ArticleSurgical endoscopy2019
Anatomic variations in the left gastric vein and their clinical significance during laparoscopic gastrectomy.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Complexity and heterogeneity of vascular anatomy in gastric cancer surgery: a multicenter retrospective cohort study.Journal of robotic surgery · 2026Article
- Association between the inflow pattern of the left gastric vein and postoperative pancreatic fistula after laparoscopic gastrectomy.Surgical endoscopy · 2026Article
- The Blood Supply of the Stomach: Anatomical and Surgical Considerations.Diagnostics (Basel, Switzerland) · 2025Review
- Adaptive sensitivity-fisher regularization for heterogeneous transfer learning of vascular segmentation in laparoscopic videos.International journal of computer assisted radiology and surgery · 2025Article
- The Gastric Vein Variants: An Evidence-Based Systematic Review of Prevalence and Clinical Considerations.Journal of clinical medicine · 2025Review
- Article
- Aberrant left gastric vein: what should surgeons know?Surgical and radiologic anatomy : SRA · 2022Review
- Anatomical observation and clinical significance of the left gastric vein in laparoscopic radical gastrectomy.Journal of gastrointestinal oncology · 2021Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgeons normally encounter the left gastric vein (LGV) during laparoscopic gastrectomy (LG) for gastric cancer, and the various anatomic variants of this vessel make the procedure difficult. The objective of this study was to classify anatomic variants of the LGV in the laparoscopic operation field and clarify their clinical significance during LG.
methodsIn total, 405 patients who underwent LG in 2013-2017 for gastric cancer were enrolled in the study. LGV drainage was classified into six types by the anatomic relation of the LGV to the arteries of the celiac axis: Type Ia [LGV runs anteriorly to the common hepatic artery (CHA)], Type Ip (LGV runs posteriorly to CHA), Type II (LGV runs anteriorly to the left gastric artery), Type IIIa [LGV runs anteriorly to the splenic artery (SA)], Type IIIp (LGV runs posteriorly to SA), and Type IV (LGV runs cranially into the proximal portal vein or liver parenchyma). If the LGV was injured during the operation, the patient was included as a member of the injury group (IG).
resultsMost patients (n = 391, 96.5%) had a single LGV, whereas 14 (3.5%) patients had double LGVs. Type Ip was the most common of the six drainage types (n = 195, 48.1%). The number of patients in the IG was 49 (13.0%). Types I and III were relatively easily injured when compared with type II (p = 0.025). Patients in the IG had longer operation times, more blood loss, and more lymph node metastases than the non-IG patients.
conclusionsIn most patients, the LGV drains posteriorly to the CHA or anteriorly to the LGA. Gastric surgeons should take great care not to injure the LGV during LG when it is not present on the anterior side of the celiac axis.
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