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Research ArticleClinical Studies

Risk Factors for Complications Following Lateral Pelvic Lymph Node Dissection for Rectal Cancer

DAIKI OKAMOTO, TAKERU MATSUDA, RYUICHIRO SAWADA, HIROSHI HASEGAWA, KIMIHIRO YAMASHITA, HITOSHI HARADA, HIRONOBU GOTO, NAOKI URAKAWA, SHINGO KANAJI, TARO OSHIKIRI and YOSHIHIRO KAKEJI
Anticancer Research November 2021, 41 (11) 5599-5604; DOI: https://doi.org/10.21873/anticanres.15374
DAIKI OKAMOTO
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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TAKERU MATSUDA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
2Division of Minimally Invasive Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
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  • For correspondence: takerumatsuda@nifty.com
RYUICHIRO SAWADA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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HIROSHI HASEGAWA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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KIMIHIRO YAMASHITA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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HITOSHI HARADA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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HIRONOBU GOTO
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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NAOKI URAKAWA
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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SHINGO KANAJI
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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TARO OSHIKIRI
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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YOSHIHIRO KAKEJI
1Division of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan;
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Abstract

Background: Lateral pelvic lymph node metastasis impairs the oncological outcomes of patients with rectal cancer. Although lateral pelvic lymph node dissection (LLND) might be an effective procedure for such patients, the associated risk factors for postoperative complications are unknown. Patients and Methods: The operative outcomes of 21 patients undergoing unilateral LLND and 26 patients undergoing bilateral LLND for rectal cancer were compared. The risk factors for complications were evaluated using a logistic regression model. Results: Univariate and multivariate analyses revealed that a longer operative time (≥480 min) was the most important risk factor for grade II or more postoperative complications according to the Clavien–Dindo classification (odds ratio=6.58; 95% confidence interval=1.35-32.1; p=0.020). A bilateral procedure was not a significant risk factor for postoperative complications. Conclusion: Surgeons should make efforts to shorten the operative time to reduce the risk of postoperative complications.

Key Words:
  • LLND
  • rectal cancer
  • TME
  • complication
  • Received September 9, 2021.
  • Revision received October 6, 2021.
  • Accepted October 12, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (11)
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Risk Factors for Complications Following Lateral Pelvic Lymph Node Dissection for Rectal Cancer
DAIKI OKAMOTO, TAKERU MATSUDA, RYUICHIRO SAWADA, HIROSHI HASEGAWA, KIMIHIRO YAMASHITA, HITOSHI HARADA, HIRONOBU GOTO, NAOKI URAKAWA, SHINGO KANAJI, TARO OSHIKIRI, YOSHIHIRO KAKEJI
Anticancer Research Nov 2021, 41 (11) 5599-5604; DOI: 10.21873/anticanres.15374

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Risk Factors for Complications Following Lateral Pelvic Lymph Node Dissection for Rectal Cancer
DAIKI OKAMOTO, TAKERU MATSUDA, RYUICHIRO SAWADA, HIROSHI HASEGAWA, KIMIHIRO YAMASHITA, HITOSHI HARADA, HIRONOBU GOTO, NAOKI URAKAWA, SHINGO KANAJI, TARO OSHIKIRI, YOSHIHIRO KAKEJI
Anticancer Research Nov 2021, 41 (11) 5599-5604; DOI: 10.21873/anticanres.15374
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Keywords

  • LLND
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