Reverse rolling-mat type lymph node dissection is the key step to solve the operative difficulties in hand-assisted laparoscopic D2 radical gastrectomy

Table 3 Comparison of postoperative short-term complications and long-term outcome between the two groups

	Cabbage type (n = 81)	Reverse procedure type (n = 95)	P (value)
Complications (%)	12	15	0.835^a
Intestinal obstruction	2 (2.5)	2 (2.1)	> 0.99^a
Ascites or peritoneal effusions	2 (2.5)	5 (5.3)	0.45^a
Pleural effusion	5 (6.2)	6 (6.3)	0.97^a
Intra-abdominal infection	0 (0)	1 (1.1)	> 0.99^a
Duodenal stump leakage or Anastomotic leak	2 (2.5)	1 (1.1)	0.59^a
Gastrointestinal bleed	1 (1.2)	0 (0)	0.46^a
Reoperation	2 (2.5)	1 (1.1)	0.593^a
Recurrence or metastasis	10 (12.3)	5 (5.3)	0.093^a
Deaths	1 (1.2)	1 (1.1)	> 0.99^a

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