Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1834
Peer-review started: July 27, 2021
First decision: October 3, 2021
Revised: October 16, 2021
Accepted: January 17, 2022
Article in press: January 17, 2022
Published online: February 26, 2022
Processing time: 211 Days and 7.3 Hours
D2 lymph node dissection of station 8p lymph nodes in gastric cancer is technically difficult.
How to safely and effectively dissect the lymph nodes superior to the pancreas during gastrectomy remains a clinical challenge for surgeons.
The current study introduced a new procedure for dissection of the lymph nodes superior to the pancreas.
Fifty-one patients who underwent laparoscopic gastrectomy for gastric cancer were retrospectively included with utilization of a new procedure for superior pancreatic lymphadenectomy (LND) with portal vein priority via the posterior common hepatic artery approach (SPLD-PPPH) based on a newly defined portal triangle.
All the procedures were safely performed. Among the 51 patients, 9.8% had lymph node metastasis at station 8p. Fourteen lymph nodes were harvested at station 8p, with an incidence of nodal metastasis of 14.3%.
The new procedure of SPLD-PPPH is safe and effective for D2+ LND during laparoscopic radical gastrectomy.
This new approach should be further evaluated with larger patient numbers.