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Robotic-assisted laparoscopic versus open lateral lymph node dissection for advanced lower rectal cancer

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An Erratum to this article was published on 20 October 2015

Abstract

Background

The aim of the present study was to clarify the advantages of robotic-assisted laparoscopic lateral lymph node dissection (RALLD) for rectal cancer by comparing its short-term outcomes with those of open lateral lymph node dissection (OLLD) in a large series from a single center. In terms of RALLD for advanced lower rectal cancer, there are only a few reports with a small number of cases in retrospective, non-comparative studies.

Methods

From April 2010 to July 2014, a total of 177 patients underwent rectal cancer surgery with lateral lymph node dissection. Four patients who underwent conventional laparoscopic lateral lymph node dissection were excluded. Thus, 173 patients were enrolled, with 85 RALLD and 88 OLLD cases. Perioperative outcomes, postoperative complications, and pathological results were compared between the groups.

Results

No conversion to open surgery was necessary in the RALLD group. The rate of sphincter-preserving procedure was significantly higher in the RALLD group than in the OLLD group (p = 0.007). Operative time was significantly longer in the RALLD group than in the OLLD group (p = 0.007). Blood loss was significantly less in the RALLD group than in the OLLD group (p < 0.001). The rates of wound infection, small bowel obstruction, anastomotic leakage, and urinary retention were significantly lower in the RALLD group than in the OLLD group. Numbers of harvested lymph nodes and positive resection margin rates showed no significant differences.

Conclusions

The short-term outcomes of RALLD may be superior to those of OLLD for advanced lower rectal cancer.

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Acknowledgments

The authors would like to thank Shunsuke Tsukamoto for his contribution to the acquisition of the data of this study.

Disclosures

Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyuki Tomioka, and Hiroyasu Kagawa have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan

    Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyuki Tomioka & Hiroyasu Kagawa

Authors
  1. Tomohiro Yamaguchi
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  2. Yusuke Kinugasa
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  3. Akio Shiomi
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  4. Hiroyuki Tomioka
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  5. Hiroyasu Kagawa
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Correspondence to Tomohiro Yamaguchi.

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Yamaguchi, T., Kinugasa, Y., Shiomi, A. et al. Robotic-assisted laparoscopic versus open lateral lymph node dissection for advanced lower rectal cancer. Surg Endosc 30, 721–728 (2016). https://doi.org/10.1007/s00464-015-4266-y

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  • DOI: https://doi.org/10.1007/s00464-015-4266-y

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