INTRODUCTION: Splenic hilar lymph node dissection via a splenectomy for advanced proximal @entity356 remains controversial. Recently, a laparoscopic spleen-preserving hilar lymph node dissection procedure was described in several publications. To assess the feasibility and safety of spleen-preserving laparoscopic total gastrectomy with D2 lymphadenectomy (LTG-D2), the present retrospective study compared the short-term surgical outcomes between spleen preservation and splenectomy during laparoscopic D2 total gastrectomy (LTG-D2S). METHOD: This study included 59 @entity1 who underwent LTG-D2 and 19 @entity1 who underwent LTG-D2S. RESULTS: The mean operation time did not significantly differ between the LTG-D2 and LTG-D2S groups (339.4        56.8   vs 356.8        46.0   min). The mean @entity190 tended to be smaller in the LTG-D2 group than in the LTG-D2S group (105.9        89.7 vs 210.0        149.5   mL). The mean number of retrieved lymph nodes did not significantly differ between the LTG-D2 and LTG-D2S groups (39.9        17.0 vs 40.6        14.9), and the mean number of retrieved lymph nodes at the splenic hilum also did not significantly differ between the LTG-D2 and LTG-D2S groups (1.3        1.7 vs 2.4        2.6). Mild @entity3472 occurred in three cases (5%) in the LTG-D2 group and in three cases (15.8%) in the LTG-D2S group. CONCLUSION: A LTG-D2 is feasible in terms of the short-term outcomes. However, the indications for this complicated procedure should be considered carefully.

Spleen preservation versus splenectomy in laparoscopic total gastrectomy with D2 lymphadenectomy for XXXX : A comparison of short-term outcomes.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3472 :: ('MESH:D010185', 'Disease') :: ['pancreatic fistula'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
