Clinical feasibility of laparoscopic lateral pelvic lymph node dissection following total mesorectal excision for advanced rectal cancer.

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.

journal_name

Surg Today

journal_title

Surgery today

authors

Furuhata T,Okita K,Nishidate T,Ito T,Yamaguchi H,Ueki T,Akizuki E,Meguro M,Ogawa T,Kukita K,Kimura Y,Mizuguchi T,Hirata K

doi

10.1007/s00595-014-0906-4

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

310-4

issue

3

eissn

0941-1291

issn

1436-2813

journal_volume

45

pub_type

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