The online version of this article (doi:10.1186/1477-7819-10-241) contains supplementary material, which is available to authorized users.
The authors declare they have no competing interests.
WJB and HCM conceived of the study, analyzed the data, and drafted the manuscript; ZCH helped revise the manuscript critically for important intellectual content; LP, XJW and LJX helped collect data and design the study. All authors read and approved the final manuscript.
To explore the feasibility of laparoscopic spleen-preserving No. 10 lymph node dissection in a left-sided approach for advanced proximal gastric cancer.
The clinical data of 32 patients with advanced proximal gastric cancer who underwent laparoscopic spleen-preserving No. 10 lymph node dissection from June 2010 to December 2011 were analyzed.
Laparoscopic spleen-preserving No. 10 lymph node dissection using a left-sided approach was successfully performed for all patients without open conversion. The mean operation time was 206.4±54.3 minutes, mean intraoperative blood loss was 68.2±34.1 ml, mean number of No. 10 lymph nodes dissected was 2.8±2.1, mean number of positive No. 10 lymph nodes was 0.6±1.2, and the incidence of No. 10 lymph node metastasis was 11.6%. The mean postoperative hospital stay was 11.3±1.5 days. The postoperative morbidity rate was 9.4%, and there was no postoperative death. Splenic lobar vessels of all 32 patients were anatomically classified and divided into three types: 4 patients had a single lobar vessel, 22 had two lobar vessels and 6 had three lobar vessels.
Laparoscopic spleen-preserving No. 10 lymph node dissection for advanced proximal gastric cancer using a left-sided approach is technically feasible. It simplifies the complicated surgical procedure of No. 10 lymph node dissection and leads to the popularization and promotion of this technique.
Authors’ original file for figure 112957_2012_1129_MOESM1_ESM.tiff
Authors’ original file for figure 212957_2012_1129_MOESM2_ESM.tiff
Authors’ original file for figure 312957_2012_1129_MOESM3_ESM.tiff
Authors’ original file for figure 412957_2012_1129_MOESM4_ESM.tiff
Authors’ original file for figure 512957_2012_1129_MOESM5_ESM.tiff
Authors’ original file for figure 612957_2012_1129_MOESM6_ESM.tiff
Authors’ original file for figure 712957_2012_1129_MOESM7_ESM.tiff
Authors’ original file for figure 812957_2012_1129_MOESM8_ESM.tiff
Authors’ original file for figure 912957_2012_1129_MOESM9_ESM.tiff
Authors’ original file for figure 1012957_2012_1129_MOESM10_ESM.tiff
Authors’ original file for figure 1112957_2012_1129_MOESM11_ESM.tiff
Authors’ original file for figure 1212957_2012_1129_MOESM12_ESM.tiff
Monig SP, Collet PH, Baldus SE, Schmackpfeffer K, Schröder W, Thiele J, Dienes HP, Hölscher AH: Splenectomy in proximal gastric cancer: frequency of lymph node metastasis to the splenic hilus. J SurgOncol. 2001, 76: 89-92.
Ikeguchi M, Kaibara N: Lymph node metastasis at the splenic hilum in proximal gastric cancer. Am Surg. 2004, 70: 645-648. PubMed
Japanese Gastric Cancer Association: Japanese gastric cancer treatment guidelines 2010 (ver. 3). Gastric Cancer. 2011, 14: 113-123. CrossRef
Sano T, Yamamoto S, Sasako M: Randomized controlled trial to evaluate splenectomy in total gastrectomy for proximal gastric carcinoma: Japan clinical oncology group study JCOG 0110-MF. Jpn J ClinOncol. 2002, 32: 363-364.
Lee JH, Han HS, Lee JH: A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer: early results. SurgEndosc. 2005, 19: 168-173.
Hayashi H, Ochiai T, Shimada H, Gunji Y: Prospective randomized study of open versus laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer. SurgEndosc. 2005, 19: 1172-1176.
Yasuda K, Shiraishi N, Etoh T, Shiromizu A, Inomata M, Kitano S: Long-term quality of life after laparoscopy-assisted distal gastrectomy for gastric cancer. SurgEndosc. 2007, 21: 2150-2153.
Hyung WJ, Lim JS, Song J, Choi SH, Noh SH: Laparoscopic spleen-preserving splenic hilar lymph node dissection during total gastrectomy for gastric cancer. J Am CollSurg. 2008, 207: e6-e11.
Okabe H, Obama K, Kan T, Tanaka E, Itami A, Sakai Y: Medial approach for laparoscopic total gastrectomy with splenic lymph node dissection. J Am CollSurg. 2010, 211: e1-e6.
Kitano S, Iso Y, Moriyama M, Sugimachi K: Laparoscopy assisted Billroth I gastrectomy. SurgLaparoscEndosc. 1994, 4: 146-148.
Goh PM, Khan AZ, So JB, Lomanto D, Cheah WK, Muthiah R, Gandhi A: Early experience with laparoscopic radical gastrectomy for advanced gastric cancer. SurgLaparoscEndoscPercutan Tech. 2001, 11: 83-87.
- Laparoscopic spleen-preserving No. 10 lymph node dissection for advanced proximal gastric cancer in left approach: a new operation procedure
- BioMed Central
Neu im Fachgebiet Chirurgie
Mail Icon II