Langenbecks Arch Surg (2017) 402:1213–1221 DOI 10.1007/s00423-017-1628-z ORIGINAL ARTICLE The distribution of lymph node metastases and their size in colon cancer 1 1 1 1 Yusuke Yamaoka & Yusuke Kinugasa & Akio Shiomi & Tomohiro Yamaguchi & 1 1 1 1 Hiroyasu Kagawa & Yushi Yamakawa & Akinobu Furutani & Shoichi Manabe Received: 20 June 2017 /Accepted: 26 September 2017 /Published online: 5 October 2017 Springer-Verlag GmbH Germany 2017 Abstract metastatic lymph node sizes were significantly larger in ≥ T2 Purpose The purpose of this study is to clarify the optimal tumor than in T1 tumor. extent of lymph node dissection for colon cancer by evaluat- Conclusion It is necessary to resect 10 cm of normal bowel ing the distributions of lymph node metastases and lymph both proximal and distal to the tumor and to perform D3 node size according to tumor location and T stage. lymph node dissection for ≥ T2 colon cancer. Methods This study enrolled 662 patients who underwent cu- . . . rative resection for primary colon cancer between 2013 and Keywords Colon cancer Lymph node Size Distribution 2015. Lymph node regions were classified into pericolic, in- termediate, and main nodes. The short-axis diameter of
Langenbeck's Archives of Surgery – Springer Journals
Published: Oct 5, 2017
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