Gao X, Jiang Z, Fu Z
Department of Surgery, China Medical University, Shenyang.
Zhonghua Zhong Liu Za Zhi. 1995 Sep;17(5):387-90.
485 lymph nodes were founded by palpation in 44 R3 resected specimens of colonic cancers. In the bowel axial direction, the rate of lymphatic metastasis was 6.8%, which accound for 9.6% of the positive lymph node metastasis. All these positive nodes were limited from 10 cm proximal to 5 cm distal to the tumor. In the central direction, the rate of mesenteric lymphatic metastasis was 20.4%, and the rate of lymphatic metastasis at the root of mesentery was 4.5%, which accounted for 38.1% of the positive lymph node metastasis. Compared to the bowel axial direction, mesenteric lymphatic metastasis in the central direction was more common and should be carefully disseted during radical operation.
在44例结肠癌R3切除标本中，通过触诊发现485个淋巴结。在肠轴方向，淋巴结转移率为6.8%，占阳性淋巴结转移的9.6%。所有这些阳性淋巴结局限于肿瘤近端10 cm至远端5 cm范围内。在中心方向，肠系膜淋巴结转移率为20.4%，肠系膜根部淋巴结转移率为4.5%，占阳性淋巴结转移的38.1%。与肠轴方向相比，中心方向的肠系膜淋巴结转移更为常见，在根治性手术中应仔细解剖。
