Operative Procedures and Results of D2 Lymph Node Dissection for Gastric Cancer

摘要

According to Japanese guideline, we perform D2 lymph node dissection for T1N1, T2N0-1 and T3N0-1 patients. Hepatic and abdominal branches of vagal nerve are also preserved except for node positive patient, hi total gastrectomy (TG), most patients received splenectomy. Splenic artery is usually divided around the root to secure the No. 11 dissection. However, this procedure sometimes causes pancreatic leakage. Therefore, we skeltonize splenic artery and preserve it as far as pancreas tail.