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Clinical feasibility of laparoscopic lateral pelvic lymph node dissection following total mesorectal excision for advanced rectal cancer

Surgery Today volume 45, pages 310–314 (2015)Cite this article

Abstract

Purpose

To evaluate the technical feasibility, safety and oncological outcomes of laparoscopic lateral pelvic lymph node dissection in patients with advanced low rectal cancer.

Methods

Laparoscopic lateral pelvic lymph node dissection was performed in 18 patients from November 2009 to September 2012. The data regarding the patient demographics, surgical outcomes and short-term oncological outcomes were analyzed.

Results

In all 18 patients, the procedures were completed without conversion to open surgery. The mean length of the operation was 603.7 min (473–746 min). The mean number of harvested lateral pelvic lymph nodes was 16.9 (7–27), and five patients (27.8 %) had lymph node metastases. The postoperative mortality and morbidity rates were 0 and 16.7 %, respectively. Three patients developed Grade 2 urinary retention. No local recurrence had developed after a mean follow-up period of 23.6 months.

Conclusion

Laparoscopic lateral pelvic lymph node dissection is technically feasible, safe and oncologically acceptable within the limitations of the short-term follow-up period.

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Fig. 1

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Conflict of interest

T Furuhata and co-authors have no conflicts of interest.

Author information

Affiliations

  1. Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, South 1 West 16, Chuo-ku, Sapporo, Japan

    Tomohisa Furuhata, Kenji Okita, Toshihiko Nishidate, Tatsuya Ito, Hiroshi Yamaguchi, Tomomi Ueki, Emi Akizuki, Makoto Meguro, Tadashi Ogawa, Kazuharu Kukita, Yasutoshi Kimura, Toru Mizuguchi & Koichi Hirata

Authors
  1. Tomohisa Furuhata
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  2. Kenji Okita
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  3. Toshihiko Nishidate
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  4. Tatsuya Ito
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  5. Hiroshi Yamaguchi
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  6. Tomomi Ueki
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  7. Emi Akizuki
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  8. Makoto Meguro
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  9. Tadashi Ogawa
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  10. Kazuharu Kukita
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  11. Yasutoshi Kimura
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  12. Toru Mizuguchi
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  13. Koichi Hirata
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Corresponding author

Correspondence to Tomohisa Furuhata.

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Furuhata, T., Okita, K., Nishidate, T. et al. Clinical feasibility of laparoscopic lateral pelvic lymph node dissection following total mesorectal excision for advanced rectal cancer. Surg Today 45, 310–314 (2015). https://doi.org/10.1007/s00595-014-0906-4

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  • DOI: https://doi.org/10.1007/s00595-014-0906-4

Keywords

  • Laparoscopy
  • Lateral pelvic lymph node dissection
  • Rectal cancer