Guliaev A V, Musukaev Kh M
Vestn Khir Im I I Grek. 1981 Sep;127(9):63-5.
Extensive radical operations with the ablation of lymph nodes of the pelvis and lumbar region were fulfilled in 64 patients with rectum carcinoma. Prior to the operation all the patients were subjected to the inferior direct roentgen-contrast chromolymphography. High reliability of the negative conclusions of roentgen-contrast lymphography is shown. The positive results of the examination are less reliable. Twelve patients had histological evidence of metastases of the tumor in lymphatic nodes of the second and third stages of the lymphogenic spread of the carcinoma of the rectum. The extended volume makes the operation more radical.
对64例直肠癌患者实施了广泛的根治性手术，切除盆腔和腰部淋巴结。术前所有患者均接受了低位直接X线造影染色淋巴造影。结果显示，X线造影淋巴造影阴性结论的可靠性较高。检查的阳性结果可靠性较低。12例患者有组织学证据表明肿瘤在直肠癌淋巴源性扩散的第二和第三阶段的淋巴结中转移。扩大手术范围使手术更具根治性。
