suprapancreatic metastasis journals
Lymph node (LN) metastasis is one of the most important prognostic factors for patients after gastrectomy. In Asian countries, gastrectomy with extended (D2) lymphadenectomy is performed as a standard procedure for advanced gastric cancer, whereas gastrectomy with perigastric (D1) lymphadenectomy is used in western countries.
Whether gastrectomy with D2 lymphadenectomy improves the survival of patients with advanced gastric cancer remains controversial. The prognosis of gastric cancer patients with extended metastatic LNs is thought to be worse than that of patients without metastasis. The extended LNs of gastric cancer mainly consist of LNs along the common hepatic and splenic arteries. Read More>>>>>