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For Treatment of the Upper Area of the Stomach

  • Shinya Tanimura
  • Naoki Hiki
  • Jeong Hwan Yook
  • Sung Soo Park

Abstract

The important tissue and organs to consider in the upper gastric area in regard to surgery are the liver, abdominal esophagus, spleen, pancreas, transverse colon, and diaphragm. The ligaments that need to be identified are the hepatogastric ligament (lesser omentum), gastropancreatic ligament, gastrosplenic ligament, gastrophrenic ligament, and the gastrocolic ligament (greater omentum) (Fig. 9.1). The principal arteries around the upper area of the stomach are the celiac artery, left gastric artery, splenic artery, left subphrenic artery, posterior gastric artery, left gastroepiploic artery, and short gastric arteries. The important veins are the left gastric (coronary) vein, left gastroepiploic vein, short gastric vein, and splenic vein. In particular, variations in the divergence around the splenic artery must be taken into consideration when performing laparoscopic gastrectomy (Fig. 9.2).

Keywords

Splenic Artery Gastric Artery Laparoscopic Gastrectomy Celiac Artery Left Gastric Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer 2012

Authors and Affiliations

  • Shinya Tanimura
    • 1
  • Naoki Hiki
    • 1
  • Jeong Hwan Yook
    • 2
  • Sung Soo Park
    • 3
  1. 1.Gastroenterological Center, Department of Gastroenterological SurgeryCancer Institute Hospital, Japanese Foundation for Cancer ResearchKoto-kuJapan
  2. 2.Department of SurgeryUniversity of Ulsan College of MedicineSongpa-guRepublic of Korea
  3. 3.Department of SurgeryKorea University College of MedicineSeongbuk-guRepublic of Korea

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