Laparoscopic assisted distal gastrectomy with pylorus preservation for early gastric cancer
Epublication WebSurg.com, Oct 2014;14(10). URL: http://websurg.com/doi/vd01en4119
For early gastric cancer located in the middle third of the stomach, laparoscopic assisted pylorus preserving gastrectomy (LAPPG) can be performed. Approximately a 3cm cuff of distal antrum is preserved. Technically speaking, the preservation of infrapyloric vessels and of the hepatic branch of the vagus nerve represents the technical difference as compared to conventional radical distal gastrectomy.