ArticleInternational journal of colorectal disease2010
Extended lymph node dissection in colorectal cancer surgery. Reliability and reproducibility in assessments of operative reports.
Article in International journal of colorectal disease, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Log odds of positive lymph nodes as a novel prognostic predictor for colorectal cancer: a systematic review and meta-analysis.BMC cancer · 2022Pooled it
- Long-Term Oncological Outcomes After Complete Mesocolic Excision Versus Standard Resection for Right-Sided Colon Cancer: A Propensity Score Matching Analysis.Journal of gastrointestinal cancer · 2025Article
- Re-examining the optimal extent of lymph node dissection for colon cancer using the lymphadenectomy index.Scientific reports · 2025Article
- Complete Mesocolic Excision for Colon Cancer: The New Standard of Care?South Asian journal of cancer · 2024Article
- Updates on Robotic CME for Right Colon Cancer: A Qualitative Systematic Review.Journal of personalized medicine · 2021Review
- Metastasis to lymph nodes around the vascular tie worsens long-term oncological outcomes following complete mesocolic excision and conventional colectomy for right-sided colon cancer.Techniques in coloproctology · 2021Article
- Regional lymph nodes distribution pattern in central area of right-sided colon cancer: in-vivo detection and the update on the clinical exploration.American journal of cancer research · 2021Article
- Is radical surgery for clinical stage I right-sided colon cancer relevant? A retrospective review.Annals of surgical treatment and research · 2020Article
- Complete mesocolic excision for colon cancer: is it worth it?Journal of gastrointestinal oncology · 2019Review
- Green indocyanine fluorescence in robotic abdominal surgery.Updates in surgery · 2018Review
- Log odds of positive lymph nodes is superior to the number- and ratio-based lymph node classification systems for colorectal cancer patients undergoing curative (R0) resection.Molecular and clinical oncology · 2017Article
- Historical development of mesenteric anatomy provides a universally applicable anatomic paradigm for complete/total mesocolic excision.Gastroenterology report · 2014Review
- Laparoscopic complete mesocolic excision: West meets East.World journal of gastroenterology · 2014Review
- Short term results of complete (D3) vs. standard (D2) mesenteric excision in colon cancer shows improved outcome of complete mesenteric excision in patients with TNM stages I-II.Techniques in coloproctology · 2014Article
- The rationale behind complete mesocolic excision (CME) and a central vascular ligation for colon cancer in open and laparoscopic surgery : proceedings of a consensus conference.International journal of colorectal disease · 2014Article
- Extended lymphadenectomy in colon cancer is crucial.World journal of surgery · 2013Article
- Extended lymphadenectomy in colon cancer is debatable.World journal of surgery · 2013Article
- Is there a disadvantage to radical lymph node dissection in colon cancer?International journal of colorectal disease · 2013Article
- [Lymph node dissection for carcinomas of the lower gastrointestinal tract. What is evidence-based?].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011Review
- Overall survival after resection for colon cancer in a national cohort study was adversely affected by TNM stage, lymph node ratio, gender, and old age.International journal of colorectal disease · 2011Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStratification of surgical strategies or techniques by operative reports is rarely validated. This study evaluates the assessment of lymph node dissection from operative reports and the possible survival benefit of extended lymph node dissection.
methodsThe operative reports of 342 colorectal resections (R0) were assessed twice by two surgeons. The lymph node dissection was classified as limited or extended according to a novel scheme. Intraobserver reproducibility and interobserver reliability were evaluated by kappa (kappa) statistics and a Cox model.
resultsFor colonic resections, the reproducibility of assessments was moderate or substantial (kappa: 0.42-0.75), and the reliability was moderate (kappa: 0.54-0.58). For rectal resections, reproducibility was moderate (kappa: 0.45-0.58), and reliability was fair (kappa: 0.29-0.36; all kappa values: p < 0.001). The 5-year survival rates of colonic cancer patients subject to a limited or extended procedure were 52% (45-60%, 95% confidence interval) and 69% (53-84%; p = 0.034), respectively. The hazard ratios of extended lymph node dissection (limited as reference) were 0.34 (0.14-0.86; p = 0.023) for stage I and II and 1.11 (0.50-2.44) for stage III. In rectal cancer patients, the 5-year survival rates of a limited or extended procedure were 63% (54-72%) and 55% (37-73), respectively.
conclusionsValid assessment of lymph node dissection can be obtained from operative reports. Extended lymph node dissection improves long-term survival rates of colonic cancer patients.
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