[Laparoscopic spleen-preserving splenic hilar lymph node dissection for proximal gastric cancer].
Splenic hilar lymph node (LN) should be removed in a D2 lymph node dissection for the advanced proximal gastric cancer. After improving the surgical technology and renewing treatment concepts, spleen-preserving splenic hilar LN dissection has been accepted by more and more surgeons. Because the anatomy position of spleen is very deep, and the splenic vessel is various, laparoscopic spleen-preserving splenic hilar LN dissection may be more difficult. In order to do better in laparoscopic spleen-preserving splenic hilar LN dissection, surgeons should choose the suitable patients; take reasonable surgical approach and surgical steps. Moreover, knowing the anatomy variance well of splenic vessel is also very important too.
Department of Gastric Surgery, Union Hospital, Fujian Medical University, Fuzhou, China. hcmlr2002@163.com
Chang-ming
CM
Huang
Jian-xian
JX
Lin
D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods*; D013154:Spleen / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*