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For advanced gastric cancer located in the upper body of the stomach, total gastrectomy with D2 lymph node dissection is recommended [1–4]. D2 lymph node dissection for proximal tumors requires the retrieval of the soft tissues around distal portions of the splenic vessels and splenic hilum, which contain lymph nodes at stations #10 and #11d [4, 5]. Two options – a total gastrectomy with splenectomy and a spleen-preserving total gastrectomy – exist for retrieval of lymph nodes at station #10. While splenectomy-related postoperative complications, such as subphrenic abscess and postsplenectomy syndrome, are well known, complete lymph node dissection of the splenic hilum during spleen-preserving total gastrectomy is a very complex procedure.

Almost every area in diagnostic urology has been influenced by the explosive development of nuclear medicine. The list is long and impressive, and touches nearly every organ, not the least of which is the kidney. The urologist, however, cannot ignore the radionuclides as they can be applied to the diagnosis of lung metastasis, pulmonary infarcts, subphrenic abscess, liver metastasis, trauma, and a host of other pathologic conditions originating from, or having a bearing on, diseases of the genitourinary system. As Blaufox (1972) stated: It is unfortunate that many clinicians, who consider the use of radionuclides in nephrology, think only of the radiorenogram. The renogram, which achieved its greatest clinical acceptance shortly after its inception in 1955, has been greatly overemphasized in nuclear medicine. The procedure surely is useful clinically, but its greatest shortcoming has been the overenthusiastic application of renography by individuals attempting to achieve farreaching diagnoses beyond the capability of a screening procedure. The continuing introduction of new methods of analysis and of controversy about the renogram have severely limited its credibility.