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

被引：46

作者：

Furuhata, Tomohisa ^{[1
]}

Okita, Kenji ^{[1
]}

Nishidate, Toshihiko ^{[1
]}

Ito, Tatsuya ^{[1
]}

Yamaguchi, Hiroshi ^{[1
]}

Ueki, Tomomi ^{[1
]}

Akizuki, Emi ^{[1
]}

Meguro, Makoto ^{[1
]}

Ogawa, Tadashi ^{[1
]}

Kukita, Kazuharu ^{[1
]}

Kimura, Yasutoshi ^{[1
]}

Mizuguchi, Toru ^{[1
]}

Hirata, Koichi ^{[1
]}

机构：

[1] Sapporo Med Univ, Dept Surg Surg Oncol & Sci, Chuo Ku, Sapporo, Hokkaido, Japan

来源：

SURGERY TODAY | 2015年 / 45卷 / 03期

关键词：

Laparoscopy; Lateral pelvic lymph node dissection; Rectal cancer; COLORECTAL-CANCER; RECURRENCE; RESECTION; JAPAN;

D O I：

10.1007/s00595-014-0906-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：310 / 314

页数：5

共 14 条

[1] Laparoscopic resection for colorectal cancer [J].

Buchanan, G. N. ;

Malik, A. ;

Parvaiz, A. ;

Sheffield, J. P. ;

Kennedy, R. H. .

BRITISH JOURNAL OF SURGERY, 2008, 95 (07) :893-902

[2] Postoperative morbidity and mortality after mesorectal excision with and without lateral lymph node dissection for clinical stage II or stage III lower rectal cancer (JCOG0212): results from a multicentre, randomised controlled, non-inferiority trial [J].

Fujita, Shin ;

Akasu, Takayuki ;

Mizusawa, Junki ;

Saito, Norio ;

Kinugasa, Yusuke ;

Kanemitsu, Yukihide ;

Ohue, Masayuki ;

Fujii, Shoichi ;

Shiozawa, Manabu ;

Yamaguchi, Takashi ;

Moriya, Yoshihiro .

LANCET ONCOLOGY, 2012, 13 (06) :616-621

[3] Extended lymphadenectomy versus conventional surgery for rectal cancer: a meta-analysis [J].

Georgiou, Panagiotis ;

Tan, Emile ;

Gouvas, Nikolaos ;

Antoniou, Anthony ;

Brown, Gina ;

Nicholls, R. John ;

Tekkis, Paris .

LANCET ONCOLOGY, 2009, 10 (11) :1053-1062

[4] Lateral lymph node metastasis is a major cause of locoregional recurrence in rectal cancer treated with preoperative chemoradiotherapy and curative resection [J].

Kim, Tae Hyun ;

Jeong, Seung-Yong ;

Choi, Dong Hyun ;

Kim, Dae Yong ;

Jung, Kyung Hae ;

Moon, Sung Ho ;

Chang, Hee Jin ;

Lim, Seok-Byung ;

Choi, Hyo Seong ;

Park, Jae-Gahb .

ANNALS OF SURGICAL ONCOLOGY, 2008, 15 (03) :729-737

[5] Lateral lymph node dissection with preoperative chemoradiation for locally advanced lower rectal cancer through a laparoscopic approach [J].

Konishi, Tsuyoshi ;

Kuroyanagi, Hiroya ;

Oya, Masatoshi ;

Ueno, Masashi ;

Fujimoto, Yoshiya ;

Akiyoshi, Takashi ;

Yoshimatsu, Hidehiko ;

Watanabe, Toshiaki ;

Yamaguchi, Toshiharu ;

Muto, Tetsuichiro .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (07) :2358-2359

[6] A Comparison Between the Treatment of Low Rectal Cancer in Japan and the Netherlands, Focusing on the Patterns of Local Recurrence [J].

Kusters, Miranda ;

Beets, Geerard L. ;

van de Velde, Cornelis J. H. ;

Beets-Tan, Regina G. H. ;

Marijnen, Corrie A. M. ;

Rutten, Harm J. T. ;

Putter, Hein ;

Moriya, Yoshihiro .

ANNALS OF SURGERY, 2009, 249 (02) :229-235

[7] Technical Feasibility of Laparoscopic Lateral Pelvic Lymph Node Dissection for Patients with Low Rectal Cancer after Concurrent Chemoradiation Therapy [J].

Liang, Jin-Tung .

ANNALS OF SURGICAL ONCOLOGY, 2011, 18 (01) :153-159

[8] Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer [J].

Moriya, Y ;

Sugihara, K ;

Akasu, T ;

Fujita, S .

WORLD JOURNAL OF SURGERY, 1997, 21 (07) :728-732

[9] Short-term outcomes from a prospective randomized trial comparing laparoscopic and open surgery for colorectal cancer [J].

Neudecker, J. ;

Klein, F. ;

Bittner, R. ;

Carus, T. ;

Stroux, A. ;

Schwenk, W. .

BRITISH JOURNAL OF SURGERY, 2009, 96 (12) :1458-1467

[10]

Obara Shinsaku, 2012, Gan To Kagaku Ryoho, V39, P2173

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