The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement

Bagmet N.N.; Shatverian G.A.; Sekacheva M.I.; Chardarov N.K.; Bedzhanyan A.L.; Galian T.N.; Kamalov Iu.R.; Fedorov D.N.

doi:https://doi.org/10.17116/hirurgia201812145

Bagmet N.N.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Shatverian G.A.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN

Sekacheva M.I.

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Chardarov N.K.

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Bedzhanyan A.L.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

ORCID: 0000-0002-4377-0035

Galian T.N.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Kamalov Iu.R.

Otdel instrumental'noĭ diagnostiki laboratorii ul'trazvukovoĭ diagnostiki

Fedorov D.N.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement

Authors:

Bagmet N.N., Shatverian G.A., Sekacheva M.I., Chardarov N.K., Bedzhanyan A.L., Galian T.N., Kamalov Iu.R., Fedorov D.N.

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Journal: Pirogov Russian Journal of Surgery. 2018;(12): 45‑49

DOI: 10.17116/hirurgia201812145

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To cite this article:

Bagmet NN, Shatverian GA, Sekacheva MI, et al. . The role of lymphadenectomy for treatment of colorectal liver metastases with regional lymph nodes involvement. Pirogov Russian Journal of Surgery. 2018;(12):45‑49. (In Russ.)
https://doi.org/10.17116/hirurgia201812145

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Liver resection remains the method of choice for treatment of colorectal liver metastases with good long-term results. Regional lymph nodes involvement is significant negative prognostic factor. Moreover, it has been considered as a contraindication for liver resection for a long time. The role of lymphadenectomy remains controversial. Current state of this problem is reviewed in the article. Liver regional lymph nodes involvement takes place in 10—20% of cases. PET/CT is the most sensitive method of preoperative diagnosis. Involvement of liver regional lymph nodes is currently not absolute contraindication for liver resection. Routine lymphadenectomy does not make sense, and, perhaps, is justified only within scientific trials for more accurate disease staging. Indications for lymphadenectomy are suspicious changes of lymph nodes revealed by preoperative visualization methods or by intraoperative exploration. Modern chemotherapy regimens allow to reconsider the prognostic importance of liver regional lymph node metastases and to extend indications for liver resections.

Keywords:

colorectal liver metastases

liver resection

lymphadenectomy

Authors:

Bagmet N.N.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Shatverian G.A.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN

Sekacheva M.I.

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Chardarov N.K.

Otdelenie khirurgii pecheni, zhelchnykh puteĭ i podzheludochnoĭ zhelezy Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Bedzhanyan A.L.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

ORCID: 0000-0002-4377-0035

Galian T.N.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Kamalov Iu.R.

Otdel instrumental'noĭ diagnostiki laboratorii ul'trazvukovoĭ diagnostiki

Fedorov D.N.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

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