A technique of laparoscopic lateral pelvic lymph node dissection based on vesicohypogastric fascia and ureterohypogastric nerve fascia for advanced low rectal cancer

Abstract

Laparoscopic LLN dissection based on VF and UNF is feasible, with acceptable surgical and oncological outcomes.

Utility of preoperative 3‐D simulation of laparoscopic lateral pelvic lymph node dissection for advanced rectal cancer: Surgical outcomes of 10 initial cases

“…Total operative time was not longer than that reported by Ogura et al . or by Matsumoto and Arita . The estimated blood loss was less than in other published series.…”

“…One rectovaginal fistula and one recto‐vesical fistula were reported in the study by Liang , and one anastomotic leakage was reported each in the studies by Furuhata et al . and by Matsumoto and Arita . Grade 3 or 4 complications occurred in nine patients (19.6%) in the study by Nagayoshi et al .…”

“…Since 2011, several studies have reported short‐term outcomes of patients who have undergone laparoscopic (excluding robotic) LPLD for rectal cancer . Surgical outcomes from published series and the present study are shown in Table .…”

“…The median number of LPLN harvested in bilateral LPLD was 17–21 . Unilateral LPLD was done for all patients in one study and for most patients in three studies . In these studies, the median total operative time was under 8 h. The median number of LPLN harvested in unilateral LPLD was 6–36 .…”

“…Since 2001, when the first report of laparoscopic lateral pelvic lymph node dissection (LPLD) by Uyama et al . was published , several studies have suggested that laparoscopic LPLD is technically safe and feasible, at least when performed by experienced laparoscopic surgeons . However, many surgeons still consider laparoscopic LPLD to be technically challenging because of the complicated anatomy of the pelvic wall.…”