Wednesday, April 14, 2010

SAGES: laparoscopic gastric cancer

Korean surgeons use suture around round ligament to retract left lobe. Mostly for pyloric dissection. Still need fan retrator for cardia dissection.

Pylorus preserving gastrectomy. Slightly better function than total gastrectomy. Tumor needs to be at least 6 cm from pylorus. No risk of level 5 ln mets because leaving behind right gastric artery.

Gastric resection 16 or more ln needed for oncologic assessment.

Laparoscopic gastrectomy 50 cases required to attain learning curve.


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