Upper GI 2017

3/28/2017

85

TheRoyalMarsden

Operation Selection

Pattern of lymph node spread En bloc resection

Surgical Approach Margins Lymphadenectomy

Leers et al. J Thor & Cardio 2009; 138: 594

TheRoyalMarsden

Operation Selection

Pattern of Recurrence of Type I & II Junctional Cancer

Surgical Approach Margins Lymphadenectomy

Wayman et al. Br J Cancer 2002, 86: 1223

TheRoyalMarsden

Lymph Node Spread from Type II

Right Cardiac Lesser Curve Left Cardiac

38.2% 35.1% 23.1% 20.9%

Left Gastric Artery

5 year Survival N0 76.6% N1 62.3% N2 22.4%

Yamashita et al, 2011, Ann Surg 254: 274-80

15