Evidence map›Paper›PMID 39455450›Full record

ArticleSurgical endoscopy2024

Laparoscopic extraperitoneal approach for lateral lymph node dissection for patients with metachronous lateral pelvic lymph node metastases following surgery for rectal cancer: a case series and short-term outcomes.

Shinsuke Masubuchi, Junji Okuda, Hiroki Hamamoto, Hiroki Yokoyama, Maiko Sanford, Masaru Kawai, Hitoshi Inoue, Takashi Kinoshita, Michihiro Hayashi, Sang-Woong Lee

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shinsuke MasubuchiDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan. shinsuke.masubuchi@ompu.ac.jp.ORCID 0000-0003-4876-4862
Junji OkudaDepartment of Gastroenterological Surgery, Toyonaka Keijinkai Hospital, Toyonaka, 560-0004, Japan.
Hiroki HamamotoDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, 569-8686, Japan.
Hiroki YokoyamaDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Maiko SanfordDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Masaru KawaiDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Hitoshi InoueDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Takashi KinoshitaDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Michihiro HayashiDepartment of Gastroenterological Surgery, Hirakata City Hospital, 14-1-2 Kinyahonmachi, Hirakata, Osaka, 573-1013, Japan.
Sang-Woong LeeDepartment of General and Gastroenterological Surgery, Osaka Medical and Pharmaceutical University, Takatsuki, 569-8686, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere have been few reports of a totally extraperitoneal approach for laparoscopic lateral lymph node dissection (LLND) for patients with metachronous lateral pelvic lymph node metastases following surgery for rectal cancer. Therefore, this study reports the short-term outcomes of LLND via an extraperitoneal approach.

methodsA total of 10 patients underwent LLND through a laparoscopic extraperitoneal approach in our hospital since October 2018. Patients with suspected resectable lateral lymph node recurrence after surgery for rectal cancer on computed tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography CT (PET-CT) were selected for this procedure.

resultsNine of the 10 cases were completed using this procedure, but one case was converted to an intraperitoneal approach. The median operative time was 231 min, and the median estimated blood loss was 10 ml. There was one case of wound infection, but no other postoperative complications were seen. In one patient, no metastases were found in the retrieved lymph nodes.

conclusionThe short-term outcomes of LLND through a laparoscopic extraperitoneal approach were acceptable. Because this procedure can be performed without violating the peritoneum, it is less invasive than the conventional intraperitoneal approach and is useful for metachronous lateral pelvic lymph node metastases.

Indexed as

LaparoscopyLymphatic MetastasisLymph Node ExcisionRectal NeoplasmsAdultAgedFemaleHumansLymph NodesMaleMiddle AgedOperative TimePelvisRetrospective StudiesTreatment OutcomeCase seriesExtraperitoneal approachLateral lymph node dissectionMetachronous lateral pelvic lymph node metastasis

Identifiers

PMID39455450

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.