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Exposure and dissection of the root of the right gastric artery during gastric surgery
- Source :
- Surgery today. 29(11)
- Publication Year :
- 1999
-
Abstract
- A technique, by which the root of the right gastric artery can be clearly exposed and the area of the right gastric artery can thus be completely dissected, is presented herein. In conventional procedures, the approach to the right gastric artery is performed from the lesser omentum, and a lymphadenectomy along the common hepatic artery is carried out after the division of the right gastric artery. Using the present technique, the common hepatic artery is exposed before the exposure of the right gastric artery and lymph node dissection is thus continued peripherally to the proper hepatic artery. During these procedures, the root of the right gastric artery arising from the hepatic artery can be easily identified. The lymphatic flow from the area of the right gastric artery to that of the common hepatic artery is transected using the conventional procedure, but not with the present technique. In addition, an en bloc dissection of the regional lymph nodes is also possible when using this procedure.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Dissection (medical)
Sensitivity and Specificity
Gastrectomy
Stomach Neoplasms
medicine.artery
medicine
Humans
Lymph node
Lesser omentum
Common hepatic artery
business.industry
Dissection
digestive, oral, and skin physiology
Stomach
General Medicine
Arteries
medicine.disease
digestive system diseases
Surgery
medicine.anatomical_structure
Lymph Node Excision
Lymphadenectomy
Radiology
Lymph
business
Right gastric artery
Artery
Subjects
Details
- ISSN :
- 09411291
- Volume :
- 29
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Surgery today
- Accession number :
- edsair.doi.dedup.....a97797025b4db264cea14116a0af9a51