Lateral lymph node dissection with preoperative chemoradiation for locally advanced lower rectal cancer through a laparoscopic approach

2011 ◽  
Vol 25 (7) ◽  
pp. 2358-2359 ◽  
Author(s):  
Tsuyoshi Konishi ◽  
Hiroya Kuroyanagi ◽  
Masatoshi Oya ◽  
Masashi Ueno ◽  
Yoshiya Fujimoto ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Locally Advanced ◽  
Laparoscopic Approach ◽  
Preoperative Chemoradiation ◽  
Lateral Lymph Node Dissection ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node

scholarly journals Laparoscopic lateral lymph node dissection in two fascial spaces for locally advanced lower rectal cancer

2021 ◽  
Vol 27 (24) ◽  
pp. 3654-3667
Author(s):  
Hui-Hong Jiang ◽  
Hai-Long Liu ◽  
A-Jian Li ◽  
Wen-Chao Wang ◽  
Liang Lv ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Locally Advanced ◽  
Lateral Lymph Node Dissection ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node ◽  
Fascial Spaces

The role of lateral lymph node dissection in the management of lower rectal cancer

2011 ◽  
Vol 397 (3) ◽  
pp. 353-361 ◽  
Author(s):  
Ziting Wang ◽  
Kep Yong Loh ◽  
Kok-Yang Tan ◽  
Emile Chung-Hou Woo
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Lateral Lymph Node Dissection ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node

Oncological outcomes of robotic-assisted laparoscopic versus open lateral lymph node dissection for locally advanced low rectal cancer

2018 ◽  
Vol 32 (11) ◽  
pp. 4498-4505 ◽  
Author(s):  
Tomohiro Yamaguchi ◽  
Yusuke Kinugasa ◽  
Akio Shiomi ◽  
Hiroyasu Kagawa ◽  
Yushi Yamakawa ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Locally Advanced ◽  
Low Rectal Cancer ◽  
Lateral Lymph Node Dissection ◽  
Node Dissection ◽  
Lateral Lymph Node ◽  
Robotic Assisted ◽  
Oncological Outcomes

scholarly journals Lateral lymph node dissection reduces local recurrence of locally advanced lower rectal cancer in the absence of preoperative neoadjuvant chemoradiotherapy: A systematic review and meta-analysis

2020 ◽  
Author(s):  
Xiang Gao ◽  
Cun Wang ◽  
Yong-Yang Yu ◽  
Dujanand Singh ◽  
Lie Yang ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Local Recurrence ◽  
Lymph Node Dissection ◽  
Meta Analysis ◽  
Locally Advanced ◽  
Neoadjuvant Chemoradiotherapy ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node

Abstract Background: The impact of lateral lymph node dissection (LLND) in locally advanced lower rectal cancer remains controversial. This study is to compare total mesorectal excision (TME) with or without LLND in lower rectal cancer cases of stage II/III.Methods: The electronic databases were systematically searched that compared TME with or without LLND among patients with lower rectal cancer in clinical stage II/III. Subgroup analysis was performed considering neoadjuvant chemoradiotherapy (nCRT). The hazard ratios (HR), relative risk (RR), and weighted mean difference (WMD) were pooled.Results: Twelve studies of 4458 patients of this meta-analysis demonstrate, LLND alone significantly reduced the local recurrence rate of patients who did not receive nCRT (RR 0.71, P=0.004), while the difference was not significant when combined with nCRT (RR 0.70, P=0.36). The analysis shows TME with LLND was associated with significantly longer operation time (WMD 90.73 min, P<0.001), more intraoperative blood loss (WMD 303.20 mL, P<0.001), and postoperative complications (RR=1.35, P=0.02). Whereas Urinary dysfunction (RR 1.44, P=0.38), sexual dysfunction (RR 1.41, P=0.17), and postoperative mortality (RR=1.52, P=0.70), were similar between these two groups. Statistically, no significant differences were observed in OS (HR 0.93, P=0.62), DFS (HR 0.99, P=0.96), total recurrence (RR 0.98, P=0.83), lateral recurrence (RR 0.49, P=0.14), or distal recurrence (RR 0.95, P=0.78) between these two groups regardless of whether nCRT was performed or not.Conclusions: The study shows LLND alone decreases the local recurrence without using nCRT irrespective of the survival advantage in locally advanced lower rectal cancer. The benefit of controlling local recurrence by LLND alone makes us reconsider the usage of nCRT with LLND.Registration: The protocol for this meta-analysis was registered prospectively with PROSPERO (CRD42020135575) on May 16, 2019.

Laparoscopic Versus Open Lateral Lymph Node Dissection for Locally Advanced Low Rectal Cancer

2017 ◽  
Vol 60 (9) ◽  
pp. 954-964 ◽  
Author(s):  
Tomohiro Yamaguchi ◽  
Tsuyoshi Konishi ◽  
Yusuke Kinugasa ◽  
Seiichiro Yamamoto ◽  
Takashi Akiyoshi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Locally Advanced ◽  
Low Rectal Cancer ◽  
Lateral Lymph Node Dissection ◽  
Node Dissection ◽  
Lateral Lymph Node

scholarly journals Lateral Lymph Node Dissection in Treatment for Advanced Lower Rectal Cancer.

2001 ◽  
Vol 34 (10) ◽  
pp. 1512-1521
Author(s):  
Yuji Nakafusa ◽  
Yoshimi Hirohashi ◽  
Toshiya Tanaka ◽  
Yoshihiko Kitajima ◽  
Seiji Sato ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Lateral Lymph Node Dissection ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node

scholarly journals Meta-Analysis of Lateral Lymph Node Dissection for Mid Lower Rectal Cancer: Is It Needed?

2021 ◽  
Vol 04 (03) ◽  
Author(s):  
Shaibu Z ◽  
Chen ZH ◽  
Liu J ◽  
Ge Y ◽  
Wang YX ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Meta Analysis ◽  
Lateral Lymph Node Dissection ◽  
Lower Rectal Cancer ◽  
Node Dissection ◽  
Lateral Lymph Node
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