Zheng Liu, Xishan Wang. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
We demonstrate the technique for laparoscopic lateral pelvic node dissection (LLPND) for rectal cancer patients with suspicion of LLN metastases after neoadjuvant chemo-radiation. The principle of this approach is en bloc resection with bilateral peritoneum. The peritoneum is incised lateral to the ureter following the line between external and internal iliac vessels. In the next step, LLPND of the regional lymph node and high ligation of inferior mesenteric vessels were performed. A contralateral LLPND was performed in the same manner as a mirrored technique. After extracting the specimen, an end-to-end double-stapled circular anastomosis was performed.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93711
Program Number: V049
Presentation Session: Colorectal II – Neoplasia
Presentation Type: Video