Abstract
Japanese D3 lymph node dissection is recognized as an appropriate surgical procedure for colon cancer as well as complete mesocolic excision (CME) with central vascular ligation (CVL). The basic principles of lymph node dissection in Japan have been “removing lymph nodes with lymph ducts in one package, enveloped with mesocolon” like CME and “the ligation of feeding vessels at their roots” like CVL. The differences between CME with CVL and Japanese D3 involve the length of the resected bowel and the area of lymphadenectomy. In Japan, the regional pericolic lymph nodes are defined as those within 10 cm of the primary tumor, and extra-regional lymph nodes are not routinely dissected as long as metastases are suspected. Currently, several clinical studies are ongoing and aim to clarify appropriate areas of lymphadenectomy and surgical procedures for colon cancers.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
