Table 1.
Type of gastrectomy | Type of disection | Retrieved lymph node stations |
Total | D0 | Less than D1 |
D1 | No. 1-7 | |
D1+ | D1 + No. 8a, 9, 11p1 | |
D2 | D1 + No. 8a, 9, 10, 11p, 11d, 12a1 | |
Distal subtotal | D0 | Less than D1 |
D1 | No. 1, 3, 4sb, 4d, 5, 6, 7 | |
D1+ | D1 + No. 8a, 9 | |
D2 | D1 + No. 8a, 9, 11p, 12a | |
Pylor preserving | D0 | Less than D1 |
D1 | No. 1, 3, 4sb, 4d, 6, 7 | |
D1+ | D1+ No. 8a, 9 | |
Proximal | D0 | Less than D1 |
D1 | No. 1, 2, 3a, 4sa, 4sb, 7 | |
D1+ | D1 + No. 8a, 9,11p2 |
If the cancer has invaded the esophagus, the No. 110 lymph node must be removed in addition to D1+ dissection, and the No. 19, 20, 110 and 111 lymph nodes must be removed in addition to D2 dissection;
The No. 110 lymph node must be removed in addition to D1+ dissection.