Update on indications for lateral lymph node dissection in the management of lower rectal cancer.

Abstract:

:The presence of lateral lymph node (LLN) metastasis was associated with higher local recurrence risk in patients with lower rectal cancer. The role of LLN dissection has not been fully determined despite prolonged debate that last for few decades. The practical difference between Japan and the West was the main culprit. Japanese used to rely on surgical removal of LLN as local control while the West believed that LLN dissection could be spared after giving neoadjuvant chemoradiotherapy. As time passed, it is getting more common to combine both treatments. With the quality improvement in magnetic resonance imaging, we can now predict the chance of LLN metastasis and evaluate the treatment response with good accuracy. Few large analyses have been published recently and provided us more insight into this topic. In this review, we summarized and provided an update on the latest evidence. We have proposed a treatment algorithm on the management of LLNs which may help clinical decision and provide idea for further research.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Fung DTL,Lee PJM

doi

10.1111/ans.15691

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

1265-1269

issue

7-8

eissn

1445-1433

issn

1445-2197

journal_volume

90

pub_type

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