This rate in group D2 was 13.4 (4 cas, in which 1 anastomosis hemorrhages, 1 conversion to total gastrectomy, 1 postoperative pancreatitis, 1 leakage of duodenal stump). Conclusion: For distal gastric cancer, D2 lymphadenectomy without pancreatectomy and splenectomy can be performed with reasonable safety.