Appropriate traction can help identify the optimal dissectable layer for infrapyloric lymph node dissection in laparoscopic gastrectomy

• DOI: 10.1111/ases.12820
• Publication Date: 2020-07-08T05:21:18Z
• Authors: Susumu Miura; Hisahiro Hosogi; Hironori Kawada; Takeshi Ito; Toshihiro Okada; Shintaro Okumura; Norihiro Shimoike; Shin Akagawa; Tadayoshi Yamaura; Fumihiro Yoshimura; Seiichiro Kanaya
• Keywords: Adult; Aged, 80 and over; Male; Dissection; Reproducibility of Results; Middle Aged; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Gastrectomy; Stomach Neoplasms; Traction; Humans; Lymph Node Excision; Female; Laparoscopy; Lymph Nodes; Neoplasm Recurrence, Local; Aged; Retrospective Studies

Abstract Introduction Appropriate dissection of the infrapyloric lymph nodes (no. 6 LNs) is important in gastric cancer surgery. In laparoscopic surgery, no. LNs along inner dissectable layer from left side patient has been reported. However, it difficult for surgeons to provide appropriate traction with their hand side. To resolve this difficulty, we dissected patient’s right identify optimal layer. We then evaluated oncologic reliability and safety procedure. Methods From side, surgeon used when pulling adipose tissue, including LNs. This exposed between tissue pancreas. assess maneuver, surgical outcomes patients who underwent distal gastrectomy April 2011 March 2013 were retrospectively analyzed. The included number resected, time dissect LNs, incidence pancreatic complications, recurrence Results There 112 identified. median resected was five. 14 minutes. Four developed fistula, another four intra‐abdominal abscess. no Conclusion oncologically reliable, these procedures safe.