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
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.
- Smaller incision
- Less pain
- Reduced bleeding
- Reduced exposure of internal organs
- Hospital stay is less
- Procedure times are usually slightly longer
- More difficult technique
- More tools and devices
- Poor depth perception
- Indication for LAG:
- cStage IA(T1N0M0)
( Basically for early gastric cancer)
- Jan 2005 – Dec 2017
- 210 patients with LAG for gastric cancer
- Operation methods:
Distal Gastrectomy (LADG）：190
Total Gastrectomy (LATG)：4
(Operation methods vary based on the cancer lesion.)
- 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
Radiological Diagnosis Department
○First-Time Patients / Returning Patients (without appointment)
○Automated Reception for Returning Patients (Reservation Only)
First-time patients are expected to bring a letter of introduction. For more information, please refer to the Outpatient Guide