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Langenbeck's Archives of Surgery

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01-11-2005 | Original Article

Impact of lateral pelvic lymph node dissection on evacuatory and urinary functions following low anterior resection for advanced rectal carcinoma

Authors: Hiroyoshi Matsuoka, Tadahiko Masaki, Masanori Sugiyama, Yutaka Atomi

Published in: Langenbeck's Archives of Surgery | Issue 6/2005

Abstract

Background and aim

Lateral pelvic lymph node dissection (LPLD) has been reported to be beneficial in terms of survival for locally advanced low rectal carcinoma. However, the impact of LPLD on bowel function has not yet been determined by means of anorectal physiologic investigation.

Patients and methods

Fifty-seven rectal cancer patients who underwent low anterior resection were evaluated with clinical and physiologic parameters. Of these, 15 patients had LPLD. The postoperative bowel and urinary function were evaluated with patients’ questionnaire and anorectal manometry before and after the operation.

Results

The proportion of patients who had pouch reconstruction, adjuvant radiation therapy, and autonomic nerve dissection were significantly higher in the LPLD group. The incidence of evacuatory dysfunction was significantly higher (80% vs 45%) postoperatively in the LPLD group. There was no significant difference in anal sphincter pressures, sensory threshold, and neorectal volumes between the groups postoperatively. In terms of urinary function, use of medication for urination was significantly frequent in the LPLD group. Multivariate analysis identified the level of anastomosis as an independent affecting factor for evacuatory dysfunction and LPLD for urinary dysfunction.

Conclusion

Although LPLD affected urinary dysfunction, it did not impair postoperative evacuatory function in the early postoperative period.

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Title: Impact of lateral pelvic lymph node dissection on evacuatory and urinary functions following low anterior resection for advanced rectal carcinoma
Authors: Hiroyoshi Matsuoka
Tadahiko Masaki
Masanori Sugiyama
Yutaka Atomi
Publication date: 01-11-2005
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 6/2005
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-005-0577-0

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Impact of lateral pelvic lymph node dissection on evacuatory and urinary functions following low anterior resection for advanced rectal carcinoma

Abstract

Background and aim

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background and aim

Patients and methods

Results

Conclusion

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