Short-term outcomes of robotic-assisted laparoscopic versus laparoscopic lateral lymph node dissection for advanced lower rectal cancer.
Short-term outcomes of robotic-assisted laparoscopic versus laparoscopic lateral lymph node dissection for advanced lower rectal cancer.
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DOI：
10.1007/s00464-020-07979-6
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Hakamada K
中科院分区：
文献类型：
--
作者：
Morohashi H;Sakamoto Y;Miura T;Kagiya T;Ogasawara K;Takahashi Y;Sato K;Hara Y;Ogasawara H;Hakamada K
抑制局部复发的治疗策略，包括侧方淋巴结转移，对于提高直肠癌的治愈率是重要的。本研究的目的是阐明机器人辅助的腹腔镜侧向淋巴清扫术(RALLD)的优点，并比较其与腹腔镜侧向淋巴清扫术(LLLD)的近期疗效。有一些回顾报告比较了RALLD或LLLD与开放侧方淋巴结清扫术(OLD)，但很少有将RALLD与LLND进行比较的报道。从2014年11月到2020年8月，我们比较了40名接受RALLD的患者和55名接受LLLD的患者的短期结果。全组手术时间明显长于后路组(p <； 0.001)。但侧位夹层时间在两组间无显著差异(p = 0.661)。腹腔镜组术后住院时间明显短于腹腔镜组(p <； 0.048)。两组在术后出血、手术部位感染、器官/间隙感染、排尿功能障碍、尿路感染、肠梗阻等方面差异无统计学意义。但吻合口漏在腹主动脉组明显低于腹主动脉组(p = 0.031)。RALLD的近期疗效表明它是可行的，RALLD可能是治疗低位直肠癌的一种有用的手术方式。
Therapeutic strategies to suppress local recurrence, including lateral lymph node metastasis, are important to improve the curability of rectal cancer. The aim of the present study was to clarify the advantages of robotic-assisted laparoscopic lateral lymph node dissection (RALLD), comparing its short-term outcomes with those of laparoscopic lateral lymph node dissection (LLLD). There are some retrospective reports comparing RALLD or LLLD and open lateral lymph node dissection (OLLD), but few reports comparing RALLD and LLND to each other. From November 2014 to August 2020, we compared the short-term outcomes in 40 patients who underwent RALLD and 55 patients who underwent LLLD. The total operative time was significantly longer in the RALLD group than in the LLLD group (p < 0.001). However, lateral dissection time was not significantly different between the groups (p = 0.661). The postoperative hospital time was shorter in the RALLD group than in the LLLD group (p < 0.048). No significant differences were identified in the rates of postoperative bleeding, incisional surgical site infection (SSI), organ/space SSI, urinary disfunction, urinary infection, or small bowel obstruction between the groups. However, anastomotic leakage was significantly lower in the RALLD group than in the LLLD group (p = 0.031). The short-term outcomes of RALLD indicate it is feasible, and RALLD may be a useful modality for lower rectal cancer.
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影响因子：
158.5
作者：
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通讯作者：
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影响因子：
3.7
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2.8
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2.6
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Law, Wai Lun
影响因子：
9
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Fleshman J;Branda ME;Sargent DJ;Boller AM;George VV;Abbas MA;Peters WR Jr;Maun DC;Chang GJ;Herline A;Fichera A;Mutch MG;Wexner SD;Whiteford MH;Marks J;Birnbaum E;Margolin DA;Larson DW;Marcello PW;Posner MC;Read TE;Monson JRT;Wren SM;Pisters PWT;Nelson H
通讯作者：
Nelson H