Laparoscopic selective lateral lymph node dissection for radical resection of rectal cancer
10.3760/cma.j.cn113855-20201101-00833
- VernacularTitle:腹腔镜下选择性侧方淋巴结清扫在直肠癌治疗中的应用价值
- Author:
Rui DU
1
;
Jiajie ZHOU
;
Dongliang LI
;
Feng WANG
;
Guifan TONG
;
Xu DING
;
Liuhua WANG
;
Wei WANG
;
Dong TANG
;
Daorong WANG
Author Information
1. 大连医科大学研究生院，辽宁省 116044
- Keywords:
Rectal neoplasms;
Lymph node excision;
Laparoscopy
- From:
Chinese Journal of General Surgery
2021;36(7):525-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and feasibility of laparoscopic selective lateral lymph node dissection (LLND) for radical resection of rectal cancer.Methods:From Dec 2018 to Jul 2020, at the Department of Gastrointestinal Surgery of Northern Jiangsu People's Hospital laparoscopic radical resection of rectal cancer was performed in 32 cases and radical resection plus selective LLND in 26 cases.Results:The operation time in the LLND group was significantly longer than that in the simple radical resection group [247(179-405) min vs. 146(118-258) min, Z=-5.169, P<0.001], but there was no significant difference in intraoperative bleeding [68(45-500) ml vs. 56(25-500) ml, Z=-1.598, P=0.110], postoperative ventilation time [2.5(1-6) d vs. 3.0(1-6) d, Z=-0.120, P=0.905], postoperative hospital stay [9.0(7-17) d vs. 9.5(6-14) d, Z=-1.050, P=0.294] and hospitalization costs [(49 000±3 000) RMB vs. (48 000±3 000) RMB, t=-1.072, P=0.289] between the two groups. The incidence of postoperative complications in the two groups was 19% and 27% respectively (χ 2=0.551, P=0.458). The number of lateral lymph node dissection in LLND group was 8(6-16), 5 of 26 patients had lateral lymph node metastasis, with a metastasis rate of 19%. Conclusion:Laparoscopic radical resectim plus selective LLND for rectal cancer harvests more lateral lymph node metastasis without causing higher complications .
