2012 Volume 72 Issue 6 Pages 670-673
We retrospectively analyzed 137 consecutive gastric cancer patients who underwent delta-shaped anastomosis in totally laparoscopic distal gastrectomy (LDG). Surgical outcomes of LDG, such as operative results and postoperative complications were compared with those of the 62 laparoscopy-assisted distal gastrectomy (LADG) patients. As compared with LADG group, the LDG group had a significantly shorter operation time (219 vs. 287 min, p < 0.001). There was no significant difference in the extent of lymph node dissection, the number of lymph nodes dissected, postoperative complications, and length of hospital stay between the two groups. From the viewpoint of surgical outcomes, LDG is a safe and feasible procedure for gastric cancer.