Lirosi Maria Carmen, Biondi Alberto, Ricci Riccardo
General Surgery Unit, Department of Surgery, "A. Gemelli" University Hospital Catholic University of Rome, Largo A. Gemelli 8, 00168 Rome, Italy.
Department of Pathology, "A. Gemelli" University Hospital Catholic University of Rome, Largo A. Gemelli 8, 00168 Rome, Italy.
Transl Gastroenterol Hepatol. 2017 Mar 1;2:14. doi: 10.21037/tgh.2016.12.06. eCollection 2017.
The lymphatic system of the stomach is a multidirectional and complex network composed of lymphatic nodes and vessels. Lymph node metastasis is the most important prognostic factor in curable gastric cancer and lymph node dissection is one of the main areas of surgical research in gastric cancer. Therefore the anatomical classification and embryological development of the gastric lymphatic system have been well described in the literature. The current description of the gastric lymphatic system of the stomach has a surgical orientation and follows the recommendations of the Japanese Gastric Cancer Association. A thorough knowledge of the lymphatic system surrounding the stomach proves to be invaluable to surgeons treating patients with gastric cancer. The aim of this paper is to provide a concise review about surgical anatomy of the gastric lymphatic drainage.
胃的淋巴系统是一个由淋巴结和淋巴管组成的多向性复杂网络。淋巴结转移是可治愈性胃癌最重要的预后因素，而淋巴结清扫是胃癌外科研究的主要领域之一。因此，胃淋巴系统的解剖学分类和胚胎学发育在文献中已有详尽描述。目前对胃淋巴系统的描述具有外科导向性，并遵循日本胃癌协会的建议。事实证明，全面了解胃周围的淋巴系统对外科医生治疗胃癌患者来说非常重要。本文旨在对胃淋巴引流的外科解剖学进行简要综述。
