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).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer
About this chapter
Cite this chapter
Tanimura, S., Hiki, N., Yook, J.H., Park, S.S. (2012). For Treatment of the Upper Area of the Stomach. In: Kitano, S., Yang, HK. (eds) Laparoscopic Gastrectomy for Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54003-8_9
Download citation
DOI: https://doi.org/10.1007/978-4-431-54003-8_9
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-54002-1
Online ISBN: 978-4-431-54003-8
eBook Packages: MedicineMedicine (R0)