Management of lateral pelvic lymph nodes in rectal cancer

被引:6
作者
Chang, Gloria [1 ]
Halabi, Wissam J. [2 ]
Ali, Fadwa [1 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Dept Surg, Div Surg Oncol, 5323 Harry Hines Blvd, Dallas, TX 75390 USA
[2] Enloe Med Ctr, Dept Surg, Chico, CA USA
关键词
lateral pelvic lymph nodes; pelvic lymphadenopathy; rectal adenocarcinoma; rectal cancer; TOTAL MESORECTAL EXCISION; AUTONOMIC NERVE PRESERVATION; CIRCUMFERENTIAL RESECTION MARGIN; PREOPERATIVE RADIOTHERAPY; EXTENDED LYMPHADENECTOMY; FOLLOW-UP; DISSECTION; SURGERY; CHEMORADIOTHERAPY; JAPAN;
D O I
10.1002/jso.27317
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Lateral pelvic lymph node (LPLN) involvement occurs in 10%-25% of rectal cancer cases. Total mesorectal excision (TME) with routine LPLN dissection (LPLND) is predominantly applied in Japan whereas TME with neoadjuvant treatment are used in the West. LPLND is a morbid procedure and minimally invasive techniques may help reduce its morbidity. Selective lateral pelvic node dissection with TME following neoadjuvant treatment achieves acceptable disease-free and overall survival.
引用
收藏
页码:1264 / 1270
页数:7
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