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
  • 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)
cStage IB(T2N0M0)
( Basically for early gastric cancer)
Jan 2005 – Dec 2017
210 patients with LAG for gastric cancer
Operation methods:
Distal Gastrectomy (LADG):190
Proximal Gastrectomy(LAPG):16
Total Gastrectomy (LATG):4 
(Operation methods vary based on the cancer lesion.)

Laparoscopic instruments

Laparoscopic instrument

Operative Procedure(LADG)1

operative procedure

Operative Procedure(LADG)2

after surgery
  • 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

secne of operation

Perioperative Outcomes

perioperative outcomes

Surgical Complications

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