ISSN |
1948-9366 (online) |
Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Retrospective Study |
Article Title |
"Five steps four quadrants" modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in laparoscopic pancreaticoduodenectomy
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Xiao-Si Hu, Yong Wang, Hong-Tao Pan, Chao Zhu, Shi-Lei Chen, Hui-Chun Liu, Qing Pang and Hao Jin |
ORCID |
|
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Health Research Program of Anhui |
AHWJ2022b032 |
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Corresponding Author |
Qing Pang, MD, PhD, Professor, Department of Hepatopancreatobiliary Surgery, Anhui No. 2 Provincial People’s Hospital, No. 1868 Dangshan Road, North Second Ring Road, Yaohai District, Hefei 230041, Anhui Province, China. portxiu2@126.com |
Key Words |
Five steps four quadrants; Hepatic hilum lymph node; Modularized en bloc clearance; Laparoscopic pancreaticoduodenectomy |
Core Tip |
Although en bloc dissection of hepatic hilum lymph nodes has many advantages, the feasibility and safety of this approach for laparoscopic pancreaticoduodenectomy (LPD) requires further clinical investigation. We showed that the emerging technique of "five steps four quadrants" modularized en bloc dissection of hepatic hilum lymph nodes is safe and feasible for LPD. In this technique, a preoperative elevated body mass index, total bilirubin concentration, and prothrombin time increase the difficulty of lymph node dissection. This approach is expected to improve the efficiency of hepatic hilum lymph node dissection and shorten the learning curve; thus, this technique is worthy of further clinical promotion and application. |
Publish Date |
2024-02-25 15:12 |
Citation |
Hu XS, Wang Y, Pan HT, Zhu C, Chen SL, Liu HC, Pang Q, Jin H. "Five steps four quadrants" modularized en bloc dissection technique for accessing hepatic hilum lymph nodes in laparoscopic pancreaticoduodenectomy. World J Gastrointest Surg 2024; 16(2): 503-510 |
URL |
https://www.wjgnet.com/1948-9366/full/v16/i2/503.htm |
DOI |
https://dx.doi.org/10.4240/wjgs.v16.i2.503 |