For Treatment of the Lesser Curvature of the Stomach

  • Shuji Takiguchi
  • Yuichiro Doki
  • Young Don Min


The left gastric artery arises from the celiac artery and then divides into the upper and inferior branches, finally running into the gastric anterior and posterior walls. To perform the lymph node 3 dissection, the operator has to divide the vessels while recognizing this anatomy. Nearly 20% of patients have an accessory or aberrant left hepatic artery arising from the left gastric artery [1]. It usually runs into the left lobe through the gastrohepatic ligament. This vessel may supply most or all the arterial blood flow to the left lobe of the liver, in which case it has to be preserved to avoid liver abscess [2] (Fig. 7.1).


Vagus Nerve Left Lobe Laparoscopic Gastrectomy Celiac Artery Left Gastric Artery 
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Copyright information

© Springer 2012

Authors and Affiliations

  • Shuji Takiguchi
    • 1
  • Yuichiro Doki
    • 1
  • Young Don Min
    • 2
  1. 1.Department of Gastroenterological SurgeryOsaka University Graduate School of MedicineSuitaJapan
  2. 2.Department of SurgeryChosun University College of MedicineDong-guRepublic of Korea

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