By Chang-Ming Huang, Chao-Hui Zheng
ISBN-10: 1231362022
ISBN-13: 9781231362020
ISBN-10: 9401798729
ISBN-13: 9789401798723
ISBN-10: 9401798737
ISBN-13: 9789401798730
This publication offers surgical recommendations and exact illustrations of laparoscopic gastrectomy for gastric melanoma, targeting potent, concise steps and methods. It describes intimately the perigastric anatomy, and the incidences of every anatomical constitution are analyzed statistically. It additionally discusses classes realized and most sensible practices within the administration of gastric melanoma sufferers, and comprises video captures of detailed operational thoughts -essential assets for gastrointestinal laparoscopic surgeons. Given its shut connection to medical perform, it deals a worthwhile reference paintings for basic surgeons and residents.
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Additional info for Laparoscopic Gastrectomy for Gastric Cancer: Surgical Technique and Lymphadenectomy
Sample text
The No. 6 LNs are then dissected (Fig. 94). This completes the lymph node dissection within the infrapyloric area (Fig. 95). 1 Excision of the Greater Omentum Surgical Techniques Involved in Division Before separating the greater omentum, it is important to use the laparoscope to survey the abdominal cavity. Adhesions always exist in patients with a previous surgical history and may even be encountered in some without such a history (Fig. 96). If resistance is encountered when pulling on the greater omentum during exploration, the presence of an adhesion should be considered.
46 Intraoperative view of the swollen No. 6 LNs expose. When separating it, meticulous sharp and blunt dissection should be alternately used to avoid injuring the colon (Fig. 97). The superior margin of the transverse colon should serve as the landmark for division. During the dissection of the greater omentum at the splenic flexure of the colon, it can be difficult to expose the spleen because of adhesions between the greater omentum and the spleen as well as fusion and overlap between the greater omentum and the splenocolic ligament.
The fatty lymphatic tissue around Henle’s trunk and the SMV is completely removed. The dissection of No. 14v LNs is then accomplished (Fig. 83). 4 44 Laparoscopic Infrapyloric Area Lymph Node Dissection for Gastric Cancer Fig. 36 The RCV (a) unites with the MCV (b) to drain into the SMV (c) Fig. 3 Dissection of the No. 1 Operative Approach The approach to the No. 6 lymph node dissection is from the GIS (Fig. 84). The confluence of the RGEV and SPDV is the starting point of the dissection. The GDA and the root of the RGEA can be further exposed by dissecting upward along the RGEV.
Laparoscopic Gastrectomy for Gastric Cancer: Surgical Technique and Lymphadenectomy by Chang-Ming Huang, Chao-Hui Zheng
by Daniel
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