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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 19 - 28 (10page)
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Gastrectomy with lymph node dissection remains the gold standard for curative treatment of gastric cancer. Dissection of splenic hilar lymph nodes has been included as a part of D2 lymph node dissection for proximal gastric cancer. Previously, pancreatico-splenectomy has been performed for dissecting splenic hilar lymph nodes, followed by pancreas-preserving splenectomy and spleen-preserving lymphadenectomy. However, the necessity of routine splenectomy or splenic hilar lymph node dissection has been under debate due to the increased morbidity caused by splenectomy and the poor prognostic feature of splenic hilar lymph node metastasis. In contrast, the relatively high incidence of splenic hilar lymph node metastasis, survival advantage, and therapeutic value of splenic hilar lymph node dissection in some patient subgroups, as well as the effective use of novel technologies, still supports the necessity and applicability of splenic hilar lymph node dissection. In this review, we aimed to evaluate the need for splenic hilar lymph node dissection and suggest the subgroup of patients with favorable outcomes.
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참고문헌 (45)
참고문헌 신청
Takahashi T / 1991 / Type-oriented therapy for gastric cancer effective for lymph node metastasis : management of lymph node metastasis using activated carbon particles adsorbing an anticancer agent / Semin Surg Oncol 7:378~383
Coller FA / 1941 / Regional lymphatic metastases of carcinoma of the stomach / Arch Surg 43:748~761
Pissas A / 1982 / The lymphatic vessels of the stomach in man / Folia Morphol(Praha) 30:363~365
Maruyama K / 1987 / Progress in gastric cancer surgery in Japan and its limits of radicality / World J Surg 11:418~425
Son T / 2014 / Anatomic extent of metastatic lymph nodes : still important for gastric cancer prognosis / Ann Surg Oncol 21:899~907
Coller FA / 1941 / Regional lymphatic metastases of carcinoma of the stomach / Arch Surg 43:748~761
Pissas A / 1982 / The lymphatic vessels of the stomach in man / Folia Morphol(Praha) 30:363~365
Maruyama K / 1987 / Progress in gastric cancer surgery in Japan and its limits of radicality / World J Surg 11:418~425
Son T / 2014 / Anatomic extent of metastatic lymph nodes : still important for gastric cancer prognosis / Ann Surg Oncol 21:899~907
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Clinical Significance of Splenic Hilar Area Lymph Node Dissection in the Greater Curvature Located Advanced Gastric Cancer during Total Gastrectomy
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The use of energy devices for axillary lymph node dissection
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Right Paraesophageal Lymph Node Dissection Should Be Considered for Patients Who Have Presence of More than Three Metastatic Nodes in Right Paratracheal Lymph Node
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Optimal extent of lymph node dissection in the colorectal surgery
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Oncologic effects of lymph node dissection for intrahepatic cholangiocarcinoma in the absence of lymph node metastasis on preoperative imaging
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Clinical Implications of Lymph Node Metastasis in Colorectal Cancer: Current Status and Future Perspectives
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Prognostic Impact of Extended Lymph Node Dissection versus Limited Lymph Node Dissection on pN0 Proximal Advanced Gastric Cancer: a Propensity Score Matching Analysis
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Lateral Lymph Node Metastasis Prediction in Papillary Thyroid Cancer Patients with Suspicious Preoperative Imaging Findings
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