Reply to “How should we define the no.3b lesser curvature lymph node?”
Reply to “How should we define the no.3b lesser curvature lymph node?”
复制标题
回复“3b小弯淋巴结如何定义？”
DOI：
10.1007/s10120-016-0678-1
复制
发表时间：
2017
期刊：
影响因子：
7.4
通讯作者：
Udagawa H.
中科院分区：
文献类型：
--
作者：
Shinohara H;Haruta S;Hosogi H;Ohkura Y;Kobayashi N;Mizuno A;Okamura R;Ueno M;Sakai Y;Udagawa H.
我们感谢山下等人。为了回应我们最近发表的一篇文章，我们在文章中显示，当远端肿瘤边缘终止于胃上三分之一时，3B淋巴结(LN)的转移率和治疗指数极低，提示近端胃切除并排除3B淋巴结可能是治疗局限于胃上三分之一的大多数进展期胃癌的适应症[1]。对国家间边界的定义表示关切。3a和3b[2]。2011年，日本胃癌协会(JGCA)重新定义了3号站，将其分为3A[沿着胃左动脉(LGA)]和3B[沿着胃右动脉(RGA)]亚站[3]。然而，正如Yamashita等人所说。指出，由于LGA和RGA分支的吻合，3a和3b之间的边界有时是模糊的。LGA通常分为两支，前支分布于胃的前表面，后支分布于胃的后表面。在大多数情况下，后支吻合
We thank Yamashita et al. for responding to our recently published article, in which we showed that the rate of metastasis and the therapeutic index of no. 3b lymph nodes (LNs) were extremely low when the distal tumor border ended in the upper third of the stomach, suggesting that proximal gastrectomy with the exclusion of no. 3b lymphadenectomy could be an indication for treating most advanced gastric cancers localized to the upper third of the stomach [1].Yamashita et al. have concerns regarding the definition of the border between nos. 3a and 3b [2]. In 2011, the Japanese Gastric Cancer Association (JGCA) redefined the no. 3 station by separating it into no. 3a [along the left gastric artery (LGA)] and no. 3b [along the right gastric artery (RGA)] substations [3]. However, as Yamashita et al. pointed out, the border between 3a and 3b is sometimes vague due to anastomosis of the branches of the LGA and the RGA. The LGA usually divides into two branches, an anterior branch distributing to the anterior surface and a posterior branch distributing to the posterior surface of the stomach. In most cases, the posterior branch anastomoses