Evidence map›Paper›PMID 41024784›Full record

ArticleWorld journal of gastrointestinal surgery2025

Mesenteric-guided approach to pyloric lymphadenectomy in laparoscopic radical gastrectomy.

Guo-Feng Pan, Wei-Hong Zhang, Zhi-Ming Cai, Jian Chen, Ji-Huang Wu, Jian-Bin Weng, Zi-Peng Zhu, Zhi-Xing Guo, Jian-Jin Lin, Zhi-Xiong Li and 1 more

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Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Guo-Feng PanDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Wei-Hong ZhangDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Zhi-Ming CaiDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Jian ChenDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Ji-Huang WuDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Jian-Bin WengDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Zi-Peng ZhuDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Zhi-Xing GuoDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Jian-Jin LinDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Zhi-Xiong LiDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China.
Yan-Chang XuDepartment of Gastrointestinal Surgery Unit 1, Teaching Hospital of Putian First Hospital of Fujian Medical University, Putian 351100, Fujian Province, China. xyc202301@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphadenectomy of the infrapyloric region remains technically demanding in laparoscopic radical gastrectomy. Traditional vessel-guided approaches often result in incomplete dissection and higher complication rates, especially at station No. 6.

aimTo propose a mesentery-based strategy for infrapyloric lymphadenectomy and evaluate its safety, feasibility, and efficacy.

methodsBy identifying key anatomical landmarks and defining the inferior mesenteric boundary of the pyloric region (right gastro-omental mesentery), this approach enables full exposure and

resultsThe D2 + CME group demonstrated significantly improved surgical outcomes, including shorter total operative time (279.19 ± 45.50 minutes

conclusionThe mesentery-based approach enables safe pyloric lymphadenectomy. Systematic mesogastric excision improves operative efficiency and lymph node yield, especially at station No. 6, offering potential oncological benefits in gastric cancer surgery.

Indexed as

Complete mesogastric excisionGastric cancerLaparoscopic gastrectomyPyloric lymph nodesRight gastro-omental mesentery

Identifiers

PMID41024784
PMCPMC12476657

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