J.Jpn. Surg. Soc.. 87(9): 1181-1184, 1986
Report on the annual meeting
LIMITATION AND RATIONALIZATION OF RADICAL OPERATION FOR EARLY GASTRIC CANCER
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Department of Surgery, Tokyo Women’s Medical College, Daini Hospital, Tokyo, Japan Noburu Sakakibara, Hirokazu Yagawa, Kenji Ogawa |
According to pathological examination for the dissected lymphnodes in the operation for early gastric cancer, 15 (10%) of 148 showed n1 (+) (positive findings of metastasis to group 1 lymphnodes) and 5 (3%) showed n2 (+) (positive findngs of metastasis to group 2 lymph-nodes, i.e., the left gastric artery lymph-nodes).
Examination by india ink injection revealed a pathway by which the ink went directly from the stomach to lymph-nodes in the hepatoduodenal ligament without passing through other lymphnodes.
Anti-tumor immunological responce of the proximal lymph-nodes was oncoimmunologically revealed to be less than that of the distal lymph-nodes.
These results suggest that group 1 lymph-nodes, the left gastric artery lymph-nodes and lymph-nodes in the hepatoduodenal ligament should be dissected in radical operation for early gastric cancer.
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