Therapeutic significance of D3 dissection for low rectal cancer: a comparison of dissections between the lateral pelvic lymph nodes and the lymph nodes along the root of the inferior mesenteric artery in a multicenter retrospective cohort study

Author(s):  
Hiroaki Inoue ◽  
Kazuhito Sasaki ◽  
Hiroaki Nozawa ◽  
Kazushige Kawai ◽  
Koji Murono ◽  
...  
2021 ◽  
Author(s):  
Richard Gartrell ◽  
Michael K.‐Y. Hong ◽  
Ali Baker ◽  
Mobin Master ◽  
Peter Gibbs ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Chunhui Jiang ◽  
Ye Liu ◽  
Chunjie Xu ◽  
Yanying Shen ◽  
Qing Xu ◽  
...  

Abstract Objective This study aimed to explore the pathological characteristics of lymph nodes around inferior mesenteric artery in rectal cancer and its risk factors and its impact on tumor staging. Methods 485 rectal cancer patients underwent proctectomy surgery were collected in this study. Clinical features of patients, including gender, age, BMI, tumor size, pathological type, differentiation, nerve invasion, lymph nodes, tumor marker, and pathological examinations, were analyzed. Results A total of 485 cases were included in this study. There were 29 cases with IMA-LN metastasis; the metastasis rate was 5.98% (29/485). Positive IMA-LNs were associated with distance from anal verge, CEA, pathological type, differentiation, nerve invasion, T stage, and N stage. Multivariate analysis showed that distance from anal verge, CEA level, differentiation, and T stage were independent risk factors for positive IMA-LNs. Conclusion Distance from anal verge, CEA level, differentiation, and T stage were independent risk factors for positive IMA-LNs. No skip metastasis occurred in IMA-LNs. We should choose the appropriate surgical methods to achieve better oncological results and reduce the incidence of postoperative complications.


BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marlies S Reimers ◽  
Charla C Engels ◽  
Hein Putter ◽  
Hans Morreau ◽  
Gerrit Jan Liefers ◽  
...  

2011 ◽  
Vol 15 (8) ◽  
pp. 1368-1374 ◽  
Author(s):  
Sekhar Dharmarajan ◽  
Dandan Shuai ◽  
Alyssa D. Fajardo ◽  
Elisa H. Birnbaum ◽  
Steven R. Hunt ◽  
...  

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