摘要
15%~25%的局部进展期直肠癌患者伴有侧方淋巴结转移,而淋巴结转移是导致患者术后复发和死亡的重要原因。由于侧方淋巴结清扫术(LPLND)手术难度大、手术时间长和出血量多等问题,目前学者对于LPLND持有不同态度,因此对于侧方淋巴结肿大的直肠癌患者尚无最佳的治疗策略。文章将围绕侧方淋巴结转移的治疗策略、LPLND的选择因素以及腹腔镜LPLND的安全性与可行性进行综述。
About 15%-25% of patients with locally advanced rectal cancer have lateral lymph node metastasis, lymph node metastasis is an important cause of postoperative recurrence and death. Currently, scholars hold different attitudes towards lateral pelvic lymph node dissection (LPLND), because LPLND has many problems such as difficult operation, long operation time and large amount of bleeding. Therefore, there is no optimal treatment strategy for colorectal cancer with enlarged lateral lymph nodes. This article reviews the treatment strategy of lateral lymph node metastasis, the selection factors of LPLND and the safety and feasibility of laparoscopic LPLND.
作者
周思成
周海涛
王征
刘骞
梁建伟
周志祥
王锡山
Zhou Sicheng;Zhou Haitao;Wang Zheng;Liu Qian;Liang Jianwei;Zhou Zhixiang;Wang Xishan(Department of Colorectal Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100021, China)
出处
《肿瘤研究与临床》
CAS
2019年第4期275-278,共4页
Cancer Research and Clinic
关键词
直肠肿瘤
淋巴结切除术
淋巴转移
Rectal neoplasms
Lymph node excision
Lymphatic metastasis
