Back to Search
Start Over
[D2 and D3 lymph node dissection for colon cancer].
- Source :
-
Khirurgiia [Khirurgiia (Mosk)] 2024 (7), pp. 25-35. - Publication Year :
- 2024
-
Abstract
- Objective: To evaluate surgical and oncological results of standard and extended lymph node dissection (D2 and D3) in patients with colon cancer.<br />Material and Methods: We analyzed treatment outcomes in 74 patients with colon cancer stage T1-4aN0-2M0 who underwent right- and left-sided hemicolectomy, resection of sigmoid colon with standard and extended lymph node dissection (D2 and D3).<br />Results: Surgical approach and level of D3 lymph node dissection did not increase intra- and postoperative morbidity. Laparoscopic interventions were followed by significantly lower intraoperative blood loss and earlier gas discharge. Metastatic lesion of apical lymph nodes was observed in 5 out of 36 patients who underwent D3 lymph node dissection (13.8%), and metastases in regional lymph nodes rN1-2 were found in all these patients. Overall 5-year survival was 86%. Disease-free and overall 5-year survival were similar after D2 and D3 lymph node dissection.<br />Conclusion: D3 lymph node dissection is safe for colon cancer. Metastatic lesions of apical lymph nodes during D3 lymph node dissection were detected only in patients with lesions of regional lymph nodes (rN1-2). Disease-free and overall 5-year survival were similar after D2 and D3 lymph node dissection.
- Subjects :
- Humans
Male
Female
Middle Aged
Aged
Laparoscopy methods
Treatment Outcome
Retrospective Studies
Disease-Free Survival
Russia epidemiology
Lymph Node Excision methods
Lymphatic Metastasis
Colonic Neoplasms surgery
Colonic Neoplasms pathology
Colectomy methods
Lymph Nodes pathology
Lymph Nodes surgery
Neoplasm Staging
Subjects
Details
- Language :
- Russian
- ISSN :
- 0023-1207
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Khirurgiia
- Publication Type :
- Academic Journal
- Accession number :
- 39008695
- Full Text :
- https://doi.org/10.17116/hirurgia202407125