Laparoscopic Suprapancreatic Lymph Node Dissection for Advanced XXXX Using a Left-Sided Approach.

@entity1 @entity190 @entity1600 @entity260 @entity3472 @entity356
BACKGROUND: We developed a novel procedure for laparoscopic suprapancreatic @entity1600 ( @entity1600 ) dissection, which is compulsory and quite difficult for @entity1 with advanced @entity356 .1 (-) 3 METHODS: We dissected suprapancreatic LNs from the left to the right side. The No. 11p LNs were dissected first, followed by the No. 9, 7, and 8a LNs. Dissection of the No. 5 and 12a LNs was completed last. The above procedure was performed on 814 consecutive @entity1 with stage cT2-3 disease. RESULTS: Mean operation time was 186.9      56.4  min (range 80-480  min), mean @entity190 was 76.6      106.8  ml (range 3-500  ml), and mean times to first flatus, fluid diet, and soft diet were 3.7      1.2  days (range 1-9  days), 5.2      1.7  days (range 2-14  days), and 8.3      2.2  days (range 5-20  days), respectively. A mean 34.5      12.9 LNs (range 22-103) were retrieved, including a mean 12.4      5.7 (range 0-35) suprapancreatic area LNs. Overall postoperative morbidity rate was 14.7  % (120/814), including three cases of @entity3472 . All of these @entity260 were successfully treated by conservative methods. At a median follow-up of 27  months (range 1-63), cumulative 3-year overall survival was 59.2  %. CONCLUSION: Laparoscopic suprapancreatic @entity1600 dissection using a left-sided approach could be safely achieved and is more convenient for advanced @entity356 .
