ArticleDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2007
[Lymphadenectomy with tumors of the lower gastrointestinal tract].
Article in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Complete mesocolic excision and D3 lymphadenectomy with central vascular ligation in right-sided colon cancer: a systematic review of postoperative outcomes, tumor recurrence and overall survival.Surgical endoscopy · 2021Pooled it
- Complete Mesocolic Excision for Colon Cancer: The New Standard of Care?South Asian journal of cancer · 2024Article
- Efficacy and Feasibility of Complete Mesocolic Excision with Central Vascular Ligation in Complicated Colorectal Cancer.Indian journal of surgical oncology · 2023Article
- Complete mesocolic excision for colon cancer: is it worth it?Journal of gastrointestinal oncology · 2019Review
- A standardized suprapubic bottom-to-up approach in robotic right colectomy: technical and oncological advances for complete mesocolic excision (CME).BMC surgery · 2019Article
- LaparoscopicWorld journal of gastrointestinal oncology · 2017Article
- Laparoscopic Colorectal Surgery for Cancer: What Is the Role of Complete Mesocolic Excision and Splenic Flexure Mobilization?The Indian journal of surgery · 2017Article
- Laparoscopic complete mesocolic excision: West meets East.World journal of gastroenterology · 2014Review
- Is complete mesocolic excision with central vascular ligation safe and effective in the surgical treatment of right-sided colon cancers? A prospective study.International journal of colorectal disease · 2014Observational
- Is there a disadvantage to radical lymph node dissection in colon cancer?International journal of colorectal disease · 2013Article
- Despite aggressive histopathology survival is not impaired in young patients with colorectal cancer : CRC in patients under 50 years of age.International journal of colorectal disease · 2012Article
- [Lymph node dissection for carcinomas of the lower gastrointestinal tract. What is evidence-based?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011Review
- One step nucleic acid amplification (OSNA) - a new method for lymph node staging in colorectal carcinomas.Journal of translational medicine · 2010Article
- [Tumors of the lower gastrointestinal tract : Indication and extent of lymph node dissection].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2010Article
- [Founding a "Lymph Node Metastasis" Study Group at the West German Tumor Center (WTZE)].Der Urologe. Ausg. A · 2007Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
For advanced adenocarcinomas, which are the most frequent tumours of the lower GI tract, the concept of radical lymphnode dissection is well accepted. The quality of lymphadenectomy for these malignancies has a strong effect on cancer-related survival. Based upon a strict quality control program with outcome evaluated according to internal results, the technique and extent of lymph node dissection have been continuously developed over the last three decades. These are described in detail, including instructive pictures to clarify the surgical steps needed. Apart from multivisceral resection in far advanced cases, which still have a chance of cure if adequate guidelines are followed, two additional steps in the so-called radical surgical treatment of these tumours are prerequisites for cure. The first is complete mobilisation of the intestine involving complete mesocolic excision with complete retention of the visceral fascia and covering potential lymph node metastases and extranodal spread on the intestinal side. The second step is the central tying of the tumor's supplying vessels. Following these rules and with no adjuvant systemic treatment, 5-year survival figures of 80% can be reached, even for UICC stage III disease.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.