Department of Surgery, Hyogo College of Medicine, 11 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.
Surg Today. 2022 Nov;52(11):1515-1523. doi: 10.1007/s00595-021-02395-2. Epub 2021 Oct 22.
The Japanese Classification of Gastric Carcinoma was established by the Japanese Research Society for Gastric Cancer in 1962. The latest 15th edition was published in 2017. One of its main features is that lymph nodes are numbered as stations. The number of groups has increased from 16 to 36 in 55 years. Seven groups (nos. 1, 2, 5, 7, 9, 10, and 15) were retained from the original classification. Nine groups (nos. 3, 4, 6, 8, 11, 12, 13, 14, and 16) were sub-divided into two or more groups. Furthermore, seven groups (nos. 17, 18, 19, 20, 110, 111, and 112) were added in the 6th, 11th, and 12th editions. This numbering system helps surgeons recognize the exact lymph nodes that need to be dissected. However, the numbering system has become extremely complicated. It is necessary to organize the historical background of each lymph node station and share the definitions clearly. This review focuses on nine anatomical zones around the stomach and summarizes the history of lymph node stations in the Japanese Classification of Gastric Carcinoma. Lymph node stations will continue to be modified in the future, and the historical background may be useful in future revisions.
日本胃癌研究协会于 1962 年制定了《日本胃癌分类》。最新的第 15 版于 2017 年出版。其主要特点之一是将淋巴结编号为站。55 年来，分组数量从 16 个增加到 36 个。原有分类中保留了 7 个组（第 1、2、5、7、9、10 和 15 组）。9 个组（第 3、4、6、8、11、12、13、14 和 16 组）分为两个或更多组。此外，第 6、11 和 12 版又增加了 7 个组（第 17、18、19、20、110、111 和 112 组）。这种编号系统有助于外科医生识别需要解剖的准确淋巴结。然而，编号系统变得非常复杂。有必要组织每个淋巴结站的历史背景，并明确共享定义。这篇综述重点介绍了胃周围的九个解剖区域，并总结了《日本胃癌分类》中淋巴结站的历史。淋巴结站将在未来继续修改，历史背景在未来的修订中可能会很有用。
