不同入路的脾门区淋巴结清扫在腹腔镜胃癌根治术中的应用进展

Application progress of different approaches splenic hilar lymph node dissection in laparoscopic radical gastrectomy for gastric cancer

腹腔镜下保留脾的脾门淋巴结清扫（LSPL）是尚处于实验性开展阶段的手术,目前报道有通过右侧、左侧、内侧、胰后等不同入路完成这一过程,本文归纳了不同入路LSPL的步骤及各自的特点,并比较彼此之间的差异.同时介绍了腹腔镜脾门淋巴结清扫在胃癌根治术中的应用现状,并对其可行性、安全性、待解决的问题及改进措施进行了探讨.

Laparoscopic spleen-preserving splenic hilar lymphadenectomy （LSPL） is a operation conducted experimentally in the current.Current reports showed that it can be safely completed through different approach,such as the right,left,medial and retropancreatic approach.This paper summarized the steps and characteristics of different approaches LSPL and compared the differences between each other.The application status of LSPL in laparoscopy-assisted radical gastrectomy were reviewed.The security,feasibility and the problem to be solved of LSPL,improvement measure also be explored in this paper.