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Gastric Carcinoma Staging
-JRSGC – PHNS System
==P- Grade of peritoneal spread
==H- Presence of Hepatic Mets
==N- Extent of lymph node involvement
==S- Extent serosal invasion
-Internationally Unified TMN Staging
Gastric Carcinoma Surgery
-Western societies when resecting stomach tend not to be as extensive as the Japanese
-The extent of resection is described as
D1. Limited Lymphadenectomy. All N1 Nodes removed en bloc with the stomach
D2. Systematic Lymphadenectomy. N1 & N2 nodes en bloc with stomach
D3. Extended Lymphadenectomy. A more radical en bloc resection including N3 nodes
