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Survival by Nodal Volume
Bollschweiler et al 2006
Lymphadenectomy Common to Both Surgical
Approaches
Oesophago-Gastrectomy
– Right paracardial
– Left paracardial
– Lesser curve
– Left gastric
– Coeliac
– Proximal splenic
– Common hepatic
– Lowest paraoesophageal
& Total Gastrectomy
Difference in Lymphadenectomy
Oesophago-Gastrectomy
– Para-
oesophageal
– Para-aortic/
thoracicduct
– Carinal
– Bronchial
– Paratracheal
Total Gastrectomy
– Splenic hilum
– Distal splenic
– Right
gastroepiploic
– Infra-pyloric
– Supra-pyloric
– Properhepatic
artery
3 Field Lymphadenectomy
Lerut et al 2004. Ann Surg 240: 962-72
Risk of Systemic Disease and Number of Nodes
Involved
Peyre et al 2008
Peyre et al 2008 Ann Surg 248: 979-985