Bibliographic Details
| Title: |
Postoperative urinary dysfunction following lateral lymph node dissection for rectal cancer via minimally invasive surgery |
| Authors: |
Makoto Takahashi, Kazuhiro Sakamoto, Hisashi Ro, Saki Kochi, Miyuki Toake, Hiromitsu Takahashi, Takahiro Irie, Hirotaka Momose, Kota Amemiya, Yuki Tsuchiya, Ryoichi Tsukamoto, Kumpei Honjo, Masaya Kawai, Shun Ishiyama, Kiichi Sugimoto, Yutaka Kojima |
| Source: |
BMC Surgery, Vol 24, Iss 1, Pp 1-11 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Surgery |
| Subject Terms: |
Lateral lymph node resection, Urinary dysfunction, Removal of urinary catheter, Duration of urinary catheterization, Robot-assisted laparoscopic surgery, Laparoscopic surgery, Surgery, RD1-811 |
| More Details: |
Abstract Background Lateral lymph node dissection (LLND) for locally advanced rectal cancer (LARC) is performed widely since it reduces local recurrence. However, there are some disadvantages to LLND, including technical difficulties and association with postoperative urinary dysfunction. Procedures for LARC have also become more minimally invasive: laparoscopic surgery (LS) has become more common, and use of robot-assisted LS (RALS) is increasing. The purpose of this study is to assess differences in postoperative urinary dysfunction after LLND for LARC between LS and RALS, and to identify risk factors for postoperative urinary dysfunction. Methods The subjects were 100 patients with LARC (≥ cT3) with the inferior border of the tumor reaching the peritoneal reflection who underwent LS or RALS with LLND between 2009 and 2023 at Juntendo University Hospital. After LLND, the urinary catheter was usually removed on or before postoperative day 5. The duration of urinary catheterization (DUC) was used to evaluate postoperative urinary dysfunction. The standard (S) and long-term (L) groups were defined as cases with urinary catheter removal at ≤ 5 and > 5 days, respectively. DUC was examined for LS vs. RALS and clinicopathological factors were identified that adversely affect DUC. Results Of the 100 subjects, 72 underwent LS and 28 received RALS. LLND was bilateral in 65 cases and unilateral in 35 cases. The median DUC was 5 days, with 74 cases in group S and 26 in group L. The most frequent postoperative complication (Clavien-Dindo Grade 2 or higher) was urinary dysfunction, followed by ileus and surgical site infection (SSI), and none differed by procedure (LS vs. RALS). Univariate analysis showed significant differences in LLND laterality (p = 0.02) and SSI (p = 0.04) between groups S and L. In multivariate analysis, bilateral LLND (p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2482 |
| Relation: |
https://doaj.org/toc/1471-2482 |
| DOI: |
10.1186/s12893-024-02697-5 |
| Access URL: |
https://doaj.org/article/4918e71f92ba47ceb145908e3335149c |
| Accession Number: |
edsdoj.4918e71f92ba47ceb145908e3335149c |
| Database: |
Directory of Open Access Journals |
