- The Feasibility of an Ex-vivo Sentinel Lymph Mapping Using Preoperative Radioisotope Injection in Cases of Extraperitoneal Rectal Cancer
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Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeon Park, Yun Jung Park, Sang-Woo Lee, Ziguang Xu, Han Ik Bae
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J Korean Soc Coloproctol. 2011;27(2):83-89. Published online April 30, 2011
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DOI: https://doi.org/10.3393/jksc.2011.27.2.83
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The purpose of this research was to evaluate the feasibility of sentinel lymph node (SLN) mapping involving transanal injection with an ex-vivo mapping in patients with rectal cancer. MethodsBetween April 2007 and December 2009, 20 consecutive patients with T1-3, N0-1 clinical stage rectal cancer preoperatively underwent a SLN procedure using submucosal 99mTc-phytate injection. All the patients underwent a total mesorectal excision. After the standard surgical resection, all specimens were identified on lymphoscintigraphy, and bench work was done to pick up the sentinel node basin. All the lymph nodes (non-SLNs and SLNs) were examined using conventional hematoxylin and eosin staining and immunohistochemistry with anti-cytokeratin antibodies. ResultsSLNs were identified from 19 of 20 patients with rectal cancer. The total number of sentinel nodes retrieved from the surgical specimens was 29, and the mean number per patient was 1.6 (range, 0 to 4). In three patients, the SLN was the only positive lymph node. There was one false-negative case with a sensitivity of 88.8% and two upstaged cases (20.0%). The SLN samples from rectal cancer are mainly localized in the pararectal region, but aberrant nodes receive direct drainage from the rectal cancer. On planar lymphoscintigraphy, 15.7% of all patients had aberrant lymphatic drainage to the sigmoid mesenteric or sigmoid lymph node station. ConclusionIn conclusion, the intraoperative transanal injection for ex-vivo SLN navigation is a safe, feasible surgical modality in patients with rectal cancer. Large studies are warranted to determine the clinical significance of the SLN concept and micrometastasis in rectal cancer.
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Citations
Citations to this article as recorded by  - In vivo lymph node mapping and pattern of metastasis spread in locally advanced mid/low rectal cancer after neoadjuvant chemoradiotherapy
E. Farinella, L. Viganò, M. C. Fava, M. Mineccia, F. Bertolino, L. Capussotti
International Journal of Colorectal Disease.2013; 28(11): 1523. CrossRef - A rectumtumorok sebészete
Péter Metzger
Magyar Sebészet.2012; 65(3): 129. CrossRef
- Short-term Outcomes of a Laparoscopic Left Hemicolectomy for Descending Colon Cancer: Retrospective Comparison with an Open Left Hemicolectomy
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Kil-Su Han, Gyu-Seog Choi, Jun-Seok Park, Hye Jin Kim, Soo Yeon Park, Soo-Han Jun
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J Korean Soc Coloproctol. 2010;26(5):347-353. Published online October 31, 2010
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DOI: https://doi.org/10.3393/jksc.2010.26.5.347
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5,654
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61
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22
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- Purpose
Many randomized clinical trials have been performed to treat a colorectal neoplasm with the exclusion of descending colon cancer. The aim of the present study was to investigate the difference in surgical outcomes between a laparoscopic left hemicolectomy and a conventional open left hemicolectomy for descending colon cancer. MethodsA retrospective study of ninety patients with descending colon cancer, who underwent a laparoscopic (LAP) or open left hemicolectomy (OS) between May 1998 and December 2009 at Kyungpook National University Hospital, was performed. Clinicopathological and surgical outcomes were compared between the LAP and the OS for descending colon cancer. ResultsThe baseline characteristics, including age, gender, body mass index, history of prior abdominal surgical history and tumor location, were similar between the two groups. The mean operation time was 156.2 minutes for the LAP group and 223.2 minutes for the OS group (P < 0.001). Intraoperative blood loss was significantly greater in the OS group (37.5 mL vs. 80.4 mL; P = 0.039). The postoperative recovery in the LAP group was faster, as reflected by the shorter time to pass gas and the shorter hospital stay. Pathological examinations showed the surgery to be equally radical in the two groups. The median follow-up was 21 months and there were 3 distant metastases (8.5%) during follow-up in the LAP group, but no port-site or local recurrence. ConclusionA laparoscopic left hemicolectomy is a technically safe and feasible procedure for treating descending colon cancer. Prospective multi-center trials are necessary to establish the LAP as the standard treatment for descending colon cancer.
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Citations
Citations to this article as recorded by - Anastomotic Leak Rate and Prolonged Postoperative Paralytic Ileus in Patients Undergoing Laparoscopic Surgery for Colo-Rectal Cancer After Placement of No-Coil Endoanal Tube
Michele Ammendola, Giorgio Ammerata, Francesco Filice, Rosalinda Filippo, Michele Ruggiero, Roberto Romano, Riccardo Memeo, Patrick Pessaux, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
Surgical Innovation.2023; 30(1): 20. CrossRef - Short- and long-term outcomes of preservation versus ligation of the inferior mesenteric artery in laparoscopic D3 lymph node dissection for descending colon cancer: a propensity score-matched analysis
Aya Sato, Ken Imaizumi, Hiroyuki Kasajima, Kentaro Ichimura, Kentaro Sato, Daisuke Yamana, Yosuke Tsuruga, Minoru Umehara, Michihiro Kurushima, Kazuaki Nakanishi
Langenbeck's Archives of Surgery.2023;[Epub] CrossRef - Left hemicolectomy and low anterior resection in colorectal cancer patients: Knight–griffen vs. transanal purse-string suture anastomosis with no-coil placement
Michele Ammendola, Francesco Filice, Caterina Battaglia, Roberto Romano, Francesco Manti, Roberto Minici, Nicola de'Angelis, Riccardo Memeo, Domenico Laganà, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
Frontiers in Surgery.2023;[Epub] CrossRef - The impact of laparoscopic, open, extended right, and left colectomy on clinical outcomes of splenic flexure colon cancer: A meta-analysis
Hefei Cheng, Minjian Zhou, Lianlei Yang, Ziqi Sui
Medicine.2023; 102(19): e33742. CrossRef - European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
N. Beghdadi, N. de’Angelis, F. Brunetti, G. Bianchi, J. Pham, P. Genova, I. Sobhani, A. Martínez-Pérez, S.A. Gómez, M.T. Torres, C. Payá, P. Gonzálvez, D.C. Winter, A. Stakelum, A. Zaborowski, F. Landi, A. Sueiras-Gil, R. Hevia, G.C. Vitali, M. Assalino,
Journal of Visceral Surgery.2022; 159(5): 373. CrossRef - Résection par cœlioscopie versus laparotomie des carcinomes de l’angle colique gauche : une étude multicentrique européenne avec appariement selon le score de propension
N. Beghdadi, A. Martínez-Pérez, D.C. Winter, F. Landi, G.C. Vitali, B. Le Roy, D. Pezet, F. Coccolini, V. Celentano, A. Stakelum, M. Assalino, A. Solis, C. Denet, S. Di Saverio, F. Brunetti, F. Ris, D. Fuks, E. Espin, N. de’Angelis, G. Bianchi, J. Pham, P
Journal de Chirurgie Viscérale.2022; 159(5): 396. CrossRef - Laparoscopic versus open surgery for left flexure colon cancer: A propensity score matched analysis from an international cohort
Corrado Pedrazzani, Giulia Turri, Soo Yeun Park, Koya Hida, Yudai Fukui, Jacopo Crippa, Giovanni Ferrari, Matteo Origi, Gaya Spolverato, Matteo Zuin, Sung Uk Bae, Seong Kyu Baek, Andrea Costanzi, Dario Maggioni, Gyung Mo Son, Andrea Scala, Timothy Rockall
Colorectal Disease.2022; 24(2): 177. CrossRef - Clinical impact of inferior mesenteric vein preservation during left hemicolectomy with low ligation of the inferior mesenteric artery for distal transverse and descending colon cancers: A comparative study based on computed tomography
Jung Wook Suh, Jihoon Park, Jeehye Lee, In Jun Yang, Hong-Min Ahn, Heung-Kwon Oh, Duck-Woo Kim, Sung-Bum Kang
Frontiers in Oncology.2022;[Epub] CrossRef - Extended right colectomy, left colectomy, or segmental left colectomy for splenic flexure carcinomas: a European multicenter propensity score matching analysis
Nicola de’Angelis, Aleix Martínez-Pérez, Des C. Winter, Filippo Landi, Giulio Cesare Vitali, Bertrand Le Roy, Federico Coccolini, Francesco Brunetti, Valerio Celentano, Salomone Di Saverio, Frederic Ris, David Fuks, Eloy Espin
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