The effects of celiac branch preservation after distal gastrectomy on the gastrointestinal tract have yet to be clarified. This study evaluated the influences of the celiac branch from a clinical perspective in LADG with Roux-en-Y (R-Y) reconstruction.Between January 2004 and September 2008, 159 consecutive patients with preope-ratively diagnosed early gastric carcinoma without lymph node metastasis underwent LADG in the Department of Esophagogastric Surgery at Tokyo Medical and Dental University. The extent of lymph node dissection was D1+α or β, as defined by the Japanese Gastric Cancer Association guidelines. All operations were performed by 3 expert surgeons. Patients were enrolled retrospectively in the present study, after excluding 2 patients with simultaneous operations for other cancers and 1 patient who had undergone laparoscopic surgery for transverse colon cancer. A preoperative assessment was made by endoscopy, endoscopic ultrasonography, abdominal ultraso-nography, and computer tomography for characterization of the tumors. Preservation of the celiac branch of the vagus nerve was performed for lesions preoperatively diagnosed as mucosal cancer without lymph node metastasis, and the operator made the final judgment of whether to perform nerve preservation in consideration of the physical situation of the patient. Patients were classified according to preservation of the celiac branch into a preservation group (P-LADG; n = 70) and a resection group (R-LADG; n = 89).
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机译：腹腔腹切除术后腹腔分支保存的影响尚未阐明。本研究评估了腹腔分支从Ladg的临床角度与Roux-en-Y（RY）重建的影响。2004年1月和2008年9月，连续159例连续患者预先诊断的早期胃癌，没有淋巴结转移的淋巴结转移在东京医疗和牙科大学食管胃科手术部。淋巴结剖检的程度是D1 +α或β，如日本胃癌协会指南所定义。所有操作都是由3个专家外科医生进行的。在本研究中回顾性患者，除了2名患有2例同时作用的其他癌症和1例腹腔镜手术的患者进行横向结肠癌的患者。通过内窥镜检查，内镜超声，腹部超声波和计算机断层扫描进行术前评估，以表征肿瘤。在没有淋巴结转移的情况下对术前诊断为粘膜癌的病变进行迷宫神经的保存，并且操作者在考虑患者的身体情况下是对是否进行神经保存的最终判断。根据将乳糜泻的保存分为保存组（P-LADG; n = 70）和切除组（R-LADG; n = 89），患者分类。
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