How to do a robotic lateral pelvic side wall dissection for rectal cancer

2022 ◽  
Author(s):  
William Jiang ◽  
Naradha Lokuhetty ◽  
Helen M. Mohan ◽  
José Tomás Larach ◽  
Peadar Waters ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Side Wall

Pelvic side wall nodes in locally advanced rectal cancer as a prognostic indicator.

2014 ◽  
Vol 32 (3_suppl) ◽  
pp. 613-613
Author(s):  
Kirsten Elizabeth Jean Laws ◽  
Christina Wilson ◽  
Stephen Harrow
Keyword(s):  
Rectal Cancer ◽  
Overall Survival ◽  
Locally Advanced ◽  
Side Wall ◽  
Distant Metastases ◽  
Advanced Rectal Cancer ◽  
Locally Advanced Rectal Cancer ◽  
Pre Treatment ◽  
Long Course ◽  
Patterns Of Recurrence

613 Background: Neoadjuvant long course chemoradiotherapy is a well recognised treatment in locally advanced rectal cancer. Patients with pelvic side wall nodes are often considered for neoadjuvant treatment. We investigated whether pelvic side wall nodes identified on pre-treatment imaging is a poor prognostic factor and whether there are different patterns of recurrence compared to patients without pelvic side wall node involvement. Methods: All patients treated with long course chemoradiotherapy between January 2008 and December 2009 were identified. Patients were excluded if treatment indication was for inoperable disease, postoperative, recurrence, or palliative intent. 231 patients were identified and a retrospective analysis performed investigating patterns of recurrence and survival for patients with pelvic side wall nodes identified on pre-treatment imaging. Results: Kaplan Meier curves are presented showing patients with pelvic side wall nodes identified on pre-treatment imaging appear to have poorer outcomes and overall survival compared with those with only mesorectal nodes or no nodes. Patterns of recurrence are presented, showing patients with pelvic side wall nodes identified on pre-treatment imaging have a non significant trend to increased rates of disease recurrence (local and distal recurrence combined, 45.7% versus 27.9% for pelvic side wall nodes versus no pelvic side wall nodes). Patients with pelvic side wall nodes identified on pre-treatment imaging appear to be more likely to develop distant metastases compared to those patients who have mesorectal nodes or no nodal involvement (37% versus 23%). Conclusions: Our study highlights that patients with pelvic side wall nodes identified on pre-treatment imaging appear to have a trend to poorer overall survival, are more likely to recur and develop distant metastases. These results were not statistically significant, due to the small number of patients, and the data is consequently limited. We intend to further investigate current management strategies for this subgroup of patients, with assessment of radiotherapy treatment plans, current use of integral boosts, and surgical procedures for this subgroup of patients.

scholarly journals Delayed Haemorrhage Following Pelvic Side Wall Excision With Internal Iliac Vessel Resection in Locally Recurrent Rectal Cancer

2020 ◽  
Vol 90 (10) ◽  
pp. 2125-2127
Author(s):  
Jordan M. Hamilton ◽  
Tomas J. Larach ◽  
Alexander G. Heriot ◽  
Satish K. Warrier ◽  
Jacob J. McCormick
Keyword(s):  
Rectal Cancer ◽  
Side Wall ◽  
Recurrent Rectal Cancer ◽  
Iliac Vessel ◽  
Locally Recurrent Rectal Cancer ◽  
Internal Iliac ◽  
Locally Recurrent

Unilateral Pelvic Side-Wall Lymph Node Resection for Rectal Cancer: A Review of the Anatomy

2016 ◽  
Vol 23 (S5) ◽  
pp. 693-693
Author(s):  
Tian-Zhi Lim ◽  
Peter J. Lee ◽  
Michael J. Solomon ◽  
Ker-Kan Tan
Keyword(s):  
Rectal Cancer ◽  
Lymph Node ◽  
Side Wall ◽  
Lymph Node Resection

scholarly journals Multivisceral, vascular and nodal resection for recurrent rectal cancer involving the left renal tract, left pelvic side wall and abdominal aorta

2019 ◽  
Vol 90 (4) ◽  
pp. 632-634 ◽  
Author(s):  
Kasmira Wilson ◽  
Peadar S. Waters ◽  
Oliver Peacock ◽  
Alexander G. Heriot ◽  
Timothy Wagner ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Abdominal Aorta ◽  
Side Wall ◽  
Recurrent Rectal Cancer

Beyond total mesorectal excision in locally advanced rectal cancer with organ or pelvic side-wall involvement

2018 ◽  
Vol 44 (8) ◽  
pp. 1226-1232 ◽  
Author(s):  
A.B. Mariathasan ◽  
K. Boye ◽  
K.E. Giercksky ◽  
B. Brennhovd ◽  
H.P. Gullestad ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Total Mesorectal Excision ◽  
Locally Advanced ◽  
Side Wall ◽  
Advanced Rectal Cancer ◽  
Locally Advanced Rectal Cancer ◽  
Mesorectal Excision
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