Clinical Relevance of Lateral Pelvic Lymph Node Dissection for Enlarged Lateral Nodes in Locally Advanced Low Rectal Cancer without Preoperative Treatment

Autor: Akira Ouchi, Koji Komori, Takashi Kinoshita, Yusuke Sato, Seiji Ito, Tetsuya Abe, Yasuhiro Shimizu
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of the Anus, Rectum and Colon, Vol 7, Iss 2, Pp 126-134 (2023)
Druh dokumentu: article
ISSN: 2432-3853
DOI: 10.23922/jarc.2022-064
Popis: Objectives: The present study aimed to investigate the clinical relevance of lateral pelvic lymph node dissection (LPLND) in low rectal cancer without preoperative treatment, with a focus on the presence of LPLN enlargement in preoperative imaging. Methods: Consecutive patients with cT3 to T4 low rectal cancer who underwent mesorectal excision and LPLND without preoperative treatment between 2007 and 2018 at a single dedicated cancer center were included. LPLN short-axis diameter (SAD) measured using preoperative multi-detector row computed tomography (MDCT) was evaluated retrospectively. Results: A total of 195 consecutive patients were analyzed. Overall, 101 (51.8%) and 94 (48.2%) patients had visible and no visible LPLNs in preoperative imaging, including 56 (28.7%), 28 (14.4%), and 17 (8.7%) patients had SADs of
Databáze: Directory of Open Access Journals