Prevention and treatment of bleeding for laparoscopic spleen-preserving splenic hilus lymphadenectomy for gastric cancer
HUANG Chang-ming
CHEN Qi-yue
Abstract：Splenic hilar lymph node (LN) should be removed in a D2 lymph node dissection for the advanced proximal gastric cancer, according to Japanese Gastric Cancer Treatment Guidelines 2010. In recent years, with the continuous development and improvement of laparoscopic anatomy technology and equipment,and the in-depth study of spleen function,laparoscopic spleen-preserving splenic hilus lymphadenectomy has received more and more attention and been gradually being used in operations. However,because of the complexity of splenic hilar anatomy,the challenges of metastatic lymph node dissection,obesity,adhesions of the splenic hilus,etc. bleeding is often a challenge for surgeons in laparoscopic spleen-preserving splenic hilus lymphadenectomy. Therefore, mastering the strategies of prevention and treatment of bleeding for laparoscopic spleen-preserving splenic hilar LN dissection is critical for successfully completing the operation.
Keywords：gastric cancerlaparoscopysplenic hilus lymphadenectomybleeding
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 366-369 )