LAPAROSCOPIC MINILAPAROTOMY BILLROTH-I GASTRECTOMY WITH EXTRAPERIGASTRIC LYMPHADENECTOMY FOR EARLY GASTRIC-CANCER USING AN ABDOMINAL WALL-LIFTING METHOD

Laparoscopic gastrectomy with extraperigastric lymphadenectomy for ear ly gastric cancer has never been performed because of technical diffic ulties attributable to the lack of appropriate techniques, the high co st of laparoscopic instruments, and the need for numerous disposable s tapling devices. In order to solve these problems, we have designed a method of laparoscopic minilaparotomy using an abdominal wall-lifting method, and a patient with early gastric cancer (depth of submucosa) u nderwent by this laparoscopic minilaparotomy distal gastrectomy with e xtraperigastric lymphadenectomy. During his postoperative recovery, th e patient requested no narcotic analgesic, and was discharged on posto perative day 14.