscopic partial gastrectomy with D1 beta lymphadenectomy for early gastric cancer
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3774
This is the case of a 75-year-old man, symptom-free, with a cT2N0M0 early cancer of the stomach. The lesion is located between the body and the antrum of the stomach. The laparoscopic approach allows to carry out a partial gastrectomy with D1 beta lymphadenectomy (lymph nodes number: 1-3-4-5-6-7-8-9) with intraoperative gastroscopy. A Roux-en-Y gastrojejunal anastomosis is performed (intracorporeal gastrojejunal anastomosis and extracorporeal jejunojejunal anastomosis). Total surgery time was 5 hours and length of hospital stay was 6 days. Histology shows pT2N0M0 with 25 lymph nodes. D1 beta lymphadenectomy is an efficient and less aggressive alternative to treat cases of early gastric cancer.