Laparoscopic splenic hilum lymph node dissection for advanced proximal gastric cancer: A modified approach for pancreas- and spleen-preserving total gastrectomy

Figure 1 Positions of trocars. The trocars were inserted into the abdomen in the order A-E. Position F stands for the 4-5 cm midline minilaparotomy incision for reconstruction.

Figure 2 Gastroepiploic artery. A: Dividing left gastroepiploic artery (arrow); B: Dividing right gastroepiploic vessels (arrow). a: Artery; v: Vein.

Figure 3 Tracing gastroduodenal artery to locate celiac trunk and its branches (arrows). a: Artery.

Figure 4 Entering retropancreatic space. A: Near the superior margin of the pancreas (arrows); B: Near the lower margin of the pancreatic tail. a: Artery.

Figure 5 Skeletonizing the branches of the splenic artery (arrows). a: Artery; v: Vein.