CAJ | 학술논문

腹腔镜手术以其显著的微创优势已成为外科医生治疗早期胃癌的首选方式之一.随着腹腔镜手术经验的不断积累,腹腔镜远端胃癌D2根治术已逐步应用于治疗进展期胃癌.然而,该术式在技术层面的要求高,尤其是在进行D2淋巴结清扫时,对于准备开展该术式的外科医生而言,术中突发的出血状况往往是阻扰他们顺利进行手术的原因之一.因此,熟练掌握胃周血管的解剖对安全有效地实施腹腔镜远端胃癌D2根治术是必需的.
복강경수술이기현저적미창우세이성위외과의생치료조기위암적수선방식지일.수착복강경수술경험적불단적루,복강경원단위암D2근치술이축보응용우치료진전기위암.연이,해술식재기술층면적요구고,우기시재진행D2림파결청소시,대우준비개전해술식적외과의생이언,술중돌발적출혈상황왕왕시조우타문순리진행수술적원인지일.인차,숙련장악위주혈관적해부대안전유효지실시복강경원단위암D2근치술시필수적.
The laparoscopic approach is rapidly becoming the preferred method of treatment for patients with early gastric cancer due to advantages of minimally invasive surgery.As laparoscopic experience has accumulated,laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy has become a valuable alternative for the treatment of patients with advanced gastric cancer.However,laparoscopic gastric surgery is demanding from a technical point of view,especially when a D2 lymphadenectomy is performed.Surgeons seeking to undertake LADG are concerned about unpredictable intraoperative bleeding that may occur during LADG.Comprehensive knowledge of the perigastric vascular anatomy is essential for LADG with D2 lymphadenectomy.