Updates in the research of laparoscopic splenic hilar lymphadectomy for upper-third gastric cancer
10.3760/cma.j.issn.1673-9752.2014.12.019
- VernacularTitle:胃上部癌腹腔镜脾门淋巴结清扫术的研究进展
- Author:
Tianyang YANG
;
Minhua ZHENG
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Laparoscopy;
Lymphadectomy
- From:
Chinese Journal of Digestive Surgery
2014;13(12):991-994
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopic surgery for upper-third gastric cancer has gradually been accepted by experienced surgeons as the mature of this technique.Different from the standardized and programmed D2 lymph node dissection in Laparoscopy-assisted Billroth Ⅰ gastrectomy,the indications and methods for laparoscopic splenic hilar lymphadectomy in the upper-third gastric cancer remains controversial.Unsolved problems include joint organs resection,appropriate surgical approach selection and variable vascular anatomy of the splenic hilum.Meanwhile,the long-term efficacy and safety of laparoscopic splenic hilar lymphadectomy for the upper-third gastric surgery need to be confirmed by evidence-based medical trials.With the advance of the theory and clinical practice,laparoscopic splenic hilar lymph node dissection will continue to progress.
