Totally laparoscopic spleen-preserving splenic hilum lymph nodes dissection in radical XXXX : an omnibearing method.

@entity1 @entity190 @entity891 @entity348 @entity954 @entity3623 @entity204 @entity356 @entity130
OBJECTIVE: To investigate the feasibility and safety of laparoscopic spleen-preserving splenic hilum lymph nodes (LNs) dissection for advanced proximal @entity356 using an omnibearing method. METHODS: Between August 2013 and December 2014, 16 @entity1 with advanced proximal @entity356 treated in Guangdong Province Hospital of Chinese Medicine, were enrolled and subsequently underwent laparoscopic radical @entity348 ( @entity348 ) with spleen-preserving splenic hilum LNs dissection. During dissecting @entity3623 . 10 and 11 LNs, we divided them into two parts, namely LNs anterosuperior and posterior to the splenic vessel. The clinicopathological characteristics, intraoperative outcomes and postoperative courses were retrospectively collected and analyzed in the study. RESULTS: Laparoscopic surgery was successfully completed in all 16 @entity1 without conversion to open surgery, and no perioperative @entity204 occurred. The mean operating time was 328.75      46.96  min, and the mean estimated @entity190 was 135.63      62.07  ml. One @entity1 experienced @entity954 due to the @entity130 which was successfully handled with laparoscopic vessel suturing, and one @entity891 was recorded. The mean time to first flatus was 3.56      1.03  days with a mean 9.63      1.50  days of postoperative hospital stay. The mean number of retrieved LNs was 28.31      5.99, in which LNs anterosuperior to splenic artery was 2.88      2.66 and LNs posterior was 1.38      1.75. CONCLUSION: Laparoscopic @entity348 with spleen-preserving splenic hilum LNs dissection using an omnibearing method for advanced proximal @entity356 was safe and technically feasible in experienced hands. Further studies in terms of its clinical significance are needed.
