腹腔镜远端胃癌d手术解剖ppt课件.pptVIP

Step4 在胰尾上缘脾血管发出胃网膜左血管处离断 Step5 打开横结肠系膜前叶正中可清除14v及第6组淋巴结 Step6 横结肠系膜前叶右侧向上翻转显露十二指肠球部及降段 Step7 掀起胰腺被膜，在胰腺上缘游离肝总动脉 Step8 打开肝总、胃十二指肠动脉鞘 Step9 结扎切断胃右血管，清扫12a和第5组淋巴结 Step10 清扫第7、8、9组淋巴结 Step11 清扫第1、3、4组淋巴结 Thanks for your attention! dissection plane anterior to the pacreatic head surgical plane in 14V group of the LNs dissection completion of the 14V group of the LNs clearance1 completion of the 14V group of the LNs clearance 2 the gastrocolonal henle trunk the gastroduodenal artery and its branches the right gastroepiploic artery completion of the 6 group of theLNs clearance the gastrod