Strategies and technical skills of teamwork in lymphadenectomy of laparoscopic radical gastrectomy for gastric cancer / 中华消化外科杂志

ABSTRACT

The application of laparoscopic gastrectomy for gastric cancer has more than 20 years,more and more medi cal centers carry out this technique for gastric cancer.Due to the wide range of lymph node dissection for radical gastrectomy,it is required to perform lymphadenectomy in multiple layers and spaces,in addition,there is a learning curve for laparoscopic surgery,so a well-matched surgical team is particularly important,which enables the surgeons to get through the learning curve faster,increases the confidence of the operation,and also improves the quality of the operation.A high-quality laparoscopic radical gastrectomy requests an experienced and skilled surgeon,a functional assistant who can perform a good exposure and separation,as well as a mirror assistant who provides a high-quality view.Familiar with the anatomy and variation of the perivascular vessels,choosing the appropriate surgical approach,and using programmed surgical procedures and coordination make the surgeon achieve a better minimally invasive surgery,which also benefits to the patients.