Does surgical intervention contribute to survival for patients with para‐aortic lymph node metastasis from colorectal cancer? Article Swipe
Akira Ouchi
,
Koji Komori
,
Sono Ito
,
Yusuke Kinugasa
,
Soichiro Ishihara
,
Akio Shiomi
,
Yukihide Kanemitsu
,
Takeshi Suto
,
Hiroki Takahashi
,
Yoichi Ajioka
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ags3.70019
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ags3.70019
Aims There is a lack of compelling evidence supporting the benefit of surgical resection for para‐aortic lymph node metastasis (PALNM) from colorectal cancer (CRC). We aimed to investigate the true impact of surgical resection on survival for patients with PALNM from CRC. Patients and Methods Patients diagnosed with PALNM from CRC at the Japanese Society for Cancer of the Colon and Rectum institutions between January 2011 and December 2015 were analyzed. Those who had received surgical resection and those who did not were matched one‐on‐one by the propensity score (PS)‐matching method. A total of 77 PS‐matched pairs extracted from 347 patients at 36 institutions were compared. Results Thirty‐one (40.3%) patients each in the surgical resection and chemotherapy groups had distant metastasis other than PALNM, and the most dominant organ was the liver in 18 (23.4%) patients in both groups. In the surgical resection group, 56 (72.7%) patients achieved curative resection of all disease lesions, of which 49 (63.6%) were R0 resection. Three‐ and 5‐year relapse‐free survival of patients who achieved curative resection were 24.4% and 24.4%, respectively. Three‐ and 5‐year overall survival (OS) of patients in the surgical resection were 68.4% and 40.2%, which were significantly better than that in the chemotherapy groups (40.9% and 27.7%), respectively (Log‐rank p = 0.003). Conclusion The OS of patients with surgical resection for PALNM was significantly better than those without surgical resection. These results highlight the benefit of surgical intervention to survival for patients with resectable PALNM.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ags3.70019
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ags3.70019
- OA Status
- gold
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409181660
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409181660Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ags3.70019Digital Object Identifier
- Title
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Does surgical intervention contribute to survival for patients with para‐aortic lymph node metastasis from colorectal cancer?Work title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-03Full publication date if available
- Authors
-
Akira Ouchi, Koji Komori, Sono Ito, Yusuke Kinugasa, Soichiro Ishihara, Akio Shiomi, Yukihide Kanemitsu, Takeshi Suto, Hiroki Takahashi, Yoichi AjiokaList of authors in order
- Landing page
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https://doi.org/10.1002/ags3.70019Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ags3.70019Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ags3.70019Direct OA link when available
- Concepts
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Medicine, Colorectal cancer, Lymph node metastasis, Cancer, Metastasis, Oncology, Internal medicine, Intervention (counseling), Lymph node, General surgery, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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