ArticleSurgical endoscopy2018
The anatomical configuration of the splenic artery influences suprapancreatic lymph node dissection in laparoscopic gastrectomy: analysis using a 3D volume rendering program.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Anatomical Variations of the Splenic Artery: Clinical and Surgical Implications-A Systematic Review.Life (Basel, Switzerland) · 2026Review
- The Roadmap of the Spleen: A Meta-Analysis of Morphometric and Vascular Anatomy.Health science reports · 2026Review
- Article
- Alterations in portal vein confluence during gastric cancer surgery: two case reports.Korean journal of clinical oncology · 2025Article
- Clinical Feasibility of Vascular Navigation System During Laparoscopic Gastrectomy for Gastric Cancer: A Retrospective Comparison With Propensity-Score Matching.Journal of gastric cancer · 2024Article
- Review
- Morphological Evaluation of the Splenic Artery, Its Anatomical Variations and Irrigation Territory.Life (Basel, Switzerland) · 2023Article
- The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review.Surgical endoscopy · 2022Article
- Morphometric analysis of the splenic artery using contrast-enhanced computed tomography (CT).Surgical and radiologic anatomy : SRA · 2021Article
- Significance of prediction of the dorsal landmark using three-dimensional computed tomography during laparoscopic lymph node dissection along the proximal splenic artery in gastric cancer.SAGE open medicine · 2020Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study is to categorize splenic artery and vein configurations, and examine their influence on suprapancreatic lymph node (LN) dissection in laparoscopic gastrectomy.
methodsDigital Imaging and Communications in Medicine images from 169 advanced cancer patients who underwent laparoscopic gastrectomy with D2 dissection were used to reconstruct perigastric vessels in 3D using a volume rendering program (VP Planning
resultsThe splenic artery was categorized as superficial (36.7%), middle (49.1%), and concealed (14.2%), and the splenic vein was categorized as superior (6.5%), middle (42.0%), and inferior to the pancreas (51.5%). The number of resected LNs around the proximal half of the splenic artery (#11p) and the proportion of the splenic vein located inferiorly to the pancreas were significantly higher in splenic arteries of concealed types. LN metastasis of station #7 was an independent risk factor of LN metastasis in station #11p (p = 0.010). Concealed types showed a tendency towards longer operating times, more blood loss, longer hospital stays, and a higher postoperative morbidity.
conclusionConcealed types of splenic artery are associated with an increased difficulty in the dissection of LN station #11p around the splenic artery. A 3D volume rendering program is a useful tool to rapidly and intuitively identify individual anatomical variations, to plan a tailored surgical strategy, and to predict potential challenges.
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