Surgical implications of mesenteric lymph node XXXX from advanced @entity43 after bowel resection.

@entity1 @entity43 @entity14 @entity3
BACKGROUND: Studies addressing mesenteric and mesocolic lymph node @entity3 in @entity1 with advanced @entity43 that have undergone bowel resection are lacking. METHODS: A retrospective analysis was performed in a series of 50 individuals who underwent surgical cytoreduction for @entity43 that included bowel resection from April 2004 to September 2010. RESULTS: Forty-one @entity1 had bowel resection with mesenteric lymph nodes that were suitable for analysis. Twenty-four (58.5%) @entity1 underwent retosigmoidectomies, 14 (34.1%) received other types of colectomies, and three (7.3%) underwent small bowel resection. There was serosal involvement in 14 cases (34.1%), muscularis propria invasion in 13 cases (31.7%), submucosa invasion in six cases (14.6%), and mucosa in eight cases (19.5%). Lymphatic invasion was observed in 24 @entity1 (58.5%). A median of 14 mesenteric lymph nodes were analyzed. Metastatic lymph nodes were observed in 29 (70.7%) cases. Invasion into the muscularis propria (P = 0.036), lymphatic invasion (P = 0.045), and retroperitoneal lymph node @entity3 (P = 0.002) correlated significantly with mesenteric lymph node involvement. CONCLUSIONS: Resection of regional lymph nodes of affected organs that is similar to surgical procedures that are performed for @entity14 is an appropriate, optimal debulking surgery for @entity1 with @entity43 .
