Yamaguchi Tatsuro, Mori Takeo, Takahashi Keiichi, Matsumoto Hiroshi, Miyamoto Hidenori, Arai Kuniyoshi, Iwasaki Yoshiaki, Katayanagi So
Department of Surgery, Tokyo Metropolitan Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan.
Gan To Kagaku Ryoho. 2003 Sep;30(9):1256-9.
Lateral lymph node dissection is technique for reducing local recurrence rate after resection of rectal cancer. In this study, we will report a decade experience for lateral lymph node dissection of rectal cancer in 491 cases. Lateral lymph node metastases occurred in 15.4% of rectal cancer which was below peritoneal reflection and through muscularis propria into non-peritoneal. It is a problem that it has never been well designed study of lateral lymph node dissection for rectal cancer. On the other hand, TME has also contributed reducing local recurrence rate. But, distant margin for resection of rectal cancer is controversial.
侧方淋巴结清扫术是一种降低直肠癌切除术后局部复发率的技术。在本研究中，我们将报告491例直肠癌侧方淋巴结清扫术的十年经验。侧方淋巴结转移发生在15.4%的直肠癌中，这些直肠癌位于腹膜返折以下，穿过固有肌层进入非腹膜区域。目前尚无针对直肠癌侧方淋巴结清扫术的精心设计的研究，这是一个问题。另一方面，全直肠系膜切除术也有助于降低局部复发率。但是，直肠癌切除的远切缘存在争议。
