Thinh H Nguyen, MD, PhD, Bac H Nguyen, MD, PhD, Prof, Huy D Tran, MD, Duc M La, MD, Kien T Le, MD. University Medical Center, Ho Chi Minh City
Introduction: Pelvic lympho node metastasis may reach to 15% in stage II-III rectal cancer.In Japan, lateral pelvic lympho node dissection (LPLD) ( have been performed for a long time with a lower pelvic recurrence result. Authors from Western country believe that total mesorectal excision (TME) plus radiochemotherapy also have a good result comparing to TME + LPLD.
Method: Patient was diagnosed lower rectal cancer (tumor locate below peritoneal reflection) with MRI show an suspected metastatic pelvic lymph node. No contraindication laparoscopy.
Result: from 01/2017 to 08/2017, nine patients was performed LPLD. Successful rate was 100% without conversion. Time operation was 82 minutes (for LPLD only), and average blood loss was 90ml. One patient had unrinary retention (11%) and no other complication. Positive lymph node metastasis was 56%.
Conclusion: LPLD is an safe and feasible procedure. LPLD can be performed by experienced surgeon. The diameter of lymph node on MRI is essential for indicating LPLD.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86757
Program Number: V052
Presentation Session: Colorectal Videos Session
Presentation Type: Video