J Korean Surg Soc.  2006 Jul;71(1):65-68.

Totally Laparoscopic Pylorus-preserving Gastrectomy with D2 Lymph Node Dissection

Affiliations
  • 1Division of Gastrointestinal Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. smpark@olmh.cuk.ac.kr

Abstract

To improve postoperative quality of life, and to avoid postgastrectomy syndrome, pylorus-preserving gastrectomy (PPG) is considered as a good option in the middle third early gastric cancer. Convetional PPG has limitation in number 5 lymph node dissection because of preservation of blood supply and nerve innervation to the pylorus. To expand the indication of PPG, limitation on lymph node dissection must be overcomed. In case of laparoscopic PPG, there have been few reports in the literature. Herein we report a case of totally laparoscopic PPG with D2 lymph node dissection with review of literature.

Keyword

Gastric cancer; Pylorus-preserving gastrectomy; Laparoscopy

MeSH Terms

Gastrectomy*
Laparoscopy
Lymph Node Excision*
Lymph Nodes*
Postgastrectomy Syndromes
Pylorus
Quality of Life
Stomach Neoplasms
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