Clinical Feasibility of Laparoscopic Lateral Pelvic Lymph Node Dissection Following Total Mesorectal Excision for Advanced Rectal Cancer

Overview

Journal Surg Today

Specialty General Surgery

Date 2014 May 6

PMID 24792010

Citations 28

Authors

Tomohisa Furuhata

Kenji Okita

Toshihiko Nishidate

Tatsuya Ito

Hiroshi Yamaguchi

Tomomi Ueki

Emi Akizuki

Makoto Meguro

Tadashi Ogawa

Kazuharu Kukita

Yasutoshi Kimura

Toru Mizuguchi

Koichi Hirata

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the technical feasibility, safety and oncological outcomes of laparoscopic lateral pelvic lymph node dissection in patients with advanced low rectal cancer.

Methods: Laparoscopic lateral pelvic lymph node dissection was performed in 18 patients from November 2009 to September 2012. The data regarding the patient demographics, surgical outcomes and short-term oncological outcomes were analyzed.

Results: In all 18 patients, the procedures were completed without conversion to open surgery. The mean length of the operation was 603.7 min (473-746 min). The mean number of harvested lateral pelvic lymph nodes was 16.9 (7-27), and five patients (27.8 %) had lymph node metastases. The postoperative mortality and morbidity rates were 0 and 16.7 %, respectively. Three patients developed Grade 2 urinary retention. No local recurrence had developed after a mean follow-up period of 23.6 months.

Conclusion: Laparoscopic lateral pelvic lymph node dissection is technically feasible, safe and oncologically acceptable within the limitations of the short-term follow-up period.

Citing Articles

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Robotic versus laparoscopic pelvic lateral lymph node dissection in locally advanced rectal cancer: a systemic review and meta-analysis.

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Risk factors for lateral pelvic lymph node metastasis in patients with lower rectal cancer: a systematic review and meta-analysis.

Zeng D, Yang Z, Tan L, Ran M, Liu Z, Xiao J Front Oncol. 2023; 13:1219608.

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