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Is Lateral Pelvic Lymph Node Dissection No Longer Necessary for Low Rectal Cancer After Neoadjuvant Therapy and TME to Reduce Local Recurrence?

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Journal of Gastrointestinal Surgery

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References

  1. Dharmarajan S, Shuai D, Fajardo AD, Birnbaum EH, Hunt SR, Mutch MG, Fleshman JW, Lin AY (2011) Clinically Enlarged Lateral Pelvic Lymph Nodes Do Not Influence Prognosis after Neoadjuvant Therapy and TME in Stage III Rectal Cancer. J Gastrointest Surg 15(8):1368-74

    Article  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. Extended lymphadenectomy and preoperative radiotherapy for lower rectal cancers. Surgery 2002;132:27-33.

    Article  PubMed  Google Scholar 

  3. Ueno M, Oya M, Azekura K, Yamaguchi T, Muto T. Incidence and prognostic significance of lateral lymph node metastasis in patients with advanced low rectal cancer. Br J Surg. 2005;92:756-763.

    Article  PubMed  CAS  Google Scholar 

  4. Sugihara K, Kobayashi H, Kato T, Mori T, Mochizuki H, Kameoka S, Shirouzu K, Muto T. Indication and benefit of pelvic sidewall dissection for rectal cancer. Dis Colon Rectum 2006;49:1663-1672.

    Article  PubMed  Google Scholar 

  5. Yano H, Moran BJ. The incidence of lateral pelvic side-wall nodal involvement in low rectal cancer may be similar in Japan and the West. Br J Surg 2008;95:33-49.

    Article  PubMed  CAS  Google Scholar 

  6. Yano H, Saito Y, Takeshita E, Miyake O, Ishizuka N. Prediction of lateral pelvic node involvement in low rectal cancer by conventional computed tomography. Br J Surg 2007;94:1014-1019.

    Article  PubMed  CAS  Google Scholar 

  7. Kim TH, Jeong SY, Choi DH, Kim DY, Jung KH, Moon SH, Chang HJ, Lim SB, Choi HS, Park JG. Lateral lymph node metastasis is a major cause of locoregional recurrence in rectal cancer treated with preoperative chemoradiotherapy and curative resection. Ann Surg Oncol 2008;15:729-737.

    Article  PubMed  Google Scholar 

  8. Kobayashi H, Mochizuki H, Kato T, Mori T, Kameoka S, Shirouzu K, Sugihara K. Outcomes of surgery alone for lower rectal cancer with and without pelvic sidewall dissection. Dis Colon Rectum 2009;52:567-576.

    Article  PubMed  Google Scholar 

  9. Liang JT. Technical feasibility of laparoscopic lateral pelvic lymph node dissection for patients with low rectal cancer after concurrent chemoradiation therapy. Ann Surg Oncol 2011;18:153-159.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Takashi Akiyoshi & Masashi Ueno

  2. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Toshiaki Watanabe

Authors
  1. Takashi Akiyoshi
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  2. Toshiaki Watanabe
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  3. Masashi Ueno
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Correspondence to Takashi Akiyoshi.

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Akiyoshi, T., Watanabe, T. & Ueno, M. Is Lateral Pelvic Lymph Node Dissection No Longer Necessary for Low Rectal Cancer After Neoadjuvant Therapy and TME to Reduce Local Recurrence?. J Gastrointest Surg 16, 2341–2342 (2012). https://doi.org/10.1007/s11605-012-1955-x

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  • DOI: https://doi.org/10.1007/s11605-012-1955-x

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