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

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• 作者：Tomohisa Furuhata ; Kenji Okita ; Toshihiko Nishidate ; Tatsuya Ito…
• 关键词：Laparoscopy ; Lateral pelvic lymph node dissection ; Rectal cancer
• 刊名：Surgery Today
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：45
• 期：3
• 页码：310-314
• 全文大小：448 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Abdominal Surgery
  Thoracic Surgery
  Vascular Surgery
  Cardiac Surgery
  Surgical Oncology
  
• 出版者：Springer Japan
• ISSN：1436-2813

文摘

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 (473-46?min). The mean number of harvested lateral pelvic lymph nodes was 16.9 (7-7), 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.