Upper GI 2017

3/28/2017

Survival by Nodal Volume

Bollschweiler et al 2006

Lymphadenectomy Common to Both Surgical Approaches

Difference in Lymphadenectomy

Oesophago-Gastrectomy

& Total Gastrectomy

Oesophago-Gastrectomy – Para- oesophageal – Para-aortic/ thoracicduct – Carinal – Bronchial – Paratracheal

Total Gastrectomy – Splenic hilum – Distal splenic – Right gastroepiploic

– Right paracardial – Left paracardial

– Infra-pyloric – Supra-pyloric – Properhepatic artery

– Lesser curve – Left gastric – Coeliac

– Proximal splenic – Common hepatic – Lowest paraoesophageal

3 Field Lymphadenectomy

Risk of Systemic Disease and Number of Nodes Involved Peyre et al 2008

Lerut et al 2004. Ann Surg 240: 962-72

Peyre et al 2008 Ann Surg 248: 979-985

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