Colorectal cancer lymph node dissection and disease survival

doi:10.4240/wjgs.v16.i12.3890

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Dec 27, 2024 (publication date) through Dec 1, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Gastrointest Surg. Dec 27, 2024; 16(12): 3890-3894
Published online Dec 27, 2024. doi: 10.4240/wjgs.v16.i12.3890

Colorectal cancer lymph node dissection and disease survival

Francisco J Morera-Ocon, Clara Navarro-Campoy, John Deiver Cardona-Henao, Francisco Landete-Molina

Francisco J Morera-Ocon, Francisco Landete-Molina, Department of General Surgery, Hospital General de Requena, Requena 46340, Spain

Clara Navarro-Campoy, Department of Gynecology, Hospital Vithas 9 Octubre, Valencia 46015, Spain

John Deiver Cardona-Henao, Department of Pathology, Hospital General de Requena, Requena 46340, Spain

Author contributions: Morera-Ocon FJ drafted the manuscript; Morera-Ocon FJ and Navarro-Campoy C translated and completed the manuscript; Cardona-Henao JD collected the data; Landete-Molina F reviewed the manuscript. All authors contributed to the manuscript revision and approved the submitted version.

Conflict-of-interest statement: The authors declare that they have no conflicts of interest related to the article.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Francisco J Morera-Ocon, PhD, Doctor, Department of General Surgery, Hospital General de Requena, Paraje Casablanca s/n, Requena 46340, Spain. fmoreraocon@gmail.com

Received: July 30, 2024
Revised: September 15, 2024
Accepted: October 18, 2024
Published online: December 27, 2024
Processing time: 119 Days and 19.8 Hours

Core Tip

Core Tip: The lymph node yield (LNY) cannot be considered a significant reliable factor in assessing the quality of surgical resection. The aim of the surgeon includes obtaining an intact specimen, and the role of the pathologist includes collecting a high LNY for microscopic examination and reporting the accurate tumor node metastasis (TNM). The involvement of the lymph nodes and the final T and N of TNM can only be known after removing the specimen. Features considering the association with LNY and survival remain issues beyond this step, therefore diligent search for lymph nodes is required on gross examination of the surgical specimen.