Application of spleen-preserving splenic hilar lymph nodes dissection in radical resection for advanced proximal gastric cancer

VernacularTitle:保脾脾门淋巴清扫在进展期近端胃癌根治术中的应用
Author: Yi SUN ; Tianwei LIANG ; Yongcheng WEI ; Jinghua LI
Publication Type:Journal Article
Keywords: gastric cancer; lymphadenectomy; splenic hilar lymph nodes
From: Journal of Regional Anatomy and Operative Surgery 2014;(1):66-67,68
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility of spleen-preserving splenic hilar lymph nodes dissection on the radical resection for advanced proximal gastric cancer. Methods Six patients with advanced proximal gastric cancer were performed D2 lymphadenectomy from May 2012 to May 2013 in our hospital. The operation time,bleeding quantity,the number of lymph nodes,postoperative complications were re-corded. Results The surgery was successful. The intraoperative blood loss was 50 ~250 mL,with the average of 120 mL. The number of lymph nodes was 3~9 after the operation with the average of 5. One patient supervened with lymphorrhagia and recovered after treatment. During the follow-up period from one month to one year, no local recurrence and distant metastasis occurred, nor the death. Conclusion Conducting theD2 lymphadenectomy for the patients with the advanced proximal gastric cancer can preserve the spleen while safely and throughly dissect the splenic hilar lymph nodes.