Skip Navigation
Skip to contents

Ann Coloproctol : Annals of Coloproctology

OPEN ACCESS
SEARCH
Search
Advanced Search
mobile menu button

Page Path
HOME > Browse Articles
Search
Ju-A Park 1 Article
Initial Clinical Experience with Robotic Lateral Pelvic Lymph Node Dissection for Advanced Rectal Cancer
Ju-A Park, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park
J Korean Soc Coloproctol. 2012;28(5):265-270.   Published online October 31, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.5.265
  • 5,102 View
  • 64 Download
  • 35 Citations
AbstractAbstract PDF
Purpose

This study was conducted to evaluate the technical feasibility and safety of robotic extended lateral pelvic lymph node dissection (LPLD) in patients with advanced low rectal cancer.

Methods

A review of a prospectively-collected database at Kyungpook National University Medical Center from January 2011 to November revealed a series of 8 consecutive robotic LPLD cases with a preoperative diagnosis of lateral node metastasis. Data regarding patient demographics, operating time, perioperative blood loss, surgical morbidity, lateral lymph node status, and functional outcome were analyzed.

Results

In all eight patients, the procedures were completed without conversion to open surgery. The mean operative time of extended pelvic node dissection was 38 minutes (range, 20 to 51 minutes), the mean number of lateral lymph nodes harvested was 4.1 (range, 1 to 13), and 3 patients (38%) were found to have lymph node metastases. Postoperative mortality and morbidity were 0% and 25%, respectively, but, there was no LPLD-related morbidity. The mean hospital stay was 7.5 days (range, 5 to 12 days).

Conclusion

Robotic LPLD is safe and feasible, with the advantage of being a minimally invasive approach. Further large-scale studies comparing robotic and conventional surgery with long-term follow-up evaluation are needed to confirm these findings.

Citations

Citations to this article as recorded by  
  • Learning curve analysis for prophylactic bilateral robot-assisted lateral lymph node dissection for lower rectal cancer: a retrospective study
    T. Sueda, M. Yasui, J. Nishimura, Y. Kagawa, M. Kitakaze, R. Mori, C. Matsuda, Y. Ushimaru, T. Sugase, Y. Mukai, H. Komatsu, Y. Yanagimoto, T. Kanemura, K. Yamamoto, H. Wada, K. Goto, H. Miyata, M. Ohue
    Techniques in Coloproctology.2025;[Epub]     CrossRef
  • Robotic lateral pelvic wall lymph node dissection following robotic‐assisted abdominoperineal resection—A video vignette
    Tarek A. Awad, Eslam Hassan, Safa Baqar, Hugh Mackenzie, Sebastian Smolarek
    Colorectal Disease.2025;[Epub]     CrossRef
  • Short-term Outcomes of Robotic Lateral Pelvic Lymph Node Dissection for Lower Rectal Cancer
    Wataru Sakamoto, Satoshi Fukai, Takahiro Sato, Misato Ito, Takuro Matsumoto, Mai Ashizawa, Shun Chida, Hisashi Onozawa, Hirokazu Okayama, Hisahito Endo, Motonobu Saito, Zenichiro Saze, Tomoyuki Momma, Koji Kono
    FUKUSHIMA JOURNAL OF MEDICAL SCIENCE.2025;[Epub]     CrossRef
  • Robotic versus laparoscopic total mesorectal excision with lateral lymph node dissection for advanced rectal cancer: A systematic review and meta-analysis
    Mohamed Ali Chaouch, Mohammad Iqbal Hussain, Adriano Carneiro da Costa, Alessandro Mazzotta, Bassem Krimi, Amine Gouader, Eddy Cotte, Jim Khan, Hani Oweira, Tsutomu Kumamoto
    PLOS ONE.2024; 19(5): e0304031.     CrossRef
  • The role of lateral pelvic lymph node dissection in advanced rectal cancer: a review of current evidence and outcomes
    Gyu-Seog Choi, Hye Jin Kim
    Annals of Coloproctology.2024; 40(4): 363.     CrossRef
  • Robotic-assisted versus laparoscopic-assisted extended mesorectal excision: a comprehensive meta-analysis and systematic review of perioperative and long-term outcomes
    Ahmed Abdelsamad, Mohammed Khaled Mohammed, Aya Sayed Ahmed Said Serour, Ibrahim Khalil, Zeyad M. Wesh, Laila Rashidi, Mike Ralf Langenbach, Florian Gebauer, Khaled Ashraf Mohamed
    Surgical Endoscopy.2024; 38(11): 6464.     CrossRef
  • Short-term outcomes of 47 selective laparoscopic lymph node dissection for rectal cancer: A retrospective study
    Xiajuan Xue, Shuijie Lin, Qunzhang Zeng, Yincong Guo
    Medicine.2024; 103(43): e39684.     CrossRef
  • Robot-assisted lateral pelvic lymph node dissection in patients with advanced rectal cancer: a single-center experience of 65 cases
    Eon Bin Kim, Yong Sik Yoon, Min Hyun Kim, Young Il Kim, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
    Journal of Robotic Surgery.2023; 17(4): 1697.     CrossRef
  • Robotic pelvic side‐wall dissection and en‐bloc excision for locally advanced and recurrent rectal cancer: outcomes on feasibility and safety
    Naradha Lokuhetty, José Tomás Larach, Amrish K. S. Rajkomar, Helen Mohan, Peadar S. Waters, Alexander G. Heriot, Satish K. Warrier
    ANZ Journal of Surgery.2022; 92(9): 2185.     CrossRef
  • Optimizing outcomes of colorectal cancer surgery with robotic platforms
    Se-Jin Baek, Guglielmo Niccolò Piozzi, Seon-Hahn Kim
    Surgical Oncology.2022; 43: 101786.     CrossRef
  • Standardized Step-by-step Technique Using Surgical Landmarks in Robotic Lateral Pelvic Lymph Node Dissection
    Jung Hoon Bae, Wooree Koh, Hyun Ho Kim, Yoon Suk Lee
    Annals of Coloproctology.2021; 37(1): 58.     CrossRef
  • Optimizing outcomes of colorectal cancer surgery with robotic platforms
    Se-Jin Baek, Guglielmo Niccolò Piozzi, Seon-Hahn Kim
    Surgical Oncology.2021; 37: 101559.     CrossRef
  • Long-term clinical outcomes of total mesorectal excision and selective lateral pelvic lymph node dissection for advanced low rectal cancer: a comparative study of a robotic versus laparoscopic approach
    S. H. Song, G.-S. Choi, H. J. Kim, J. S. Park, S. Y. Park, S.-M. Lee, J. A. Choi, H. A. Seok
    Techniques in Coloproctology.2021; 25(4): 413.     CrossRef
  • Lateral Pelvic Lymph Node Dissection After Neoadjuvant Chemoradiotherapy in Patients With Rectal Cancer: A Single-Center Experience and Literature Review
    Min Chul Kim, Jae Hwan Oh
    Annals of Coloproctology.2021; 37(6): 382.     CrossRef
  • Robotic surgery for colorectal disease: review of current port placement and future perspectives
    Jong Lyul Lee, Hassan A. Alsaleem, Jin Cheon Kim
    Annals of Surgical Treatment and Research.2020; 98(1): 31.     CrossRef
  • Laparoscopic and robotic lateral lymph node dissection for rectal cancer
    Ryota Nakanishi, Tomohiro Yamaguchi, Takashi Akiyoshi, Toshiya Nagasaki, Satoshi Nagayama, Toshiki Mukai, Masashi Ueno, Yosuke Fukunaga, Tsuyoshi Konishi
    Surgery Today.2020; 50(3): 209.     CrossRef
  • Robotic Surgery for Rectal Cancer: Operative Technique and Review of the Literature
    Hidetoshi Katsuno, Tsunekazu Hanai, Koji Masumori, Yoshikazu Koide, Keigo Ashida, Hiroshi Matsuoka, Yosuke Tajima, Tomoyoshi Endo, Masahiro Mizuno, Yeongcheol Cheong, Kotaro Maeda, Ichiro Uyama
    Journal of the Anus, Rectum and Colon.2020; 4(1): 14.     CrossRef
  • Lateral pelvic lymph node dissection in the management of locally advanced low rectal cancer: Summary of the current evidence
    Mootaz Elhusseini, Emad H. Aly
    Surgical Oncology.2020; 35: 418.     CrossRef
  • Radiation Therapy Dose Escalation to Clinically Involved Pelvic Sidewall Lymph Nodes in Locally Advanced Rectal Cancer
    Pehr E. Hartvigson, Smith Apisarnthanarax, Stephanie Schaub, Stacey Cohen, Greta Bernier, Wui-Jin Koh, Edward Y. Kim
    Advances in Radiation Oncology.2019; 4(3): 478.     CrossRef
  • Robotic rectal surgery in Korea: Analysis of a nationwide registry
    Se‐Jin Baek, Jung‐Myun Kwak, Jin Kim, Seon‐Hahn Kim, Sungsoo Park
    The International Journal of Medical Robotics and Computer Assisted Surgery.2018;[Epub]     CrossRef
  • Selective lateral pelvic lymph node dissection: a comparative study of the robotic versus laparoscopic approach
    Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park, Hee Jae Lee, In Taek Woo, In Kyu Park
    Surgical Endoscopy.2018; 32(5): 2466.     CrossRef
  • Oncological outcomes of robotic-assisted laparoscopic versus open lateral lymph node dissection for locally advanced low rectal cancer
    Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Akinobu Furutani, Shoichi Manabe, Yusuke Yamaoka, Hitoshi Hino
    Surgical Endoscopy.2018; 32(11): 4498.     CrossRef
  • Learning Curve of Robotic Rectal Surgery With Lateral Lymph Node Dissection: Cumulative Sum and Multiple Regression Analyses
    Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Koji Murono, Kazuhito Sasaki, Manabu Kaneko, Shigenobu Emoto, Hiroaki Nozawa
    Journal of Surgical Education.2018; 75(6): 1598.     CrossRef
  • Long-term oncological outcomes of robotic versus laparoscopic total mesorectal excision of mid–low rectal cancer following neoadjuvant chemoradiation therapy
    Dae Ro Lim, Sung Uk Bae, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
    Surgical Endoscopy.2017; 31(4): 1728.     CrossRef
  • Optimal treatment strategies for clinically suspicious lateral pelvic lymph node metastasis in rectal cancer
    Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park, Seung Hyun Cho, Soo Jung Lee, Byung Woog Kang, Jong Gwang Kim
    Oncotarget.2017; 8(59): 100724.     CrossRef
  • Robotic-assisted laparoscopic versus open lateral lymph node dissection for advanced lower rectal cancer
    Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyuki Tomioka, Hiroyasu Kagawa
    Surgical Endoscopy.2016; 30(2): 721.     CrossRef
  • Technical feasibility of laparoscopic extended surgery beyond total mesorectal excision for primary or recurrent rectal cancer
    Takashi Akiyoshi
    World Journal of Gastroenterology.2016; 22(2): 718.     CrossRef
  • Surgical management of extra-regional lymph node metastasis in colorectal cancer
    Mahdi H. Albandar, Min Soo Cho, Sung Uk Bae, Nam Kyu Kim
    Expert Review of Anticancer Therapy.2016; 16(5): 503.     CrossRef
  • Robotic-assisted lateral lymph node dissection for lower rectal cancer: short-term outcomes in 50 consecutive patients
    Hiroyasu Kagawa, Yusuke Kinugasa, Akio Shiomi, Tomohiro Yamaguchi, Syunsuke Tsukamoto, Hiroyuki Tomioka, Yushi Yamakawa, Sumito Sato
    Surgical Endoscopy.2015; 29(4): 995.     CrossRef
  • Minimally Invasive Techniques for an Intersphincteric Resection and Lateral Pelvic Lymph Node Dissection in Rectal Cancer
    Jung Wook Huh
    Annals of Coloproctology.2014; 30(4): 163.     CrossRef
  • Minimally Invasive Surgery for Rectal Cancer
    Matthew Crapko, James Fleshman
    Annals of Surgical Oncology.2014; 21(1): 173.     CrossRef
  • Robotic and laparoscopic pelvic lymph node dissection for rectal cancer: short-term outcomes of 21 consecutive series
    Sung Uk Bae, Avanish P. Saklani, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
    Annals of Surgical Treatment and Research.2014; 86(2): 76.     CrossRef
  • Robotics in general surgery: An evidence‐based review
    Se‐Jin Baek, Seon‐Hahn Kim
    Asian Journal of Endoscopic Surgery.2014; 7(2): 117.     CrossRef
  • Robotic-Assisted Abdominoperineal Resection With Obturator Lymph Node Dissection
    Kevin R. Kasten, Jean V. Joseph, Todd D. Francone
    Diseases of the Colon & Rectum.2014; 57(11): 1329.     CrossRef
  • Current Status and Future Perspectives of Robotic Surgery for Colorectal Cancer
    Hidetoshi Katsuno, Koutarou Maeda, Tsunekaze Hanai, Harunobu Sato, Koji Masumori, Yoshikazu Koide, Hiroshi Matsuoka, Miho Shiota, Tomoyoshi Endo, Shinji Matsuoka, Kohei Hatta, Masahiro Mizuno, Kunihiro Tohyama
    Nippon Daicho Komonbyo Gakkai Zasshi.2013; 66(10): 982.     CrossRef
Ann Coloproctol : Annals of Coloproctology Twitter Facebook
© Korean Society of Coloproctology.
TOP