直肠癌预防性侧方淋巴结清扫的价值  

Value of prophylactic lateral lymph node dissection in rectal cancer

作　　者：叶颖江[1] 申占龙[1] 王搏[1] YE Ying-jiang, SHEN Zhan-long, WANG Bo(Department of Gastroenterological Surgery, Laboratory of Surgical Oncology, Beifing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research, Peking University People＇s Hospital, Beijing 100044, China)

机构地区：[1]北京大学人民医院胃肠外科外科肿瘤研究室结直肠癌诊疗研究北京市重点实验室,北京100044

出　　处：《中国实用外科杂志》2018年第10期1141-1144,共4页Chinese Journal of Practical Surgery

摘　　要：直肠特殊的淋巴引流特点决定了直肠癌侧方淋巴结清扫(LLND)的范围和方式。对于低位直肠癌是否应行预防性LLND目前仍存在较大分歧和争议。LLND可能降低直肠癌局部复发率,但同时也增加了相关手术并发症的发生风险,且对远期生存的改善仍不确定。结合术前影像学评估和充分的多学科讨论,把握好LLND的指征,预防性LLND仍有其广阔的应用空间。The lymph nodes dissection manner and range are dependent on the special characteristic of lymphatic drainage of rectum. However, lateral lymph node dissection （LLND） for low rectal cancer is still a controversial issue. Lateral lymph node dissection might decrease local recurrence of patients with rectal cancer, but with increasing risk for operation-related complications and uncertainty in improving long-term survival. Combined with preoperative imaging evaluation and sufficiently multidisciplinary discussion, plus an appropriate surgical indication, prophylactic lateral lymph node dissection still has a broad space for application.

关 键 词：直肠癌 侧方淋巴结清扫 预防性 复发 并发症 

分 类 号：R6[医药卫生—外科学]