Abstract:

Exploring the gastric antrum tumor, the serosal layer was found to be involved. No.6 lymph node (LN) has a high rate of metastasis, and is need to perform the No.14v LN dissection. The operation procedure include transection of gastrocolic ligament, dissection of gastrocolic trunk, hepatoduodenal ligament, lesser omentum and pancreatic stomach plica. Left gastric omentum vessels, right gastric omentum vessels, right gastric vessel and left gastric vessel were transected at the root. No.1、3、4、5、6、7、8、9、11p、12a、12p、14v lymph nodes were dissected, and D2 abdominal javascript: ; lymphadenectomy was completed. After laparoscopic transection of the distal stomach and duodenum, we removed the en-block specimen, then augmented rectangle anastomosis (ART) was performed.

Key words: Stomach neoplasms, Laparoscopes, Radical gastrectomy, D2 Lymphadenectomy, Augmented rectangle anastomosis