Lymph Node Dissection for Colorectal Carcinoma Invading the Muscularis Propria
This study investigated the reasonable range of lymphadenectomy for colorectal carcinoma invading the muscularis propria (colorectal mp carcinoma). Two hundred and eighteen patients with colorectal mp carcinoma were operated on at Keio University Hospital, and the correlation between the extent of l...
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Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 28; no. 10; pp. 1995 - 2001 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | Japanese |
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The Japanese Society of Gastroenterological Surgery
1995
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Abstract | This study investigated the reasonable range of lymphadenectomy for colorectal carcinoma invading the muscularis propria (colorectal mp carcinoma). Two hundred and eighteen patients with colorectal mp carcinoma were operated on at Keio University Hospital, and the correlation between the extent of lymph node dissection and the prognosis (recurrence rate and 5-year survival rate) was evaluated. According to the operation records, lymphadenectomy was categorized as follows; D3 was lymph node dissection up to n3, D2 was other procedures except D3; L+ was lateral lymph node dissection of #262, #272 and #282, and L-was other procedures except L+. There was no significant difference in the recurrence rate and survival rate between D2 and D3 in patients with colorectal mp carcinoma after curative resection. In addition, there was no significant difference in the prognosis of lower rectal mp carcinoma between L+ and L-after curative resection. From these results, D2 lymph node dissection appears sufficient for colorectal mp carcinoma and lateral lymph node dissection is not necessary for lower rectal mp carcinoma. |
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AbstractList | This study investigated the reasonable range of lymphadenectomy for colorectal carcinoma invading the muscularis propria (colorectal mp carcinoma). Two hundred and eighteen patients with colorectal mp carcinoma were operated on at Keio University Hospital, and the correlation between the extent of lymph node dissection and the prognosis (recurrence rate and 5-year survival rate) was evaluated. According to the operation records, lymphadenectomy was categorized as follows; D3 was lymph node dissection up to n3, D2 was other procedures except D3; L+ was lateral lymph node dissection of #262, #272 and #282, and L-was other procedures except L+. There was no significant difference in the recurrence rate and survival rate between D2 and D3 in patients with colorectal mp carcinoma after curative resection. In addition, there was no significant difference in the prognosis of lower rectal mp carcinoma between L+ and L-after curative resection. From these results, D2 lymph node dissection appears sufficient for colorectal mp carcinoma and lateral lymph node dissection is not necessary for lower rectal mp carcinoma. |
Author | Teramoto, Tatsuo Yasui, Nobutaka Fujii, Toshiya Yamamoto, Seiichiro Kawano, Yukio Sakai, Nobuyuki Kitajima, Masaki Watanabe, Masahiko Chiba, Yohei Kawamoto, Kiyoshi |
Author_xml | – sequence: 1 fullname: Yasui, Nobutaka organization: Department of Surgery, School of Medicine, Keio University – sequence: 2 fullname: Watanabe, Masahiko organization: Department of Surgery, School of Medicine, Keio University – sequence: 3 fullname: Teramoto, Tatsuo organization: Department of Surgery, School of Medicine, Keio University – sequence: 4 fullname: Kawano, Yukio organization: Department of Surgery, School of Medicine, Keio University – sequence: 5 fullname: Kawamoto, Kiyoshi organization: Department of Surgery, School of Medicine, Keio University – sequence: 6 fullname: Sakai, Nobuyuki organization: Department of Surgery, School of Medicine, Keio University – sequence: 7 fullname: Fujii, Toshiya organization: Department of Surgery, School of Medicine, Keio University – sequence: 8 fullname: Chiba, Yohei organization: Department of Surgery, School of Medicine, Keio University – sequence: 9 fullname: Yamamoto, Seiichiro organization: Department of Surgery, School of Medicine, Keio University – sequence: 10 fullname: Kitajima, Masaki organization: Department of Surgery, School of Medicine, Keio University |
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SubjectTerms | colorectal carcinoma invading the muscularis propria lateral lymph node dissection of rectal cancer lymph node dissection of colorectal carcinoma |
Title | Lymph Node Dissection for Colorectal Carcinoma Invading the Muscularis Propria |
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