Techniques and complications of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer

Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits

“…a. Laparoscopic dissection of the lymph nodes around the superior mesenteric vein (LN #14v), celiac axis (LN #9), and splenic artery (LN #11) is troublesome due to limited range of instrument movement, intentional tremor, and poor vision, even for experienced laparoscopic surgeons. According to the analysis of bleeding during laparoscopic gastrectomy [21], the infrapyloric area, including LN #6 and 14v, is the most frequent source of intraoperative bleeding, and the suprapancreatic area, including LN #7, 8a, and 9, is the second most frequent source. In particular, lymph node dissection around these areas is very difficult to perform in patients with a high BMI.…”

Early postoperative anastomotic hemorrhage after gastrectomy for gastric cancer

“…Compared with leakage and stricture, anastomotic hemorrhage is rare and usually self-limited [1][2][3][4][5][6][7][8][9]. However, massive bleeding is lethal if not treated imme-…”

Prevention and Treatment of Complications Associated with Laparoscopic Surgery for Gastric Cancer

“…Kim et al [ 29 ] reported that bleeding at the port of insertion was present in 0.9 % of patients (2/291), but none required open conversion. No case of injury to the retroperitoneal vessels was reported.…”