|
KMID : 0356720070230010046
|
|
Journal of the Korean Society of Coloproctology
2007 Volume.23 No. 1 p.46 ~ p.52
|
|
|
Effect on the Local Recurrence and the Survival of Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection in Rectal Cancer
|
|
Choi Byung-Gwan
Kim Hyung-Soo
Seo Kyeong-Won
Ju Jae-Kyun
Ryu Seong-Yeop
Park Young-Kyu
kim Hyeong-Rok
Kim Dong-Yi
Kim Young-Jin
|
|
|
Abstract
|
|
|
Purpose: One of the most common sites of recurrence after a curative resection of rectal cancer is the pelvis, and local control is a major goal of surgical treatment. The advantages of lateral pelvic lymph node dissection are regarded as questionable because lateral pelvic lymph node metastasis does not occur so frequently and because a lateral lymphadenectomy has a negative influence on the postoperative quality of life. The aim of this study was to clarify if lateral pelvic lymph node dissection (LPLD) conferred any benefit.
Methods: A total of 769 patients who underwent curative surgery for rectal cancer between 1981 and 2005 at the Department of Surgery, OOO Hospital, were reviewed retrospectively. One hundred ninety-three of these patients underwent a lateral pelvic lymph node dissection, and 576 patients had a total mesorectal excision with high ligation of the IMA.
Results: There was no difference in pathological characteristics between the two groups. Patients who underwent a lateral pelvic lymph node dissection had no statistically significant difference in terms of the 5-year survival rate at stage II and III (64% vs 65% at stage II, P=0.391; 49% vs 47% at stage III, P=0.815).
Conclusion: A lateral pelvic lymph node dissection has no advantage as part of a standard operation for rectal cancer. A total mesorectal excision alone has good local control and survival compared with a lateral pelvic lymph node dissection. J Korean Soc Coloproctol 2007;23:46-52
|
|
|
KEYWORD
|
|
|
Rectal cancer, Total mesorectal excision, Lateral pelvic lymph node dissection, Recurrence
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|