Journal of AdvancedMedical and Dental Sciences Research

Background: Assessment of the anatomy and influence of the splenic artery in laparoscopic spleen-preserving splenic lymphadenectomy. Materials & methods:100 patients with presence of upper- or middle-third gastric cancer who underwent laparoscopic total gastrectomy with spleen-preserving splenic lymphadenectomy (LTGSPL).Complete demographic and clinical details of all the patients was obtained. All patients underwent abdominal helical CT. The original scanning pictures were used to individually recreate the 3D images via CT (3DCT) of the splenic vessels. The case was regarded as being of the scattered type if the distance was greater than or equal to 2 cm. Then either the concentrated group or the scattered group was given the patients. SPSS software was used to record and analyse each outcome. Results: Out of 100 patients, terminal branches of the SpA (Splenic artery) was concentrated type in 66 percent of the patients while it was distributed type in 34 percent of the patients. Significant results were obtained while comparing the type of SpA among patients with concentrated type and distributed type of SpA. Significant results were obtained while comparing the operative time at splenic hilum, blood loss at splenic hilum and number of retrieved LNs among patients and concentrated type and distributed type of SpA. Conclusion: Understanding the anatomical characteristics enables surgeons to carry out LTGSPL in a safe and efficient manner. The vascular anatomy of the splenic hilum is complex and variable.