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Clinical significance of the anterosuperior lymph nodes along the common hepatic artery identified by sentinel node mapping in patients with gastric cancer.
Ayako Shimada
1 ,
Hiroya Takeuchi
2 ,
Satoshi Kamiya
1 ,
Kazumasa Fukuda
1 ,
Rieko Nakamura
1 ,
Tsunehiro Takahashi
1 ,
Norihito Wada
1 ,
Hirofumi Kawakubo
1 ,
Yoshiro Saikawa
1 ,
Tai Omori
1 ,
Tadaki Nakahara
3 ,
Masahiro Jinzaki
3 ,
Koji Murakami
3 ,
Yuko Kitagawa
1
Oct 2016
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Abstract
The sentinel node (SN) concept is safely applied and validated in early gastric cancer. Gastric lymph nodes are divided into five basins with the main gastric arteries, and the anterosuperior lymph nodes with the common hepatic artery (No. 8a) are classified in the right gastric artery (r-GA) basin. Although No. 8a are considered to have lymphatic flow from the r-GA basin, there might be additional multiple lymphatic flows into No. 8a. The aim of this study is to analyze the lymphatic flows to No. 8a and to investigate the clinical significance of No. 8a as a sentinel node (SN No. 8a).