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Understanding the anatomy of lymphatic drainage and the use of blue-dye mapping to determine the extent of lymphadenectomy in rectal cancer surgery: unresolved issues.

Authors
  • Bell, S
  • Sasaki, J
  • Sinclair, G
  • Chapuis, P H
  • Bokey, E L
Type
Published Article
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
Publication Date
Jun 01, 2009
Volume
11
Issue
5
Pages
443–449
Identifiers
DOI: 10.1111/j.1463-1318.2009.01769.x
PMID: 19207711
Source
Medline
License
Unknown

Abstract

A clear understanding of the regional lymphatic drainage of the rectum and precise anatomical mobilisation of the rectum is the surgical cornerstone to excellent locoregional control of rectal cancer. The success of the differing Western and Japanese philosophies on the degree of pelvic lymphadenectomy suggests a possible role for 'selective wide pelvic lymphadectomy'. Mapping lateral lymphatic drainage pathways could augment the selection process for radiotherapy.

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