CAJ | 학술논문

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.
복강경하보류비적비문림파결청소(LSPL)시상처우실험성개전계단적수술,목전보도유통과우측、좌측、내측、이후등불동입로완성저일과정,본문귀납료불동입로LSPL적보취급각자적특점,병비교피차지간적차이.동시개소료복강경비문림파결청소재위암근치술중적응용현상,병대기가행성、안전성、대해결적문제급개진조시진행료탐토.
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.