Prevention and management of complications related to laparoscopic spleen-preserving hilar lymph node dissection for gastric cancer.
10.3760/cma.j.cn441530-20221102-00449
- Author:
Z N HUANG
1
;
C Y ZHENG
2
;
J LU
1
;
C M HUANG
1
Author Information
1. Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China.
2. Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China Department of Gastrointestinal Surgery, the Affiliated Hospital of Putian University, Putian 351100, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Spleen/surgery*;
Lymphatic Metastasis/pathology*;
Stomach Neoplasms/pathology*;
Gastrectomy/adverse effects*;
Lymph Node Excision/adverse effects*;
Lymph Nodes/pathology*;
Laparoscopy/adverse effects*;
Retrospective Studies
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(2):132-137
- CountryChina
- Language:Chinese
-
Abstract:
Hilar splenic lymph node metastasis is one of the risk factors for poor prognosis in patients with proximal gastric cancer. Laparoscopic spleen-preserving splenic hilar lymph node dissection (LSPSHLD) can effectively improve the survival benefits of patients at high risk of splenic hilar lymph node metastasis. However, LSPSHLD is still a challenging surgical difficulty in radical resection of proximal gastric cancer. Moreover, improper operation can easily lead to splenic vascular injury, spleen injury and pancreatic injury and other related complications, due to the deep anatomical location of the splenic hilar region and the intricate blood vessels.Therefore, in the prevention and treatment of LSPSHLD-related complications, we should first focus on prevention, clarify the indication of surgery, and select the benefit group of LSPSHLD individually, so as to avoid the risk caused by over-dissection. Meanwhile, during the perioperative period of LSPSHLD, it is necessary to improve the cognition of related risk factors, conduct standardized and accurate operations in good surgical field exposure and correct anatomical level to avoid surrounding tissues and organs injury, and master the surgical skills and effective measures to deal with related complications, so as to improve the surgical safety of LSPSHLD.
