Preservation of Vagus Nerve Technique Using Left-sided Approach in Laparoscopic Gastrectomy.

Tetsu Fukunaga, PhD MD, Shinya Mikami, PhD MD, Takehito Ohtsubo, PhD MD, Nobuyoshi Miyajima, PhD MD. St. Marianna University School of Medicine


Laparoscopic gastrectomy is mainly performed for early  gastric cancer, and it is preferable to perform the vagus nerve preserving operation to maintain long-term quality of life. In preservation of vagus nerve, celiac branch and hepatic branch are generally preserved, but in conventional laparoscopic surgery, preservation of celiac branch has been so demanding. Then, we developed a surgical procedure to easily preserve celiac branch. With the use of left-sided approach for left gastropancreatic fold we had developed in 2005, celiac branch is identified at the root of the left gastric artery, and from there, celiac branch is followed and persevered toward its center in our method. By using this procedure, preservation was surely conducted in all cases undergoing vagus-nerve preserving gastrectomy. Here, we describe our technique.

Session Number: Poster – Poster Presentations
Program Number: P219
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