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Complete laparoscopic distal gastrectomy (LDG) with Billroth I reconstruction

机译:用Billroth I重建完成腹腔镜远端胃切除术(LDG)

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In the present video, we demonstrate the standard procedure of complete laparoscopic distal gastrectomy (LDG) for early gastric cancer in our department. We use five ports. Greater omentum was dissected by harmonic scalpel toward the lt gastric A and V and the rt. gastroepiploic A and V was dissected followed by the resection of the duodenum by endcutter. Rt gastric A and V was dissected and the lymphnode dissection was performed from LN no 5, 8a, 7 and 9 followed by the dissection of LN no 1 and 3. Gastrectomy is performed under laparoscope and gastroduodenostomy is performed by Billroth I reconstruction method using delta anastomosis and the resected stomach is taken out through the camera port incision.
机译:在目前的视频中,我们证明了我们部门早期胃癌完全腹腔镜远端胃切除术(LDG)的标准程序。 我们使用五个港口。 通过谐波手术刀朝向LT胃A和V和RT分离更大的OMentum。 解剖胃窦A和V,然后通过止动箱切除十二指肠。 解剖RT胃A和V,淋巴结除去淋巴结除去,然后从LN NO 5,8A,7和9进行,然后析出1N 1和3.胃切除术在腹腔镜下进行,并且通过白天的Billorot I重建方法进行胃肠切除术。 通过相机端口切口取出吻合和切除的胃。

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