Operative surgery, for students and practitioners . f the stomach form a plexus of dilated lymph-spaces in the submucous layer. From these spaces the lymphaticvessels run toward the upper and lower borders and toward theleft end of the stomach, where they terminate in a number oflymphatic nodes that are located between the layers of the lesserand greater omenta and the gastro-splenic omentum. According to the direction taken by the lymphatics that drainit, the stomach may be divided into three areas: the region adjoin-ing the lesser curvature, the region adjoining the greater curvature,and tha
Operative surgery, for students and practitioners . f the stomach form a plexus of dilated lymph-spaces in the submucous layer. From these spaces the lymphaticvessels run toward the upper and lower borders and toward theleft end of the stomach, where they terminate in a number oflymphatic nodes that are located between the layers of the lesserand greater omenta and the gastro-splenic omentum. According to the direction taken by the lymphatics that drainit, the stomach may be divided into three areas: the region adjoin-ing the lesser curvature, the region adjoining the greater curvature,and that coiTesponding to the fundus. First.—The l3Tnphatic vessels that drain that portion of thestomach adjacent to the lesser curvature terminate in a chain ofnodes that are situated between the folds of the lesser omentum,along the course of the gastric artery, reaching from the pjdorusupward and toward the left as far as the point where .the gastricartery strikes the stomach. Here they leave the stomach and may SURGICAL ANATOMY OF THE STOMACH. 359. Fig. 160.—Stomach, showing Arteries that Supply it, its Lymphatics andAdjacent Lymph Nodes. Corresponding to the lesser curvature, the lym-phatics run in a direction away from the pylorus to terminate in the nodesalong this border of the stomach. Corresponding to the greater curvature,they run toward the pylorus to communicate with the nodes below andbehind the pyloric end of the stomach. The lymphatics of the fundus ter-minate in the nodes at the hilum of the spleen. ED, .epiploica dextra; ESepiploica sinistra; G, gastric; GD, gastro-duodenalis; H, hepatic; P, pyloric;S, splenic. Arrows indicate direction of the lymph current. 360 ABDOMEN AND BACK. then be traced backward behind the pancreas to the nodes that arefound adjacent to the coeliac axis. Second.—^The lymphatics that drain the lower part of the bodyof the stomach, parts adjacent to the greater curvature, run fromthe left downward and toward the right, to terminate in a
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