Review Article

Management of the Hepatic Lymph Nodes during Resection of Liver Metastases from Colorectal Cancer: A Systematic Review

Table 1

Study characteristics.

Study nameStudy characteristics (country of study, year of study)Number of people included for the reviewNumber of node-positive cases*Population characteristics (age in years, -mean, range, gender ratio M/F)Routine or Selective lympha-denectomyMicroscopic or macroscopic involvement or bothGroup of nodes dissectedChemotherapyIndications for chemotherapy

Nakamura et al. [28]Japan 1978–1990226 (27.3%)Not availableRoutineMicroscopicHepatic pedicle (hepatoduodenal ligament, retropancreatic and celiac axis)Adjuvant systemic chemotherapyAll

Yasui et al. [35]Japan 1983–1994648 (12.5%)Not availableRoutineBothHepatic pedicle (hepatoduodenal ligament, retropancreatic, hepatic artery)Not statedNot stated

Beckhurts et al. [8]Germany 1987–199412635 (27.8%)Not availableRoutineBothHepatoduodenal ligamentNot statedNot stated

Kokudo et al. [18]Japan 1980–1997947 (7.4%)Not availableNot statedHepatic hilumAdjuvant local or systemic chemotherapy or no chemotherapyNot stated

Ambiru et al. [7]Japan 1984–19971498 (5.4%)Not availableRoutineBothHepatoduodenal ligamentAdjuvant local chemotherapy or no chemotherapyNot stated

Harms et al. [29]Germany 1987–199815539 (25.2%)Not availableRoutineBothHepatoduodenal ligamentAdjuvant local or systemic chemotherapy or no chemotherapyPoor prognostic factors

Sanchez-Cespedes et al. [37]USA168 (50%)Not availableNot statedMicroscopic (molecular analysis)Perihepatic nodesNot statedNot stated

Jaeck et al. [16, 25]France 1993–9816017 (10.6%)94 Males/66 FemalesRoutineBothHepatic pedicle (Hepatoduodenal, retropancreatic, celiac axis, hepatic artery)Not statedNot stated

Laurent et al. [15]France 1985–200015623 (14.7%)106 males/50 females 64 years (median) 24–86 years (range)RoutineMicroscopicHepatic pedicle (hepatoduodenal, hepatic artery)Adjuvant systemic chemotherapyNot stated

Total942151 (16.0%)

*Percentages in brackets; No follow-up data available for one patient