Neufeld David, Bugyev Nikolay, Grankin Mila, Gutman Mordechay, Klein Ehud, Bernheim Joelle, Shpitz Baruch
Department of Surgery, Sapir Medical Center, Meir General Hospital, Kfar Sava, Israel.
Int Surg. 2007 May-Jun;92(3):155-60.
The objective of this study was to determine whether there is a correlation between the length of the sigmoid colon removed and the number of harvested lymph nodes (LNs). Pathology charts of 137 sigmoid resections that were done over a 5-year period were reviewed. The length of removed sigmoid specimen reported in the pathology reports was correlated with the number of LNs retrieved from the specimen. The mean and median numbers of retrieved LNs were 9 and 10, respectively. There was an increase in the number of retrieved LNs with increasing length of resected sigmoid colon. For Dukes' B patients, the average length of the resected specimen was 15.1 cm for those with < 12 LNs and 20.3 cm for those with > 12 LNs (P = 0.01). Our data suggest that the surgeon may play an important role in determining the extent of LN harvesting during large bowel resection for cancer.
本研究的目的是确定切除的乙状结肠长度与获取的淋巴结数量之间是否存在相关性。回顾了在5年期间进行的137例乙状结肠切除术的病理图表。病理报告中报告的切除乙状结肠标本的长度与从标本中获取的淋巴结数量相关。获取的淋巴结的平均数和中位数分别为9个和10个。随着切除的乙状结肠长度增加，获取的淋巴结数量也增加。对于Dukes' B期患者，淋巴结数量<12个的患者切除标本的平均长度为15.1 cm，淋巴结数量>12个的患者切除标本的平均长度为20.3 cm（P = 0.01）。我们的数据表明，在大肠癌大肠切除术中，外科医生在确定淋巴结获取范围方面可能起着重要作用。
