The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement [Rol' limfadenéktomii v lechenii...
Багмет Н. Н., Шатверян Г. А., Секачева М. И., Чардаров Н. К., Беджанян А. Л., Галян Т. Н., Камалов Y. Р., Федоров Д. Н.
Хирургия. Журнал им. Н.И. Пирогова
Вып. 12, С. 45-49
Опубликовано: 2018
Тип ресурса: Обзор
DOI:10.17116/hirurgia201812145
Аннотация:
Liver resection remains the method of choice for treatment of colorectal liver metastases with good long-term results. Regional lymph nodes involvement is significant negative prognostic factor. Moreover, it has been considered as a contraindication for liver resection for a long time. The role of lymphadenectomy remains controversial. Current state of this problem is reviewed in the article. Liver regional lymph nodes involvement takes place in 10-20[%] of cases. PET/CT is the most sensitive method of preoperative diagnosis. Involvement of liver regional lymph nodes is currently not absolute contraindication for liver resection. Routine lymphadenectomy does not make sense, and, perhaps, is justified only within scientific trials for more accurate disease staging. Indications for lymphadenectomy are suspicious changes of lymph nodes revealed by preoperative visualization methods or by intraoperative exploration. Modern chemotherapy regimens allow to reconsider the prognostic importance o
Ключевые слова:
colorectal liver metastases; liver resection; lymphadenectomy
antineoplastic agent; cancer staging; colorectal tumor; diagnostic imaging; human; liver resection; liver tumor; lymph node; lymph node dissection; lymph node metastasis; pathology; positron emission tomography-computed tomography; prognosis; secondary; Antineoplastic Agents; Colorectal Neoplasms; Hepatectomy; Humans; Liver Neoplasms; Lymph Node Excision; Lymph Nodes; Lymphatic Metastasis; Neoplasm Staging; Positron Emission Tomography Computed Tomography; Prognosis
Язык текста: Русский
ISSN: 2309-5628
Багмет Н. Н.
Шатверян Г. А.
Секачева М. И. Марина Игоревна 1976-
Чардаров Н. К.
Беджанян А. Л. Аркадий Лаврентьевич 1974-
Галян Т. Н.
Камалов Y. Р.
Федоров Д. Н.
Bagmet N. N.
Shatveryan G. A.
Sekacheva M. I. Marina Igorevna 1976-
Chardarov N. K.
Bedzhanyan A. L. Arkadij Lavrentyevich 1974-
Galyan T. N.
Kamalov Y. R.
Fedorov D. N.
The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement [Rol' limfadenéktomii v lechenii metastaticheskogo kolorektal'nogo raka pecheni s porazheniem regionarnykh limfaticheskikh uzlov]
The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement [Rol' limfadenéktomii v lechenii...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 12 С. 45-49
2018
Обзор
colorectal liver metastases liver resection lymphadenectomy
antineoplastic agent cancer staging colorectal tumor diagnostic imaging human liver resection liver tumor lymph node lymph node dissection lymph node metastasis pathology positron emission tomography-computed tomography prognosis secondary Antineoplastic Agents Colorectal Neoplasms Hepatectomy Humans Liver Neoplasms Lymph Node Excision Lymph Nodes Lymphatic Metastasis Neoplasm Staging Positron Emission Tomography Computed Tomography Prognosis
Liver resection remains the method of choice for treatment of colorectal liver metastases with good long-term results. Regional lymph nodes involvement is significant negative prognostic factor. Moreover, it has been considered as a contraindication for liver resection for a long time. The role of lymphadenectomy remains controversial. Current state of this problem is reviewed in the article. Liver regional lymph nodes involvement takes place in 10-20[%] of cases. PET/CT is the most sensitive method of preoperative diagnosis. Involvement of liver regional lymph nodes is currently not absolute contraindication for liver resection. Routine lymphadenectomy does not make sense, and, perhaps, is justified only within scientific trials for more accurate disease staging. Indications for lymphadenectomy are suspicious changes of lymph nodes revealed by preoperative visualization methods or by intraoperative exploration. Modern chemotherapy regimens allow to reconsider the prognostic importance o