Laparoscopic abdominoperineal resection with lateral lymph node dissection for advanced rectal and prostate cancer with synchronous lateral lymph node metastases

2018 ◽  
Vol 12 (1) ◽  
pp. 118-121
Author(s):  
Takahisa Ishikawa ◽  
Shigenori Homma ◽  
Makoto Nishikawa ◽  
Hiroki Nakamoto ◽  
Ryoji Yokoyama ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Abdominoperineal Resection ◽  
Lymph Node Metastases ◽  
Lateral Lymph Node Dissection ◽  
Node Dissection ◽  
Lateral Lymph Node ◽  
Node Metastases ◽  
Laparoscopic Abdominoperineal Resection

scholarly journals Management, treatment and prognostic significance of lateral lymph node metastases in rectal cancer—a regional cohort study

2021 ◽  
Author(s):  
E. Agger ◽  
V. Åkerlund ◽  
O. Ekberg ◽  
F. Jörgren ◽  
M. L. Lydrup ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Lymph Node ◽  
Neoadjuvant Therapy ◽  
Lymph Node Dissection ◽  
Lymph Node Metastases ◽  
Lateral Lymph Node Dissection ◽  
Node Dissection ◽  
Lateral Lymph Node ◽  
Node Metastases

Abstract Purpose Lateral lymph node metastases in rectal cancer remain a clinical challenge. Different treatment regimens have been suggested. This retrospective regional cohort study examines outcome after combined oncological and surgical treatment of MRI-positive lateral lymph nodes (LLN). Methods Data from the Swedish Colorectal Cancer Registry (SCRCR) and patient records were used for retrospective analysis of resected high-risk rectal cancers between 2009 and 2014. The aim was to compare tumour characteristics, neoadjuvant therapy, recurrence and outcome after lateral lymph node dissection. Results One thousand and one hundred nineteen cases were identified and after exclusion 344 patients with cT3–T4 ≤ 10 cm from the anal verge were analysed. Thirty (8.7%) patients with MRI-positive LLN were identified. Synchronous distant metastases were associated with MRI-positive LLN (p-value 0.019). Long-course chemoradiotherapy was clinical practice in cases of MRI-positive LLN. No differences in local (p-value 0.154) or distant (p-value 0.343) recurrence rates between MRI-positive LLN patients and MRI-negative patients were detected. Only four patients underwent lateral lymph node dissection (LLND). There was no significant difference in overall survival during follow-up between the MRI-negative (CI at 95%; 99–109 months) and MRI-positive group (CI at 95%; 69–108 months; p-value 0.14). Conclusion Lateral lymph node metastases present a challenging clinical situation. The present study shows that combination of neoadjuvant therapy and selective LLND is an applicable strategy in cases of MRI-positive LLN.

DETECTION OF EARLY LYMPH NODE METASTASES IN PROSTATE CANCER BY LAPAROSCOPIC RADIOISOTOPE GUIDED SENTINEL LYMPH NODE DISSECTION

2005 ◽  
Vol 173 (6) ◽  
pp. 1943-1946 ◽  
Author(s):  
STEPHAN JESCHKE ◽  
THIAGARAJAN NAMBIRAJAN ◽  
KARL LEEB ◽  
JOSEF ZIEGERHOFER ◽  
WOLFGANG SEGA ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Lymph Node Dissection ◽  
Lymph Node Metastases ◽  
Sentinel Lymph Node Dissection ◽  
Node Dissection ◽  
Node Metastases
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