histologically confirmed left-sided colon and rectal carcinoma
synchronous para-aortic lymph node metastases confirmed by PET-CT, and located below the level of renal veins and above the bifurcation of iliac artery
patients potential to receive surgery and achieve no evidence of disease (NED)
able to tolerate surgery
providing written informed consent
You may not be if
local invasion or distant metastasis other than para-aoritc lymph nodes
history of other malignant tumor
coupled with severe systematic diseases (recent myocardial infarction, cardiomyopathy, or acute pulmonary infection)
emergency surgery
Clareo Health | Chemoradiotherapy Sequenced Radical Surgery for Colorectal Cancer With PALNM