PT  - JOURNAL ARTICLE
AU  - NONAKA, TAKASHI
AU  - FUKUDA, AKIKO
AU  - MAEKAWA, KYOICHIRO
AU  - NAGAYOSHI, SHIGEKI
AU  - TOKUNAGA, TAKAYUKI
AU  - TAKATSUKI, MITSUTOSHI
AU  - KITAJIMA, TOMOO
AU  - TANIGUCHI, KEN
AU  - FUJIOKA, HIKARU
TI  - Clinical and Oncological Outcomes of Laparoscopic Lateral Pelvic Lymph Node Dissection in Advanced Lower Rectal Cancer: Single-institution Experience
DP  - 2017 Sep 01
TA  - Anticancer Research
PG  - 5095--5100
VI  - 37
IP  - 9
4099  - http://ar.iiarjournals.org/content/37/9/5095.short
4100  - http://ar.iiarjournals.org/content/37/9/5095.full
SO  - Anticancer Res2017 Sep 01; 37
AB  - Aim: The aim of this study was to compare the clinical outcomes of laparoscopic versus open surgery for total mesorectal excision (TME) with lateral pelvic lymph node dissection (LPLD) in advanced lower rectal cancer. Patients and Methods: Forty-four patients who underwent TME with LPLD for lower rectal cancer (pStage II/III) between January 2008 and December 2014 were divided into two groups according to the type of surgical approach as follows: open LPLD group (OLD, n=17) and laparoscopic LPLD group (LLD, n=27). Results: Operative time was comparable between the groups (p=0.15), whereas intraoperative blood loss and complication rates were significantly less in LLD than in OLD. Postoperative hospital stay was shorter in LLD than in OLD. Overall survival and local recurrence-free survival were similar in the two groups. Disease-free survival was better in LLD than in OLD, although the difference was not significant. Conclusion: Laparoscopic TME with LPLD is safe and feasible.