ObjectiveTo study the significance of lateral lymph nodes sweeping in lower rectal cancer. MethodsRoutine pathological methods were used to detect the regularity of lateral lymph nodes metastasis and the survival rate of the patient. All the data was analysed by χ2 test. Results①Lateral lymph nodes metastasis was observed in 12.5% rectal cancer below the peritoneum,and it was the main lymph metastatic way. ②Low differented adenocarcinoma and mucous adenocarcinoma had more lateral lymph nodes metastasis than other types. Lateral lymph nodes metastasis was also related with invaded degree of invasion. ③The survival rate of the case with lateral lymph node metastasis was 42.2%.ConclusionLateral lymph nodes should be swept in advanced rectal cancer to prevent remains of lymph nodes remained and increase the survival rate.
Citation：
DONG Xinshu,LI Zhigao,CUI Binbin,ZHAO Peng,LIU Ming,YU Zhiwei,XU Haitao. Significance of Lateral Lymph Nodes Sweeping in Lower Rectal Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(2): 103-105. doi:
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- 2. 高橋孝.直腸癌根治術式の変遷と最新の話題 [J]. 消化器外科, 1998; 21(3)∶271.
- 3. 森武生, 高橋慶一,大植雅之，他. 進行直腸癌 [J]. 消化器外科, 2001; 24(13)∶1897.
- 4. 董新舒，鄢风昌，赵廷忠，等. 直肠癌淋巴转移的临床病理学研究 [J]. 中华外科杂志， 1985; 23(8)∶463.
- 5. Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgerythe clue to pelvic recurrence? [J]. Br J Surg， 1982; 69(10)∶613.
- 6. Heald RJ, Ryall RD. Recurrence and survival after total mesorectal excision for rectal cancer [J]. Lancet, 1986; 1(8469)∶1479.
- 7. Heald RJ, Karanjia ND. Results of radical surgery for rectal cancer [Ｊ].World J Surg, 1992; 16(5)∶848.
- 8. 前田耕太郎,丸田守人,内海俊明,他. 現在の標準的(D2,D3)直腸癌根治術式と拡大術式,縮小術式 [Ｊ]. 消化器外科, 1998; 21(3)∶279.
- 9. 董新舒， 王锡山，于志伟，等. 直肠癌扩大根治术的临床研究 [Ｊ]. 中华肿瘤杂志， 2001； 23（4）∶323.
- 10. 森武生, 高橋慶一,安野正道.低位直腸癌に対する自律神経溫存側方郭清根治術 [Ｊ]. 消化器外科, 1999; 22(9)∶1373.
- 11. Warren E, Klaas H, Tatyana P. Abdominoperineal resection via total mesorectal excision and automatic nerve preservation for low rectal cancer [Ｊ].World J Surg， 1997; 21(7)∶715.
