Wei Wang. Guangdong Provincial Hospital of Chinese Medicine
Patients with advanced gastric cancer and locally enlarged para-aortic lymph nodes were selected for this study. They were all received a neoadjuvant chemotherapy. If the curative effect was at least partial response, then the patient would underwent laparoscopic D2 gastrectomy with para-aortic lymph node dissection.
After a standard laparoscopic D2 gastrectomy was completed, additional laparoscopic para-aortic lymph node dissection was performed. The right Toldt's space was separated to exposed the right reproductive vessels and ureter. Then the duodenum, pancreas head and mesentery were mobilized to exposed the inferior vena cava and abdominal aorta. The retroperitoneum was cut at the bifurcation of abdominal aorta and the para-aortic lymph node was dissected caudal to cranial. The inferior mesenteric artery was exposed with 16-b2 lymph node dissection. The renal vein was exposed with 16-b1 lymph node dissection. The lymphatic tissue and fatty tissue posterior to pancreas was dissection. Then the celiac trunk and esophageal hiatus were exposed with 16-a2 and a1 lymph node dissection.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93896
Program Number: V186
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop