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Published: 2025-08-22
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DOI: https://doi.org/10.52163/yhc.v66iCD11.3039
Issue
Vol. 66 No. CĐ11-NCKH
Section
Articles
How to Cite
Khoa, Đặng Đình, Hương, N. V., & Duyệt, P. V. (2025). 56. LAPAROSCOPIC DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY AND BILLROTH II RECONSTRUCTION FOR GASTRIC ADENOCARCINOMA. Vietnam Journal of Community Medicine, 66(CĐ11-NCKH). https://doi.org/10.52163/yhc.v66iCD11.3039

56. LAPAROSCOPIC DISTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY AND BILLROTH II RECONSTRUCTION FOR GASTRIC ADENOCARCINOMA

Dang Dinh Khoa1, Nguyen Van Huong1, Pham Van Duyet1
1 Nghe An General Friendship Hospital

Main Article Content

Abstract

Objective: To describe the technique of laparoscopic distal gastrectomy with D2 lymphadenectomy and Billroth II reconstruction in the treatment of gastric adenocarcinoma, aiming to evaluate the feasibility and safety of the procedure.


Methods: A descriptive study was conducted on 90 patients with gastric adenocarcinoma at Nghe An General Friendship Hospital from 2022 to 2024. All patients underwent total laparoscopic surgery, with gastrojejunostomy performed before gastric transection, using linear staplers and left liver suspension technique.


Results: All 90 cases successfully completed laparoscopic surgery without conversion to open surgery. The intraoperative complication rate was low (3.3%) and all were managed safely. The mean operative time was 174.4 ± 19.4 minutes. No intraoperative mortality was reported.


Conclusion: Laparoscopic distal gastrectomy with D2 lymphadenectomy and Billroth II reconstruction is a safe and feasible technique, suitable for wider application in the treatment of gastric adenocarcinoma.

Article Details

Keywords

Phẫu thuật nội soi, ung thư dạ dày, hang môn vị, Billroth II, nạo vét hạch D2.

References

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