Avoiding pancreatic necrosis following pancreas-preserving D3 lymphadenectomy for gastric cancer (original) (raw)

Avoiding pancreatic necrosis following pancreas-preserving D3 lymphadenectomy for gastric cancer focuses on a surgical technique that minimizes complications typically associated with distal pancreatic resection. The approach, which involves ligating the splenic artery 5 cm distal to its origin, aims to maintain blood supply to the pancreas while effectively removing lymph nodes during gastric cancer surgery. Clinical outcomes from 180 patients demonstrate a very low incidence of pancreatic necrosis and fistula, indicating the procedure's safety and efficacy.