Overemphasized surgical issues:the history, misconceptions, controversies, and future directions of lymph node detection thresholds and dissection range in colon cancer
10.3760/cma.j.cn441530-20241205-00397
- VernacularTitle:被过度重视的外科问题：结肠癌淋巴结检出界值和清扫范围的由来和应用误区以及未来展望
- Author:
Yuye GAO
1
;
Junyang LU
;
Aiwen WU
;
Yi XIAO
;
Lin WANG
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所 恶性肿瘤发病机制及转化研究教育部 重点实验室 胃肠肿瘤中心三病区，北京 100142
- Publication Type:Journal Article
- Keywords:
Colon neoplasms;
Lymph node retrieval number;
Extent of lymph node dissection;
D3 lymph node dissection;
Complete mesocolon excision
- From:
Chinese Journal of Gastrointestinal Surgery
2025;28(9):1073-1079
- CountryChina
- Language:Chinese
-
Abstract:
The number of lymph nodes detected in colon cancer is influenced by various factors. The arbitrary application of the 12-lymph node detection threshold as a quality control standard is unreasonable. Overemphasis on the number of lymph nodes may result in an unnecessarily extensive dissection, while existing evidence shows no survival benefit from routine D3 lymphadenectomy. This article systematically reviews the origin, rationale, influencing factors, and common misconceptions surrounding the lymph node detection threshold. It also looks ahead to the trend of narrowing the scope of lymphadenectomy in colon cancer and the potential for personalized dissection strategies.
