Abstract
* Corresponding author. Department of Surg 212-844-8570; fax: 212-844-8440. E-mail address: mleitman725@me.com (I 0022-4804/$ e see front matter a 2013 Elsev http://dx.doi.org/10.1016/j.jss.2012.09.011 Gastric cancer is the fourth most common cancer worldwide and the second leading cause of cancer death. The highest incidence of gastric cancer is in Eastern Asia. China has 463,000 new cases a year, whereas the United States as an annual incidence of 21,000 cases [1]. Intestinal type gastric cancer is more prevalent in high-risk areas and is influenced by environmental factors. Because the incidence and histology are variable by region, there remains significant worldwide controversy regardingmanagement of the disease. The extent of lymphadenectomy in gastric cancer is one of the more highly controversial aspects of the treatment algorithm. The lymph node basins draining the stomach are divided into 16 stations. Perigastric nodes are Station 1e6; Stations 7e15 are nodes along themajor vessels and pancreas, spleen, and colon; and nodes in Station 16 are peri-aortic [2]. At least 15 lymph nodes are required in the specimen for accurate staging of the cancer [3]. D1 lymphadenectomy
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