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Laparoscopic Cardial Area LN Dissection for Gastric Cancer

  • Chang-Ming Huang
  • Chao-Hui Zheng
  • Ping Li
  • Jian-Wei Xie
Chapter

Abstract

No. 1 and No. 3 LNs are excised by the posterior gastric approach, taking the avascular area of the posterior wall of the gastric lesser curvature as the surgical entry point (Fig. 5.2). The gastric anterior wall and the HGL are used to ward off the liver making it easier to expose the posterior wall of the gastric lesser curvature. The cutting direction of the ultrasonic scalpel is parallel to the gastric lesser curvature to aid division of the HGL along the gastric lesser curvature. The surgeon should use the ultrasonic scalpel to completely clamp and divide the vessels of the gastric lesser curvature to avoid vascular bleeding.

Reference

  1. 1.
    Huang C-M, Zheng C-H, editors. Laparoscopic gastrectomy for gastric cancer: Springer; 2015.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and Peoples Medical Publishing House, PR of China 2019

Authors and Affiliations

  • Chang-Ming Huang
    • 1
  • Chao-Hui Zheng
    • 1
  • Ping Li
    • 1
  • Jian-Wei Xie
    • 1
  1. 1.Department of Gastric SurgeryFujian Medical University Union HospitalFuzhouChina

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