Advancements in research on para-aortic lymph node dissection in colorectal cancer
10.3760/cma.j.cn441530-20230926-00110
- VernacularTitle:结直肠癌腹主动脉旁淋巴结清扫研究进展
- Author:
Pan CHI
1
;
Yanwu SUN
Author Information
1. 福建医科大学附属协和医院结直肠外科，福州 350001
- Keywords:
Colorectal neoplasms;
Abdominal aorta para;
Lymph node
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(1):77-83
- CountryChina
- Language:Chinese
-
Abstract:
Para-aortic lymph node metastasis from colorectal cancer is relatively rare. Recent studies have shown that curative para-aortic lymph node dissection can lead to similar prognoses as stage III colorectal cancer for selected patients. However, there are still many unresolved debates regarding the appropriate surgical indications, extent of lymph node dissection, and treatment principles for colorectal cancer patients with para-aortic lymph node metastasis. With the continuous improvement of laparoscopic colorectal surgery techniques, the previously complex and high-risk procedure of para-aortic lymph node dissection has now become a safe and feasible approach. However, there are still several challenges that need to be addressed in this field. It is imperative to conduct multicenter clinical studies to demonstrate the survival benefits of this surgical procedure into greater survival benefits. This will help generate more robust evidence in the field of evidence-based medicine.
