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Table 1 Types of lymph node dissections [29, 30] (adapted from Japanese Gastric Cancer Treatment Guidelines)

From: Evolution in the surgical management of gastric cancer: is extended lymph node dissection back in vogue in the USA?

 

Total gastrectomy

Distal/subtotal gastrectomy

D1

1–7

1, 3, 4sb, 4d, 5, 6, 7

D1+

1–7, 8a, 9

1, 3, 4sb, 4d, 5, 6, 7, 8a, 9

D2

1–7, 8a, 9, 11p, 12a

1, 3, 4sb, 4d, 5, 6, 7, 8a, 9, 11p, 12a

D3

1–7, 8a, 9, 11p, 12–14

1, 3, 4sb, 4d, 5, 6, 7, 8a, 9, 11p, 12–14

  1. 4sa along the short gastric vessel, 4sb along the left gastroepiploic vessels, 4d along the second branch and distal part of the right gastroepiploic artery, 8a anterosuperior group, 8p posterior group, 11p along the proximal splenic artery, 11d along the distal splenic artery
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World Journal of Surgical Oncology

ISSN: 1477-7819

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