Open AccessStrategies of laparoscopic spleen-preserving splenic hilar lymph node dissection for advanced proximal gastric cancer
Author(s) -
QiYue Chen,
ChangMing Huang,
ChaoHui Zheng,
Ping Li,
JianWei Xie,
Jia-Bin Wang,
Lin Ji,
Jun Lü,
LongLong Cao,
Lin Ma,
RuHong Tu,
Zhi-Liang Hong
Publication year - 2016
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v8.i6.402
Subject(s) - medicine , dissection (medical) , lymphatic system , spleen , lymphadenectomy , lymph node , lymph , surgery , cancer , radiology , pathology
For advanced proximal gastric cancer (GC), splenic hilar (No. 10) lymph nodes (LN) are crucial links in lymphatic drainage. According to the 14(th) edition of the Japanese GC treatment guidelines, a D2 lymphadenectomy is the standard surgery for advanced GC, and No. 10 LN should be dissected for advanced proximal GC. In recent years, the preservation of organ function and the use of minimally invasive technology are being accepted by an increasing number of clinicians. Laparoscopic spleen-preserving splenic hilar LN dissection has become more accepted and is gradually being used in operations. However, because of the complexity of splenic hilar anatomy, mastering the strategies for laparoscopic spleen-preserving splenic hilar LN dissection is critical for successfully completing the operation.