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Laparoscopic pancreas‐ and spleen‐preserving D2 lymph node dissection in advanced (cT2) upper‐third gastric cancer

Although the laparoscopic assisted total gastrectomy (LATG) has been performed in upper gastric cancer, dissection of lymph nodes No. 10 and 11d without resection of the distal pancreas and the spleen has been hard to accomplish, because of the possibilities of injury to splenic vessels and parenchyma of the spleen or pancreas. Herein, we present successful results in laparoscopic pancreas‐ and spleen‐preserving D2 lymph node dissection in advanced upper gastric cancer.