Skip to main content

Advertisement

SpringerLink
Log in

Inguinal hernias appearing after lateral lymph node dissection via extraperitoneal approach for advanced lower rectal cancer

  • Original Article
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Purpose

Lateral lymph node dissection (LLND) is performed for advanced lower rectal cancer (ALRC) in Japan. The LLND in laparotomy is performed via the extraperitoneal approach, which is similar to radical retropubic prostatectomy (RRP). Inguinal hernias (IHs) appearing after RRP are common. However, there are few reports about IHs appearing after LLND.

Methods

In part A, we retrospectively investigated 108 patients who underwent LLND for ALRC between January 2004 and December 2014. In part B, we compared 13 patients who underwent IH repair after LLND and 57 patients who underwent IH repair after RRP in the same period.

Results

In part A, the incidence of IHs after LLND was 7% (8/108). All eight patients who developed IHs were male, and their median age was 60 years. More than 80% of IHs observed were the unilateral lateral type. In part B, the interval between the previous operation and IH occurrence was 4.9 years on average. Furthermore, 2 out of the 13 patients developed additional IHs occurring on the opposite side within 2 years.

Conclusions

The characteristics associated with developing IHs after LLND were similar to those after RRP. Any pelvic operation via the extraperitoneal approach has a risk of IHs, and surgeons should pay attention to IHs after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Regan TC, Mordkin RM, Constantinople NL, Spence IJ, Dejter SW Jr (1996) Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 47(4):536–537. https://doi.org/10.1016/S0090-4295(99)80491-9

    Article  CAS  PubMed  Google Scholar 

  2. Abe T, Shinohara N, Harabayashi T, Sazawa A, Suzuki S, Kawarada Y, Nonomura K (2007) Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 69(2):326–329. https://doi.org/10.1016/j.urology.2006.09.043

    Article  PubMed  Google Scholar 

  3. Twu CM, Ou YC, Yang CR, Cheng CL, Ho HC (2005) Predicting risk factors for inguinal hernia after radical retropubic prostatectomy. Urology 66(4):814–818. https://doi.org/10.1016/j.urology.2005.04.034

    Article  PubMed  Google Scholar 

  4. Ichioka K, Yoshimura K, Utsunomiya N, Ueda N, Matsui Y, Terai A, Arai Y (2004) High incidence of inguinal hernia after radical retropubic prostatectomy. Urology 63(2):278–281. https://doi.org/10.1016/j.urology.2003.09.038

    Article  PubMed  Google Scholar 

  5. Yoshimine S, Miyajima A, Nakagawa K, Ide H, Kikuchi E, Oya M (2010) Extraperitoneal approach induces postoperative inguinal hernia compared with transperitoneal approach after laparoscopic radical prostatectomy. Jpn J Clin Oncol 40(4):349–352. https://doi.org/10.1093/jjco/hyp172

    Article  PubMed  Google Scholar 

  6. Zhu S, Zhang H, Xie L, Chen J, Niu Y (2013) Risk factors and prevention of inguinal hernia after radical prostatectomy: a systematic review and meta-analysis. J Urol 189(3):884–890. https://doi.org/10.1016/j.juro.2012.08.241

    Article  PubMed  Google Scholar 

  7. Sugihara K, Kobayashi H, Kato T, Mori T, Mochizuki H, Kameoka S, Shirouzu K, Muto T (2006) Indication and benefit of pelvic sidewall dissection for rectal cancer. Dis Colon Rectum 49(11):1663–1672. https://doi.org/10.1007/s10350-006-0714-z

    Article  PubMed  Google Scholar 

  8. Watanabe T, Muro K, Ajioka Y, Hashiguchi Y, Ito Y, Saito Y, Hamaguchi T, Ishida H, Ishiguro M, Ishihara S, Kanemitsu Y, Kawano H, Kinugasa Y, Kokudo N, Murofushi K, Nakajima T, Oka S, Sakai Y, Tsuji A, Uehara K, Ueno H, Yamazaki K, Yoshida M, Yoshino T, Boku N, Fujimori T, Itabashi M, Koinuma N, Morita T, Nishimura G, Sakata Y, Shimada Y, Takahashi K, Tanaka S, Tsuruta O, Yamaguchi T, Yamaguchi N, Tanaka T, Kotake K, Sugihara K (2018) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2016 for the treatment of colorectal cancer. Int J Clin Oncol 23(1):1–34. https://doi.org/10.1007/s10147-017-1101-6

    Article  PubMed  Google Scholar 

  9. Moriya Y, Sugihara K, Akasu T, Fujita S (1997) Importance of extended lymphadenectomy with lateral node dissection for advanced lower rectal cancer. World J Surg 21(7):728–732

    Article  CAS  PubMed  Google Scholar 

  10. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. https://doi.org/10.1007/s10029-009-0529-7

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Lodding P, Bergdahl C, Nyberg M, Pileblad E, Stranne J, Hugosson J (2001) Inguinal hernia after radical retropubic prostatectomy for prostate cancer: a study of incidence and risk factors in comparison to no operation and lymphadenectomy. J Urol 166(3):964–967

    Article  CAS  PubMed  Google Scholar 

  12. Stranne J, Hugosson J, Lodding P (2007) Inguinal hernia is a common complication in lower midline incision surgery. Hernia 11(3):247–252. https://doi.org/10.1007/s10029-007-0215-6

    Article  CAS  PubMed  Google Scholar 

  13. Yamada Y, Fujimura T, Fukuhara H, Sugihara T, Takemura K, Kakutani S, Suzuki M, Nakagawa T, Kume H, Igawa Y, Homma Y (2017) Incidence and risk factors of inguinal hernia after robot-assisted radical prostatectomy. World J Surg Oncol 15(1):61. https://doi.org/10.1186/s12957-017-1126-3

    Article  PubMed  PubMed Central  Google Scholar 

  14. Koie T, Yoneyama T, Kamimura N, Imai A, Okamoto A, Ohyama C (2008) Frequency of postoperative inguinal hernia after endoscope-assisted mini-laparotomy and conventional retropubic radical prostatectomies. Int J Urol 15(3):226–229. https://doi.org/10.1111/j.1442-2042.2007.01983.x

    Article  PubMed  Google Scholar 

  15. Sakon M, Sekino Y, Okada M, Seki H, Munakata Y (2017) Laparoscopic inguinal hernioplasty after robot-assisted laparoscopic radical prostatectomy. Hernia 21(5):745–748. https://doi.org/10.1007/s10029-017-1639-2

    Article  CAS  PubMed  Google Scholar 

  16. Ohuchi M, Fukunaga M, Nagakari K, Azuma D, Kohama S, Nomoto J, Sakamoto K (2018) Surgical technique and outcomes of transabdominal preperitoneal inguinal hernia repair after radical prostatectomy: dissection between the transversalis fascia and superficial layers of preperitoneal fascia. Hernia. https://doi.org/10.1007/s10029-018-1800-6

    Article  PubMed  Google Scholar 

  17. Fujii Y, Yamamoto S, Yonese J, Kawakami S, Okubo Y, Suyama T, Komai Y, Kijima T, Fukui I (2010) A novel technique to prevent postradical retropubic prostatectomy inguinal hernia: the processus vaginalis transection method. Urology 75(3):713–717. https://doi.org/10.1016/j.urology.2009.05.051

    Article  PubMed  Google Scholar 

  18. Kark AE, Kurzer M (2008) Groin hernias in women. Hernia 12(3):267–270. https://doi.org/10.1007/s10029-007-0330-4

    Article  CAS  PubMed  Google Scholar 

  19. Nilsson H, Holmberg H, Nordin P (2017) Groin hernia repair in women—a nationwide register study. Am J Surg. https://doi.org/10.1016/j.amjsurg.2017.07.027

    Article  PubMed  Google Scholar 

  20. Sakai Y, Okuno T, Kijima T, Iwai A, Matsuoka Y, Kawakami S, Kihara K (2009) Simple prophylactic procedure of inguinal hernia after radical retropubic prostatectomy: isolation of the spermatic cord. Int J Urol 16(10):848–851. https://doi.org/10.1111/j.1442-2042.2009.02370.x

    Article  PubMed  Google Scholar 

  21. Taguchi K, Yasui T, Kubota H, Fukuta K, Kobayashi D, Naruyama H, Okada A, Yamada Y, Tozawa K, Kohri K (2010) Simple method of preventing postoperative inguinal hernia after radical retropubic prostatectomy. Urology 76(5):1083–1087. https://doi.org/10.1016/j.urology.2010.05.002

    Article  PubMed  Google Scholar 

  22. Fujii Y, Yamamoto S, Yonese J, Masuda H, Urakami S, Kitsukawa S, Sakura M, Yuasa T, Kihara K, Fukui I (2014) The processus vaginalis transection method to prevent postradical prostatectomy inguinal hernia: long-term results. Urology 83(1):247–252. https://doi.org/10.1016/j.urology.2013.08.037

    Article  PubMed  Google Scholar 

  23. Matsunaga R, Negishi M, Higashi H, Shida H, Akakura K (2015) Prophylactic procedure for inguinal hernia after radical retropubic prostatectomy. Hernia 19(5):785–788. https://doi.org/10.1007/s10029-014-1323-8

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

The authors have received no grant support or other forms of assistance.

Author information

Authors and Affiliations

  1. Department of Minimally Invasive Treatment, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan

    T. Tanioka

  2. Department of Surgery, JA Sapporo Kosei Hospital, N3, E8, Chuo-ku, Sapporo, 060-0033, Japan

    T. Tanioka, H. Yamagami, S. Takahashi & H. Ishizu

  3. Department of Surgery, Nikko Memorial Hospital, Shintomi Cho 1-5-13 Muroran, Hokkaido, 051-8501, Japan

    H. Masuko

Authors
  1. T. Tanioka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Masuko
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Yamagami
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Takahashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Ishizu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to T. Tanioka.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and animal rights

This article does not contain any studies with animals performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tanioka, T., Masuko, H., Yamagami, H. et al. Inguinal hernias appearing after lateral lymph node dissection via extraperitoneal approach for advanced lower rectal cancer. Hernia 23, 305–310 (2019). https://doi.org/10.1007/s10029-019-01881-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-019-01881-4

Keywords

Search

Navigation