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Intrahepatic cholangiocarcinoma of the left liver is a common cause of left-sided lymph node metastasis. If gastric lesser curvature is closely dissected, it could result in an iatrogenic injury to the extragastric sphincter's nerve branches that control motility of the pyloric sphincter and lead to gastric stasis. The aim of this research was to examine our 20-year experience with preemptive pyloroplasty in ten patients. Methods: We investigated the clinical sequences of ten patients with ICC who underwent preemptive pyloroplasty after left hepatectomy and extended left-sided LN dissection. Results: According to the 8th edition of the American Joint Committee on Cancer staging system, all ten patients were classified as stage IIIB due to the T1-3N1M0 stage. Conclusion: Preemptive pyloroplasty is a safe surgical option to prevent gastric stasis in patients undergoing extensive left-sided LN dissection. Azithromycin seems to be a potent prokinetic agent in gastroparesis.
Source link: https://europepmc.org/article/MED/34902957
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