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Lymphnodes stations
16 different LN stations surround the stomach (D1-D4)
D3 dissections:
LN stations 12-14; N3 level
12 hepatoduodenal ligament
13 posterior surface of pancreas
head
14 root of the mesentery/
artery/vein
D1 dissections:
LN stations 1-6; N1 level
1 Right cardia
2 Left cardia
3 along lesser curvatur
4 along right curvatur
5 suprapyloric
6 infrapyloric
Institute of Pathology | Alexander Quaas
Gastrointestinal Cancer Group Cologne (GCGC)
D2 dissections:
LN stations 7-11; N2 level
7 left gastric artery
8 common hepatic artery
9 celiac trunk
10 splenic hilus
11 splenic artery
D4 dissections:
LN stations 15-16; N4 level
15 paraaortic
16 paracolic
From: Hong JK et al: Standardization of the extent of lymphadenoectomy for gastric cancer: impact on survival. Advances in Surgery,
Vol. 35, 2001 pp 203-223; S3-Leitlinie Magenkarzinom; Springer Science, Business Media ; Siewert et al Praxis der Viszeralchirurgie.
Onkologische Chirurgie – 3.Auflage2010(541): Abb.40.12.