Journal
ANNALS OF GASTROENTEROLOGICAL SURGERY
Volume 2, Issue 5, Pages 348-350Publisher
WILEY-V C H VERLAG GMBH
DOI: 10.1002/ags3.12197
Keywords
chemoradiotherapy for rectal cancer; lateral pelvic lymph node; lateral pelvic lymph node dissection; multidisciplinary treatment for rectal cancer; rectal cancer
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Lateral pelvic lymph nodes (LPLN) in mid-/low rectal cancer pose a theoretical and practical challenge for the clinician and the patient, with geographical differences in management based on historical competing priorities. Although there has been a tendency to think of neoadjuvant radiation versus intraoperative LPLN dissection as a binary choice, they should be more constructively seen as complementary options in the personalized management of patients with rectal cancer. Herein we propose one potential algorithm for using these treatment options in this way based on local preoperative staging and the current evidence available. We also outline future research priorities in this area with the aim of answering several residual questions that remain.
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