Abstract
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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Received: 22 July 1998/Accepted: 17 March 1999
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Ohki, J., Nagai, H., Hyodo, M. et al. Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method. Surg Endosc 13, 1148–1150 (1999). https://doi.org/10.1007/s004649901192
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DOI: https://doi.org/10.1007/s004649901192