Dissection of Lymph Nodes Around the Splenic Artery (No. 11p Lymph Nodes)

2012 ◽  
pp. 81-83
Author(s):  
Wook Kim ◽  
Hitoshi Katai
Keyword(s):  
Lymph Nodes ◽  
Splenic Artery

scholarly journals Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm

2013 ◽  
Vol 79 (3-4) ◽  
Author(s):  
M. Irfan ◽  
F. Thiavalappil ◽  
J. Nagaraj ◽  
T.H. Brown ◽  
D. Roberts ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Splenic Artery ◽  
Artery Pseudoaneurysm ◽  
Pancreatic Tuberculosis ◽  
Pancreatic Lymph Nodes ◽  
Splenic Artery Pseudoaneurysm ◽  
Draining Lymph Nodes

Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm. M. Irfan, F. Thiavalappil, J. Nagaraj, T.H. Brown, D. Roberts, L. Mcknight, N.K. Harrison. Tuberculosis involving the pancreas is rare. We report a patient with pancreatic tuberculosis complicated by haemorrhage from a splenic artery pseudoaneurysm. As far as we are aware, the development of a splenic artery pseudoaneurysm in association with a large caseating mass of tuberculous pancreatic lymph nodes has not been reported previously. We review the literature and discuss the varied presentations of tuberculosis involving the pancreas or the pancreatic bed and its draining lymph nodes.

scholarly journals A Study on Lymph Nodes Metastases Along the Splenic Artery of Gastric Cancer.

1992 ◽  
Vol 25 (8) ◽  
pp. 2110-2117 ◽  
Author(s):  
Shinji Okano ◽  
Kiyoshi Sawai ◽  
Masahide Yamaguchi ◽  
Kosuke Seiki ◽  
Hiroki Taniguchi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Splenic Artery ◽  
Lymph Nodes Metastases

scholarly journals Studies on Necessity of Pancreato-splenectomy for Dissection of Lymph Nodes Along the Splenic Artery and at the Splenic Hylus.

1994 ◽  
Vol 27 (7) ◽  
pp. 1778-1785
Author(s):  
Yoshitaka Yamamura ◽  
Junichi Sakamoto ◽  
Akihito Torii ◽  
Katsuhiko Uesaka ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Splenic Artery

Total Gastrectomy With Dissection of Lymph Nodes Along the Splenic Artery: A Pancreas-Preserving Method

2000 ◽  
Vol 7 (9) ◽  
pp. 669-673 ◽  
Author(s):  
Hiroshi Furukawa ◽  
Masahiro Hiratsuka ◽  
Osamu Ishikawa ◽  
Masataka Ikeda ◽  
Hiroshi Imamura ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Total Gastrectomy ◽  
Splenic Artery

scholarly journals Features of lymphatic metastasis of proximal gastric cancer

2017 ◽  
Vol 98 (5) ◽  
pp. 674-680
Author(s):  
F S Akhmetzyanov ◽  
Kh A Kaulgud ◽  
D M Ruvinskiy ◽  
F F Akhmetzyanova
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Lymphatic Metastasis ◽  
Splenic Artery ◽  
Celiac Trunk ◽  
Lymph Node Involvement ◽  
Proximal Gastric Cancer ◽  
Splenic Hilum ◽  
Cancer Metastases

Aim. To study lymphatic metastasis of proximal gastric cancer to determine the extent of surgical intervention both on the stomach wall and lymphatic pathways. Methods. The data on lymphatic metastasis were analyzed in 185 patients with proximal gastric cancer not extending to the esophagus who underwent gastrosplenectomy with extended lymphodissection D2 in 2 surgical departments of the Republican clinical oncology center (Kazan) in 1982-2014. All patients were morphologically verified prior to surgery. 105 out of 185 patients (56.7%) had metastases to lymph nodes. Results. In proximal gastric cancer (within IV and V angiological segments) lymph node involvement in cancer metastases occurs in all sub-segments of the lymphatic system of the stomach. There is a fairly clear pattern: involvement of lymph nodes in metastases mainly occurs in groups №3a, 3b, and 4d, along the common hepatic artery and its branches, around the celiac trunk, along the splenic artery and in splenic hilum. In case of cancer localization in segment IV metastases were observed in 46.7%, in segment V - in 66.7% and in case of involvement of both segments IV and V - in 53.3% of patients. In gastric cancer located within segments IV and V, starting with the involvement of muscular tunic, lymph nodes of perigastric groups (№3b - in 37.1%, 4d - in 11.4%) are often affected as well as parietal lymph nodes of groups 7-12. Conclusion. In cancer located within gastric segments IV and V gastrosplenectomy with extended lymphodissection D2 should be performed to remove lymph node groups along the splenic artery and in splenic hilum.

Is splenectomy for dissecting splenic hilar lymph nodes justified in scirrhous type of gastric cancer?

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 359-359
Author(s):  
Tsutomu Hayashi ◽  
Takaki Yoshikawa ◽  
Ayako Kamiya ◽  
Keichi Date ◽  
Takeyuki Wada ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Nodes ◽  
Survival Benefit ◽  
Splenic Artery ◽  
Cancer Center ◽  
High Morbidity ◽  
Gastric Artery ◽  
Regional Lymph Nodes ◽  
Metastatic Rate ◽  
The Right

359 Background: Splenectomy for dissecting splenic hilar nodes (#10) should be avoided for most gastric cancer considering high morbidity and no survival benefit, while that is often selected in scirrhous type of gastric cancer because this special type frequently invades the whole stomach and the #10 nodes. Splenectomy is necessary for dissecting #10, however, survival benefit of dissecting #10 is unclear. Methods: Patients who had scirrhous gastric cancer and underwent D2 total gastrectomy with splenectomy in National Cancer Center Hospital, Japan, between 2000 to 2011 were retrospectively analyzed. The therapeutic value index was calculated by multiplying the metastatic rate of each nodal station and the 5-year survival of patients who had metastasis to each node. Results: In total, 144 patients were eligible for the present study. The most frequent metastatic site was the nodes along the lessar curvature (#3, 57%), followed by the nodes along the right gastro-epiploic artery (#4d, 45%), the right nodes located at the cardia (#1, 34%), the nodes along the left gastro-epiploic artery (#4sb, 23%), the inferior nodes at the pyloric ring (#6, 22%), the nodes along the left gastric artery (#7, 21%), the nodes along the short gastric artery (#4sa, 18%), the nodes along the cardiac branched artery (#2, 15%), the nodes around the spleen (#10, 15%), the distal nodes along the splenic artery (#11d, 15%), the proximal nodes along the splenic artery (#11p, 13%), the nodes around the celiac artery (#9, 13%), and the nodes along the common hepatic artery (#8a, 10%). These lymph nodes had a metastatic rate of more than 10%. The node with the highest index was #3(18), followed by #4d(13.4), #1(9.59), #4sa(5.85), #4sb(5.75), #10(4.86), #7(4.16), #11d(4.16), #11p(3.87), #2(3.07), #8a(2.08), and #9(1.39). The index of #10 was exceeded that of #2, #7, #8a, and #9 which are the key nodes dissected in D2. Conclusions: The metastatic rate of splenic hilar nodes was relatively high, and the therapeutic index was the sixth highest in the fifteen regional lymph nodes included in D2 dissection. Splenectomy for dissecting splenic hilar nodes would be justified in scirrhous type of gastric cancer considering its survival benefit.

Scanning electron microscopy of freeze-fractured prescapular lymph node of caprine

1984 ◽  
Vol 42 ◽  
pp. 244-245
Author(s):  
O. Faroon ◽  
F. Al-Bagdadi ◽  
T. G. Snider ◽  
C. Titkemeyer
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Lymphatic System ◽  
Three Dimensional ◽  
Meat Products ◽  
The Body ◽  
Morphological Data ◽  
The World ◽  
Cellular Constituent ◽  
Scanning Electron

The lymphatic system is very important in the immunological activities of the body. Clinicians confirm the diagnosis of infectious diseases by palpating the involved cutaneous lymph node for changes in size, heat, and consistency. Clinical pathologists diagnose systemic diseases through biopsies of superficial lymph nodes. In many parts of the world the goat is considered as an important source of milk and meat products.The lymphatic system has been studied extensively. These studies lack precise information on the natural morphology of the lymph nodes and their vascular and cellular constituent. This is due to using improper technique for such studies. A few studies used the SEM, conducted by cutting the lymph node with a blade. The morphological data collected by this method are artificial and do not reflect the normal three dimensional surface of the examined area of the lymph node. SEM has been used to study the lymph vessels and lymph nodes of different animals. No information on the cutaneous lymph nodes of the goat has ever been collected using the scanning electron microscope.

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