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A technique of laparoscopic lateral pelvic lymph node dissection based on vesicohypogastric fascia and ureterohypogastric nerve fascia for advanced low rectal cancer

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Abstract

Background

Conventional open lateral lymph node (LLN) dissection performed along the internal iliac vessels frequently results in increased bleeding and postoperative complications [1, 2]. However, laparoscopic LLN dissection is a feasible, oncologically acceptable alternative [3–6]. We have developed a laparoscopic autonomic nerve-preserving technique for LLN dissection based on the vesicohypogastric fascia (VF) and ureterohypogastric nerve fascia (UNF) [7].

Methods

Surgical and oncological outcomes were compared between 12 patients undergoing laparoscopic hemi-LLN dissection and 13 patients undergoing conventional open hemi-LLN dissection. Our standardized procedure for LLN dissection is shown in the video.

Results

The number of harvested LLNs and the postoperative hospital stay was similar in both groups. In the open dissection (OD) and laparoscopic dissection (LD) groups, the median operation times were 373.3 and 443.1 min, respectively. However, the median (range) blood loss was 38.8 (20–75) ml in the LD group versus 836.9 (365–2060) ml in the OD group. One LD patient had anastomotic leakage and one had hydronephrosis. One OD patient had anastomotic leakage, four had small bowel obstruction, three had wound infection and one had lymphatic leakage. Postoperative recovery was faster in the LD group: The median time to resumption of oral intake was 3.3 (2–6) days, versus 8.7 (3–34) days in the OD group. There was one case of grade 2 urinary retention in the LD group, but there were five cases of grade 2 or 3 urinary retention in the OD group. Surgical curability was R0 in all LD patients, whereas 7 of 13 patients were R0 in the OD group. After a mean follow-up of 24.4 (16.2–45.3) months, all LD patients were alive without recurrence. After 31.5 (6–63) months, three OD patients had local recurrence and two had distant metastasis.

Conclusions

Laparoscopic LLN dissection based on VF and UNF is feasible, with acceptable surgical and oncological outcomes.

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References

  1. Nagawa H, Muto T, Sunouchi K, Higuchi Y, Tsurita G, Watanabe T, Sawada T (2001) Randomized, controlled trial of lateral node dissection vs. nerve-preserving resection in patients with rectal cancer after preoperative radiotherapy. Dis Colon Rectum 44:1274–1280

    Article  CAS  PubMed  Google Scholar 

  2. Watanabe T, Tsurita G, Muto T, Sawada T, Sunouchi K, Higuchi Y, Komuro Y, Kanazawa T, Iijima T, Miyaki M, Nagawa H (2002) Extended lymphadenectomy and preoperative radiotherapy for lower rectal cancers. Surgery 132:27–33

    Article  PubMed  Google Scholar 

  3. Konishi T, Kuroyanagi H, Oya M, Ueno M, Fujimoto Y, Akiyoshi T, Yoshimatsu H, Watanabe T, Yamaguchi T, Muto T (2011) Lateral lymph node dissection with preoperative chemoradiation for locally advanced lower rectal cancer through a laparoscopic approach. Surg Endosc 25:2358–2359

    Article  PubMed  Google Scholar 

  4. Liang J-T (2011) Technical feasibility of laparoscopic lateral pelvic lymph node dissection for patients with low rectal cancer after concurrent chemoradiation therapy. Ann Surg Oncol 18:153–159

    Article  PubMed  Google Scholar 

  5. Park JS, Choi G-S, Lim KH, Jang YS, Kim HJ, Park SY, Jun SH (2011) Laparoscopic extended lateral pelvic node dissection following total mesorectal excision for advanced rectal cancer: initial clinical experience. Surg Endosc 25:3322–3329

    Article  PubMed  Google Scholar 

  6. Obara S, Koyama F, Nakagawa T, Nakamura S, Ueda T, Nishigori N et al (2012) Laparoscopic lateral pelvic lymph node dissection for lower rectal cancer: initial clinical experiences with prophylactic dissection. Gan To Kagaku Ryoho 39:2173–2175

    PubMed  Google Scholar 

  7. Sato T (2012) An introduction to anatomy of the pelvic surgery. Jpn J Endourol 25:2–10

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Tsuchiura Kyodo General Hospital, 11-7 Manabeshinmachi, Tsuchiura, 300-0053, Japan

    Akiyo Matsumoto & Kaida Arita

Authors
  1. Akiyo Matsumoto
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  2. Kaida Arita
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Corresponding author

Correspondence to Akiyo Matsumoto.

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Matsumoto, A., Arita, K. A technique of laparoscopic lateral pelvic lymph node dissection based on vesicohypogastric fascia and ureterohypogastric nerve fascia for advanced low rectal cancer. Surg Endosc 31, 945–948 (2017). https://doi.org/10.1007/s00464-016-5014-7

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  • DOI: https://doi.org/10.1007/s00464-016-5014-7

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