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Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method



Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method



Surgical Endoscopy 13(11): 1148-1150



We performed a hand-assisted laparoscopic resection of the distal stomach for treatment of gastric cancer with use of an abdominal wall-lift method. The surgeon's left hand, which was inserted through a right lower quadrant incision, was extremely useful in accomplishing D2 lymph node dissection, application of a pursestring instrument, and approximation of a circular stapler to carry out a Billroth I anastomosis. Abdominal wall-lift enabled us to perform the gastrectomy without any concern about gas leakage. The combination of the wall-lift method and hand assistance seems to further enlarge the possibilities of laparoscopic procedures, especially in gastrointestinal surgery.

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Accession: 046211032

Download citation: RISBibTeXText

PMID: 10556458

DOI: 10.1007/s004649901192


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