Preservation of vagus nerve technique using left-sided approach in laparoscopy-assisted distal gastrectomy Tetsu FUKUNAGA 1 , Naoki HIKI 1 , Shigekazu OHYAMA 1 , Masanori TOKUNAGA 1 , Takeshi SANO 1 , Toshiharu YAMAGUCHI 1 1Department of Gastroenterological Surgery, Gastroenterological Center Cancer Institute Hospital Keyword: 腹腔枝 , 腹腔鏡補助下幽門側胃切除 , 腹腔鏡補助下幽門保存胃切除 pp.611-616
Published Date 2009/10/15
DOI https://doi.org/10.11477/mf.4426100394
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 Laparoscopy-assisted gastrectomy is mainly performed for early or early-like advanced gastric cancer, and it is preferable to perform the vagus nerve preserving operation to maintain long-term quality of life. In preservation of vagus nerve, celiac branch and hepatic branch are generally preserved, but in conventional laparoscopic surgery, preservation of celiac branch has been so demanding. In 2005, we developed a new surgical procedure to easily preserve the celiac branch. With the use of left-sided approach for left gastropancreatic fold, a method we had developed, the celiac branch is identified at the root of the left gastric artery, and from there, celiac branch is followed and persevered toward its center. By using this method, preservation was conducted definitely in all of 304 patients undergoing vagus-nerve preserving gastrectomy. Here, we describe our new technique.

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