Near-infrared fluorescence-guided surgery using indocyanine green facilitates secure infrapyloric lymph node dissection during laparoscopic distal gastrectomy

Surgery Today ◽  
2020 ◽  
Vol 50 (10) ◽  
pp. 1187-1196
Author(s):  
Shin-Hoo Park ◽  
Felix Berlth ◽  
Jong-Ho Choi ◽  
Ji-Hyeon Park ◽  
Yun-Suhk Suh ◽  
...  
Keyword(s):  
Lymph Node ◽  
Indocyanine Green ◽  
Lymph Node Dissection ◽  
Near Infrared ◽  
Distal Gastrectomy ◽  
Laparoscopic Distal Gastrectomy ◽  
Node Dissection ◽  
Near Infrared Fluorescence ◽  
Guided Surgery ◽  
Fluorescence Guided Surgery

scholarly journals Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb

2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Taku Kitano ◽  
Daiki Yasukawa ◽  
Yuki Aisu ◽  
Tomohide Hori
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Distal Gastrectomy ◽  
Surgical Techniques ◽  
Laparoscopic Distal Gastrectomy ◽  
Autonomic Nerve ◽  
Autonomic Nerves ◽  
Node Dissection ◽  
Regional Lymph Node Dissection

Laparoscopic gastrectomy is a treatment for gastric cancer, and isoperistaltic side-to-side reconstruction is called “overlap anastomosis.” The physiological advantages of preserving the autonomic nerves in the jejunal limb for digestive reconstruction are well known. Here, we focused on overlap anastomosis with autonomic nerve-preserved mesojejunum of the lifted jejunal limb for laparoscopic distal gastrectomy with intentional lymph node dissection. Our surgical techniques and technical pitfalls were described in detail. The jejunum was partially sacrificed to preserve the autonomic nerves in the lifted jejunal limb. The length of the staple line was 35 – 40 mm. The endostapler entry was carefully closed to avoid even subtle stenosis. Twelve patients were retrospectively evaluated with a follow-up of 5.0 ± 0.6 years. Histological findings according to the Japanese classification were stage IA or IB. Dietary intake and postoperative ambulation occurred at 3.3 ± 1.0 and 1.3 ± 0.5 days after surgery, respectively. Postoperative complications according to Clavien–Dindo classification were one each of grade I and grade II. Postoperative hospital stay was 6.7 ± 1.6 days. Five patients were medication-free at final follow-up, with no recurrence in any patient. Overlap anastomosis with autonomic nerve-preserved jejunal limb was safe and feasible for laparoscopic distal gastrectomy with lymph node dissection.

Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer

2005 ◽  
Vol 19 (9) ◽  
pp. 1177-1181 ◽  
Author(s):  
S. Tanimura ◽  
M. Higashino ◽  
Y. Fukunaga ◽  
S. Kishida ◽  
M. Nishikawa ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Distal Gastrectomy ◽  
Regional Lymph Node ◽  
Laparoscopic Distal Gastrectomy ◽  
Node Dissection ◽  
Regional Lymph Node Dissection
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