Erschienen in:
03.03.2020 | How I do it
A Simple Approach for Splenic Hilar Lymphadenectomy During Laparoscopic Total Gastrectomy for Advanced Gastric Cancer: the SHINY (Splenic HIlar Node dissection after total gastrectomY) Maneuver
verfasst von:
Bo Wang, Sang-Yong Son, Sang-Uk Han
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 5/2020
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Excerpt
Splenic hilar lymphadenectomy should be prioritized in totally laparoscopic total gastrectomy (TLTG) due to the high incidence of No.10 lymph nodes (LN) metastasis and a favorable effect on survival.
1 Based on our clinical experience in open surgery, pulling the stomach out of the abdomen after duodenal division to optimize surgical exposure for dissecting the splenic hilum effectively and minimize intraoperative complications, we developed a simple method for splenic hilar dissection during laparoscopic surgery and named it Splenic HIlar Node dissection after total gastrectomY (SHINY). The present report described the procedure and surgical results. …