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Laparoscopic Splenic Hilar Area LN Dissection for Gastric Cancer

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Abstract

LNs in the splenic hilar area (Fig. 4.1) consist of No. 4sb, 10, and 11d LNs. In clinical practice, we summarize a set of effective operative steps known as ‘Huang’s three-step maneuver’ for laparoscopic spleen-preserving splenic hilar lymphadenectomy [2]. The first step is LN dissection in the inferior part of the spleen; the second step is LN dissection in the trunk of the SpA region; and the third step is LN dissection in the superior part of the spleen.

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References

  1. Huang C-M, Zheng C-H, editors. Laparoscopic gastrectomy for gastric cancer: Springer; 2015.

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  2. Huang CM, Chen QY, Lin JX, et al. Huang's three-step maneuver for laparoscopic spleen-preserving No. 10 lymph node dissection for advanced proximal gastric cancer. Chin J Cancer Res. 2014;26(2):208–10.

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  4. Huang CM, Chen QY, Lin JX, et al. Laparoscopic spleen-preserving No. 10 lymph node dissection for advanced proximal gastric cancer using a left approach. Ann Surg Oncol. 2014;21(6):2051.

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© 2019 Springer Nature Singapore Pte Ltd. and Peoples Medical Publishing House, PR of China

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Huang, CM., Zheng, CH., Li, P., Xie, JW. (2019). Laparoscopic Splenic Hilar Area LN Dissection for Gastric Cancer. In: Atlas of Laparoscopic Gastrectomy for Gastric Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-13-2862-6_4

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  • DOI: https://doi.org/10.1007/978-981-13-2862-6_4

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2861-9

  • Online ISBN: 978-981-13-2862-6

  • eBook Packages: MedicineMedicine (R0)

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