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Robotic-assisted lateral lymph node dissection for lower rectal cancer: short-term outcomes in 50 consecutive patients

Abstract

Background

The goal of this study was to evaluate the short-term outcomes of robotic-assisted lateral lymph node dissection for patients with advanced lower rectal cancer.

Methods

Between 2012 and 2013, 50 consecutive patients underwent robotic-assisted lateral lymph node dissection for rectal cancer in Shizuoka Cancer Center Hospital. Perioperative outcomes including operative time, operative blood loss, length of stay, postoperative complications, and histopathological data were collected prospectively.

Results

Median patient age was 62 years (range 36–74 years). Operative procedures included low anterior resections (n = 27), intersphincteric resections (n = 16), and abdominoperineal resections (n = 7). Bilateral lymph node dissection was performed in 44 patients. The median operative time was 476 min (range 320–683 min), and the median time required for lateral lymph node dissection was 165 min (range 85–257 min). The median blood loss was 27 mL (range 5–690 mL). There were no cases of open surgery or laparoscopic conversion. The median duration of postoperative hospital stay was 8 days (range 6–13 days). Clavien–Dindo classification Grade III–IV complications occurred in only one patient (2.0 %). There were no cases of anastomotic leak. There was no perioperative mortality. The median number of harvested lateral lymph nodes was 19 (range 5–47).

Conclusions

Robotic-assisted lateral lymph node dissection is a safe, feasible, and useful approach for patients with advanced lower rectal cancer.

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Disclosures

Hiroyasu Kagawa, Yusuke Kinugasa, Akio Shiomi, Tomohiro Yamaguchi, Syunsuke Tsukamoto, Hiroyuki Tomioka, Yushi Yamakawa, and Sumito Sato have no conflicts of interest or financial ties to disclose.

Author information

Correspondence to Hiroyasu Kagawa.

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Supplementary material 1 (WMV 39297 kb)

Supplementary material 2 (WMV 57665 kb)

Supplementary material 3 (WMV 34292 kb)

Supplementary material 4 (WMV 58463 kb)

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Kagawa, H., Kinugasa, Y., Shiomi, A. et al. Robotic-assisted lateral lymph node dissection for lower rectal cancer: short-term outcomes in 50 consecutive patients. Surg Endosc 29, 995–1000 (2015). https://doi.org/10.1007/s00464-014-3760-y

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Keywords

  • Robotic surgery
  • Rectal cancer
  • Lateral lymph node