Research progress on the distribution patterns and surgical dissection of central lymph nodes in left-sided colon cancer
10.3760/cma.j.cn441530-20240711-00243
- VernacularTitle:左半结肠癌中央组淋巴结分布特点及外科清扫
- Author:
Yudi BAO
1
;
Zhidong GAO
Author Information
1. 北京大学人民医院胃肠外科 外科肿瘤实验室，北京 100044
- Keywords:
Colorectal neoplasms, left-sided;
Central group of lymph nodes;
D3 dissection;
Functional anatomy
- From:
Chinese Journal of Gastrointestinal Surgery
2024;27(9):914-918
- CountryChina
- Language:Chinese
-
Abstract:
Lymphatic metastasis is one of the main pathways of colorectal cancer spread and also a crucial factor in patient long-term prognosis. Lymph node dissection in the possible tumor drainage area, particularly the central group of lymph nodes at the root of the tumor-associated supplying artery, is a key and challenging aspect of surgical techniques. Currently, the patterns of lymphatic drainage and the distribution of central lymph nodes in left-sided colon cancer are not well illustrated, and there is no consensus on the necessity and extent of central lymph node dissection. This has led to significant variability in the extent of lymph node dissection among different surgeons in clinical practice, a lack of quality control standards for surgical procedures, and impacts on postoperative treatment strategy and long-term outcomes. Moreover, current research on lymphatic drainage and metastasis is primarily based on traditional anatomy, whereas individualized, precise approaches to lymph node dissection have not been realized. The application of preoperative and intraoperative lymph node imaging techniques based on functional anatomy in colorectal cancer patients is still under exploration.
