Comparative studies on the distribution of the lymph node metastases from colorectal cancer between modified clearing and conventional procedures.

Kimura, Osamu; Mizusawa, Kiyoaki; Sugesawa, Akira; Kawasumi, Hiroki; Takebayashi, Masataka; Nishidoi, Hideaki; Kaibara, Nobuaki; Koga, Shigemasa

doi:10.5833/jjgs.20.865

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The Range Of Bowel Resection and Lymph Node Dissection1

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2014

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“…In 1967, Turnbull et al reported that the 5-year survival rate of a conventional group (232 cases) was 34.8%, while that of the non-touch isolation technique (NTIT) group (664 cases), using early clamp of both the bowel and drainage vessels, was 50.9% from the retrospective study, and so proposed NTIT as optimal surgery for colon cancer [9]. Kimura et al analyzed the distribution of 127 positive lymph nodes of 36 stage III colon cancer cases with clearing methods [11]. It is believed that the better outcome in the NTIT group, by Turnbull et al, was not due to the NTIT, but due to the fact that the feeding vessel was ligated at the root; and central lymph node dissection was done in the NTIT group.…”

Section: The Range Of Bowel Resection and Lymph Node Dissectionmentioning

confidence: 99%

Radical Colonic Resection

Sugihara

Kinugasa²,

Tsukamoto³

2014

Colorectal Cancer

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Section: The Range Of Bowel Resection and Lymph Node Dissectionmentioning

confidence: 99%

Radical Colonic Resection

Sugihara

Kinugasa²,

Tsukamoto³

2014

Colorectal Cancer

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The size of regional lymph nodes does not correlate with the presence or absence of metastasis in lymph nodes in rectal cancer

Kotanagi¹,

Fukuoka²,

Shibata³

et al. 1993

Journal of Surgical Oncology

100

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We evaluated the relationship between the size of regional lymph nodes and the presence of metastasis in them in rectal cancer. Of 1,064 lymph nodes in 46 specimens, 133 (13%) were found to have metastases. A half of the positive nodes and most of the negative ones were less than 5 mm in diameter. Therefore, we must find lymph nodes smaller than 5 mm in diameter for assessment of lymph node metastasis. Although positive nodes were larger than negative ones, there was no significant difference. However, when comparing the size of lymph nodes in relation to their location, the epi- and pararectal lymph nodes larger than 10 mm in diameter were highly suggestive of metastases, but the size of the lymph node was not a reliable indicator of lymph node metastases in other situations.

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Comparative studies on the distribution of the lymph node metastases from colorectal cancer between modified clearing and conventional procedures.

Cited by 2 publications

References 0 publications

Radical Colonic Resection

Radical Colonic Resection

The size of regional lymph nodes does not correlate with the presence or absence of metastasis in lymph nodes in rectal cancer

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