Abstract
In this chapter, we work through the total gastrectomy procedure with D2 lymphadenectomy. Because this procedure involves dissection of the No. 11 lymph nodes in addition to the No. 14v and 12a nodes, the pancreas is preserved, while the spleen and splenic artery are removed together. Esophagojejunostomy is performed instrumentally, and Y limb anastomosis is done manually. The standard operation time is 4 h. In Chap. 5, on curative esophagectomy, we discuss dissecting the gastrosplenic ligament while preserving the spleen, although the current convention does not require dissection of the No. 10 splenic hilar lymph nodes (no need for splenectomy) for total gastrectomy with D2 lymphadenectomy.
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Shinohara, H. (2020). Total Gastrectomy. In: Illustrated Abdominal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-15-1796-9_4
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DOI: https://doi.org/10.1007/978-981-15-1796-9_4
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