Robotic Spleen-Preserving Lymph Node Dissection in Gastric Cancer

Robotic spleen-preserving suprapancreatic and splenic hilar lymph node dissection using the preemptive retropancreatic approach in total gastrectomy for gastric cancer proved effective in reducing postoperative pancreatic complications. The novel preemptive retropancreatic technique facilitated a clear operative field and prevented contact with the pancreas during surgery, resulting in a median operating time of 488 min and minimal intraoperative bleeding. This approach shows promise for improving outcomes in total gastrectomy.