Laparoscopic Gastrectomy
Japanese morbidity of gastric cancer has been
the highest level in the world. So the operative
technique is highly level.
Laparoscopic Gastrectomy (LAG) is a recent addition to
minimally invasive surgery for early gastric cancer in
Japan.
Our hospital introduced LAG in 2005 and we have got
good outcomes since then. In case of
Laparoscopic Distal Gastrectomy(LADG), all procedures
(involved anastomosis) were fully performed under the
laparoscope from 2012.
Laparoscopic surgery
Merits
- Smaller incision
- Less pain
- Reduced bleeding
- Reduced exposure of internal organs
- Hospital stay is less
Demerits
- Procedure times are usually slightly longer
- More difficult technique
- More tools and devices
- Poor depth perception
Indication
- Indication for LAG:
- cStage IA(T1N0M0)
cStage IB(T2N0M0)
( Basically for early gastric cancer)
- Patients:
- Jan 2005 – Dec 2017
- 210 patients with LAG for gastric cancer
- Operation methods:
- n=210
Distal Gastrectomy (LADG）：190
Proximal Gastrectomy(LAPG）：16
Total Gastrectomy (LATG)：4
(Operation methods vary based on the cancer lesion.)
Laparoscopic instruments
Operative Procedure(LADG)1
Operative Procedure(LADG)2
- Laparoscope inserted through 12-mm trocar under the umbilicus. Other 4 trocars placed as above.
- All procedures for anastomosis fully performed under laparoscope.
- A 3.0-cm incision made at the umbilical site to remove resected stomach.
Scene of operation
Perioperative Outcomes
Surgical Complications
Radiological Diagnosis Department
Outpatient Guide
Reception Hours
○First-Time Patients / Returning Patients (without appointment)
8：30～11：00
○Automated Reception for Returning Patients (Reservation Only)
8：00～17：00
First-time patients are expected to bring a letter of introduction. For more information, please refer to the Outpatient Guide
Contact
+81-84-922-0001
507-kokusaisien@mail.hosp.go.jp
E-mail
