Gastrocolic Ligament Lymph Node Dissection for Transverse Colon and Hepatic Flexure Colon Cancer: Risk of Nodal Metastases and Complications in a Large-Volume Center

2020 ◽  
Vol 24 (11) ◽  
pp. 2658-2660 ◽  
Author(s):  
Shenghui Huang ◽  
Xiaojie Wang ◽  
Yu Deng ◽  
Weizhong Jiang ◽  
Ying Huang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Cancer Risk ◽  
Lymph Node Dissection ◽  
Large Volume ◽  
Transverse Colon ◽  
Hepatic Flexure ◽  
Nodal Metastases ◽  
Node Dissection ◽  
Colon Cancer Risk

scholarly journals Clinical analysis of metastatic characteristics of infrapyloric lymph nodes (No.206) and terminal ileum lymph nodes in patients with right colon cancer

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Jiangrui Liu ◽  
Yibin Su ◽  
Xing Liu ◽  
Jinfu Zhuang ◽  
Yuanfeng Yang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Nodes ◽  
Lymph Node Dissection ◽  
Terminal Ileum ◽  
Tumor Location ◽  
Right Hemicolectomy ◽  
Hepatic Flexure ◽  
Node Dissection ◽  
Right Colon Cancer

Abstract Background D3 or complete mesocolic excision (CME) surgery has become a common surgical procedure for the treatment of colon cancer metastasis. Clinical misuse and overuse of lymph node dissection bring unnecessary burdens to patients. A detailed guidance for lymph node dissection in patients with T3 and T4 stage right colon cancer at different locations is urgently needed. Methods A retrospective study was performed. Patients received D3 or CME surgery were divided into ileocecal group, ascending colon group, and hepatic flexure group according to the 9th edition of the Japanese Society for Cancer of the Colon and Rectum guidelines. The distributions of lymph node metastases were analyzed according to tumor infiltration depth (T stage) and tumor location. Results The incidence of metastases in the paracolic area (or station), intermediate area, and main (or central) area was 38.4% (139/362), 12.7% (46/362), and 9.7% (35/362), respectively. The proportion of patients having No.206 and terminal ileum lymph nodes metastases was 7.7% (14/181) and 3.7% (9/244), respectively. No.206 lymph node metastasis is related to tumor location (χ2 = 7.955, p = 0.019) and degree of differentiation (χ2 = 18.99, p = 0.000), and terminal ileum lymph node metastasis is related to tumor location (χ2 = 6.273, p = 0.043). Patients with T3/T4 hepatic flexure cancer received radical right hemicolectomy in addition to No.206 lymph node dissection. Conclusion Radical right hemicolectomy and No.206 group lymph node dissection are necessary for T3 and T4 stage colon cancer therapy.

scholarly journals Preoperative Assessment of Vascular Anatomy by Multidetector Computed Tomography Before Laparoscopic Colectomy for Transverse Colon Cancer: Report of a Case

2015 ◽  
Vol 100 (2) ◽  
pp. 208-212 ◽  
Author(s):  
Aya Kawamoto ◽  
Yasuhiro Inoue ◽  
Masato Okigami ◽  
Hiromi Yasuda ◽  
Yoshinaga Okugawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Colon Cancer ◽  
Lymph Node ◽  
Laparoscopic Surgery ◽  
Lymph Node Dissection ◽  
Transverse Colon ◽  
Vascular Anatomy ◽  
Preoperative Assessment ◽  
Transverse Colon Cancer ◽  
Node Dissection

Although the safety of laparoscopic surgery for colon cancer has been reported in many randomized controlled trials, concerns about the difficulty of surgery for transverse colon cancer has not been fully resolved, mainly because of the variation in the vascular anatomy of mesenteric vessels, which leads to difficulty in determining the optimal operative procedure and the extent of lymph node dissection. We present the case of a patient with transverse colon cancer who underwent laparoscopic surgery after preoperative assessment using a combination of endoscopic clipping and three-dimensional computed tomography angiography (3DCTA). A 68-year-old man was diagnosed with transverse colon cancer, and laparoscopic surgery has been planned. 3DCTA showed right-middle and left-middle colic arteries arising independently from the superior mesenteric artery. The relationship between the clip and vessels showed that the right-middle colic artery was the feeding artery of the tumor. Operative findings were consistent with 3DCTA findings, and transverse colectomy with lymph node dissection was successfully performed.

scholarly journals Lymph Node Mapping In Transverse Colon Cancer Treated Using Laparoscopic Colectomy with D3 Lymph Node Dissection

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Hironori Fukuoka ◽  
Yosuke Fukunaga ◽  
Toshiya Nagasaki ◽  
Takashi Akiyoshi ◽  
Tsuyoshi Konishi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Laparoscopic Colectomy ◽  
Transverse Colon ◽  
Transverse Colon Cancer ◽  
Node Dissection ◽  
Lymph Node Mapping ◽  
D3 Lymph Node Dissection

Laparoscopic radical lymph node dissection for advanced colon cancer close to the hepatic flexure

2016 ◽  
Vol 10 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Dai Uematsu ◽  
Gaku Akiyama ◽  
Takehiko Sugihara ◽  
Akiko Magishi ◽  
Takuya Yamaguchi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Hepatic Flexure ◽  
Node Dissection ◽  
Radical Lymph Node Dissection ◽  
Advanced Colon Cancer ◽  
Radical Lymph Node

Can D3 Lymph Node Dissection for Patients With Colon Cancer With a Poor C-Reactive Protein/Albumin Ratio Improve Survival Outcomes?

2021 ◽  
Vol 41 (10) ◽  
pp. 5097-5106
Author(s):  
YOSUKE ATSUMI ◽  
MASAKATSU NUMATA ◽  
KEISUKE KAZAMA ◽  
SHINNOSUKE KAWAHARA ◽  
MIHWA JU ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Survival Outcomes ◽  
Node Dissection ◽  
C Reactive Protein ◽  
Albumin Ratio ◽  
Reactive Protein ◽  
D3 Lymph Node Dissection

Total proctocolectomy with IPAA and D3 lymph node dissection with IBD‐associated colon cancer

2021 ◽  
Author(s):  
SK Efetov ◽  
YuE Kitsenko ◽  
DA Shchervyanina ◽  
AG Minenkova ◽  
IA Tulina ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Total Proctocolectomy ◽  
Node Dissection ◽  
D3 Lymph Node Dissection
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