Open AccessGao’s double-way approach for laparoscopic D2 radical surgery for gastric cancer
Author(s) -
Yongshun Gao,
Jianfang Sun,
Jingjing Huang,
Peng Chen
Publication year - 2016
Publication title -
world journal of gastrointestinal surgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v8.i6.424
Subject(s) - medicine , curvatures of the stomach , dissection (medical) , surgery , path (computing) , laparoscopy , laparoscopic surgery , invasive surgery , greater omentum , general surgery , computer science , stomach , gastroenterology , programming language
Laparoscopic D2 radical surgery for gastric cancer is minimally invasive but complex. In this path: (1) Repeated operation of lesser curvature side; (2) The gastrohepatic ligament is relatively fixed. Hence, it is not easy to expose the suprapancreatic area; and (3) It is not easy to dissect No. 1, 12 lymph nodes. This area may not be sufficiently cleaned or surrounding vessels may be injured during a resection. So it is critical to choose position fixing, and a clear, fast and convenient operation path. The author, based on his experience, has established a set of procedural steps called "Gao's double-way", lesser omentum approach and traditional greater omentum approach, which are described in detail in this article. The path of this first approach is described as a "W" type of dissection. The second way is the traditional greater omentum approach, whose path is described as a "M" type of dissection. This will enable laparoscopic surgeons to select a suitable path. This new approach not only simplifies the surgery but also provides more space for the subsequent operation, thereby making the surgery more simple, safe and easy.