Abstract
SummaryFrom October 1993 to August 1994 four distal stomach resections (three Billroth-II reconstructions and one Billroth-I reconstruction) were performed laparoscopically. The first patient, who was 83 years old, presented with a stenosing bleeding, pre-pyloric, malignant non-Hodgkin-lymphoma. The second patient, who was 84 years old, presented with an ulcerated, non-malignant leiomyoblastoma of the antrum. Due to the histological type of the tumours a radical lymphadenectomy was not performed. The other two patients presented with a persisting pre-pyloric ulcer combined with an almost complete stenosis of the pylorus. All operations followed the principles of conventional open surgery. Anastomoses were stapled intracorporally. The specimen was removed in a lap sac through a 3.5cm infra-umbilical incision. Intra-abdominal complications did not occur. However, the first patient (with non-Hodgkin-lymphoma) died on the 21st post-operative day from cardio-pulmonary failure. The other three patients were dis...
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