Letter to the Editor

Factors Associated with Poor Lymph Node Dissection for Colon Neoplasms


  • Erdinç Kamer

Received Date: 23.11.2021 Accepted Date: 29.11.2021 Turk J Colorectal Dis 2022;32(1):76-76

Keywords: Colon cancer, letter to editor, lymph node

Dear Editor,

I read with interest the study entitled “Factors Associated with Poor Lymph Node Dissection of Colon Neoplasms” by Bostancı et al.1 In this study, the authors aimed to determine the factors affecting inadequate lymph node dissection.

It is known that the number of lymph nodes removed in colon cancers is affected by the surgeon and the pathologist, as well as other factors such as obesity, age, emergency surgery and right colon tumors.2 It would be useful to specify whether a single surgeon or multiple surgeons performed the surgeries in this study. In addition, it is known that laparoscopic lymph node dissection is a safe and applicable method in stage 2 and 3 colon cancers, and the oncological results are similar to open surgery.3 I believe that in this period when laparoscopic colon surgery has become widespread, it will be beneficial to inform the reader about whether colon surgery was performed openly or laparoscopically in this study.

Peer-review: Externally peer-reviewed.

Financial Disclosure: The author declared that this study received no financial support.

  1. Bostancı MT, Yılmaz İ, Saydam M, Seki A, Demir P, İnanç İmamoğlu G, Gökçe A. Factors Associated with Poor Lymph Node Dissection of Colon Neoplasm. Turk J Colorectal Dis 2021;31:322-329.
  2. Chang GJ, Rodriguez-Bigas MA, Skibber JM, Moyer VA. Lymph node evaluation and survival after curative resection of colon cancer: systematic review. J Natl Cancer Inst 2007;21:433-441.
  3. Yi XJ, Lu XQ, Li HM, Wang W, Xiong WJ, Wan J, Diao DC. Feasibility and efficacy of laparoscopic radical right hemicolectomy with complete mesocolic excision using an ‘artery-first’ approach. Gastroenterol Rep (Oxf) 2019;7:199-204.