ArticleSurgery today2026
Factors affecting the number of retrieved lymph nodes and the impact on the prognosis in Stage II/III right-sided colon cancer.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe risk factors and prognostic implications of retrieving fewer than 12 lymph nodes in patients undergoing laparoscopic/robot-assisted right colectomy remain unclear.
methodsA total of 993 patients with Stage II/III right-sided colon cancer who underwent minimally invasive surgery between 2016 and 2024 were reviewed. Patients were divided into two groups: those with < 12 retrieved lymph nodes (low lymph node [L-LN] group, n = 139) and those with ≥ 12 retrieved lymph nodes (high lymph node [H-LN] group, n = 854). The clinicopathological characteristics and prognosis were compared between the groups.
resultsA multivariate analysis revealed that BMI > 25 kg/m
conclusionIn minimally invasive right colectomy, a high BMI and clinically node-negative disease were associated with a reduced number of dissected lymph nodes. As potentially inadequate dissection may contribute to a poor prognosis, adjuvant therapy should be considered in selected patients.
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