The Significance of Splenectomy for Advanced Proximal Gastric Cancer

Figure 1

Lymph noses (LNs) are retrieved from the en bloc resected specimen and placed on the map exactly as they were in situ and numbered. Regional lymph node stations are defined as No. 1, right paracardial LN; No. 2, left paracardial; No. 3, LN along the lesser curvature; No. 4sa, LN along the short gastric vessels; No. 4sb, LN along the left gastroepiploic vessels; No. 4d, LN along the right gastroepiploic vessels; No. 5, suprapyloric LN; No. 6, infrapyloric LN; No. 7, LN along the left gastric artery; No. 8a LN along the common hepatic artery; No. 9, LN around the celiac artery; No. 10 LN at the splenic hilum; No. 11p, LN along the proximal splenic artery; No. 11d, LN along the distal splenic artery; No. 12a, LN in the hepatoduodenal ligament; No. 13, LN on the posterior surface of the pancreatic head; No. 14v, LN along the superior mesenteric vein; No. 16, LN around the abdominal aorta. APIS, left inferior phrenic artery; GB, short gastric artery; AGES, left gastroepiploic artery; VCM, middle colic vein; VGED, right gastroepiploic vein; VCDA, accessory right colic vein; VCD, right colic vein; AGP, posterior gastric artery; VL, splenic vein; AJ, jejunal artery; VJ, jejunal vein; ACM, middle colic artery; ACD, right colic artery; TGC, gastrocolic trunk; VMS, superior mesenteric vein; VPDIA, anterior inferior pancreaticoduodenal vein; AHC, common hepatic artery; VP, portal vein.