RT Journal Article
SR Electronic
T1 Risk Factors for Complications Following Lateral Pelvic Lymph Node Dissection for Rectal Cancer
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 5599
OP 5604
DO 10.21873/anticanres.15374
VO 41
IS 11
A1 DAIKI OKAMOTO
A1 TAKERU MATSUDA
A1 RYUICHIRO SAWADA
A1 HIROSHI HASEGAWA
A1 KIMIHIRO YAMASHITA
A1 HITOSHI HARADA
A1 HIRONOBU GOTO
A1 NAOKI URAKAWA
A1 SHINGO KANAJI
A1 TARO OSHIKIRI
A1 YOSHIHIRO KAKEJI
YR 2021
UL http://ar.iiarjournals.org/content/41/11/5599.abstract
AB 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.