The extent of lymph node dissection for colon carcinoma

Hida, Jin‐ichi; Yasutomi, Masayuki; Maruyama, Takamasa; Fujimoto, Kiyoshige; Uchida, Toshihiro; Okuno, Kiyotaka

doi:10.1002/(sici)1097-0142(19970715)80:2<188::aid-cncr3>3.0.co;2-q

Cited by 71 publications

(27 citation statements)

References 6 publications

(1 reference statement)

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“…It has recently been proposed that the extent of laparoscopic lymph node dissection can be modified according to the tumor stage. In their analysis of the distribution of lymph node metastases in 164 patients with colorectal cancer, Hidu et al concluded that central lymph node dissection may not be required in those patients [7]. If these data can be confirmed, in the future less extensive laparoscopic resections can be performed for early-stage colon carcinoma as predicted by EUS.…”

Section: Discussionmentioning

confidence: 99%

Impact of miniprobe ultrasonography on planning of minimally invasive surgery for gastric and colonic tumors

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Impact of miniprobe ultrasonography on planning of minimally invasive surgery for gastric and colonic tumors

et al. 2004

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“…3 Next, we indicated the required extent of node dissection from the distribution of node metastases obtained by the clearing method on colon cancers. 4 In the present study, we tried to determine the appropriate extent of node dissection (ligation level of the tumor feeding artery and the bowel resection margin) in consideration of the site of the tumor feeding artery.…”

Section: T He Japanese General Rules For Clinical Andmentioning

confidence: 99%

Optimal Ligation Level of the Primary Feeding Artery and Bowel Resection Margin in Colon Cancer Surgery: The Influence of the Site of the Primary Feeding Artery

Hida

Okuno

Yasutomi

et al. 2005

Diseases of the Colon &Amp; Rectum

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In T1 tumors, central node dissection is not required, but resection with proximal and distal 3-cm margins are required; in T2, central node dissection that includes the intermediate node should be performed in addition to resection with proximal and distal 5-cm margins. In T3 and T4, central node dissection that includes the main node should be performed in addition to resection with proximal and distal 7-cm margins. However, for T2 more than 5 cm from the primary feeding artery, and for T3 more than 7 cm from the primary feeding artery, proximal and distal resection alone may be adequate.

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“…The reason for this was the size of the reservoir. At comparative assessment of evacuation abilities in patients with short (5 cm) and "long" (10 cm) reservoirs, it was proven that patients with shorter reservoir have fewer evacuation disorders [34]. Thus, reducing the size of the reservoir made it possible to achieve the best functional results.…”

Section: Methods Of Surgical Correction Of Functional Disorders For Pmentioning

confidence: 99%

Surgical correction of functional disorders in performing sphincterosafing operations for rectal cancer (literature review)

Куликов

Kaminsky

Каминский³

et al. 2017

Rossiyskiy mediko-biologicheskiy vestnik

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For many decades the main goal of oncologists was to increase life expectancy of patients with malignant tumors, without paying due attention to quality of life. Currently, the goals of patients’ treatment with rectal cancer are to cure, to minimize the risk of local recurrence, preserve the normal course of intestine, to optimize it's function and to ensure quality of life. For a long time, the standard surgical treatment of patients with low rectal cancer was abdominoperineal extirpation, but recently sphincterosafing operations have seen a widespread introduction in surgical practice. However, functional results after these types of operations don't always meet the expectations of surgeons and patients. In the postoperative period, patients often develop a syndrome of low anterior resection, characterized by frequent bowel movements, repeated, prolonged and incomplete evacuation of bowel and the imperative urge to defecate. The manifestation of this syndrome can significantly impair the quality of patient's life and reduce to nothing the efforts of the surgeon to preserve the sphincter of the rectum. For surgical correction of low anterior resection syndrome, various types of colonic reservoir anastomoses have been proposed. The purpose of formation of colonic reservoirs is to increase the cumulative function of intestine. However, the existing methods have several disadvantages related to technical complications and the risk of developing evacuation dysfunction, which is the reason for search the new ways of optimization of anastomoses when performing sphincterotomy operations for cancer of the rectum.

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The extent of lymph node dissection for colon carcinoma

Cited by 71 publications

References 6 publications

Impact of miniprobe ultrasonography on planning of minimally invasive surgery for gastric and colonic tumors

Impact of miniprobe ultrasonography on planning of minimally invasive surgery for gastric and colonic tumors

Optimal Ligation Level of the Primary Feeding Artery and Bowel Resection Margin in Colon Cancer Surgery: The Influence of the Site of the Primary Feeding Artery

Surgical correction of functional disorders in performing sphincterosafing operations for rectal cancer (literature review)

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