Sharma Ankit, Manohkaran Subhathira, Saklani Avanish
Colorectal Division, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
Tech Coloproctol. 2025 Jan 23;29(1):55. doi: 10.1007/s10151-024-03081-4.
The introduction of total mesorectal excision improved locoregional control for rectal adenocarcinoma significantly. Standardisation of the technique of LPLND is lacking in literature.
We describe the current practices of case selection and technical details of lateral lymph node dissection in rectal cancer. We also describe the approach when post neo-adjuvant fibrosis renders standard resection unsafe.
Careful case selection and standardisation of the lateral lymph node dissection technique is important to ensure an oncologically sound and surgically procedure . Step-by-step procedures of LPLND are described in this article, and a video is demonstrated.
Standardisation of the techniques of lateral lymph node dissection is essential. The procedure has a definite learning curve, requiring considerable expertise to avoid complications and achieve optimal outcomes.
全直肠系膜切除术的引入显著改善了直肠腺癌的局部区域控制。文献中缺乏侧方淋巴结清扫术（LPLND）技术的标准化。
我们描述了直肠癌病例选择的当前实践以及侧方淋巴结清扫的技术细节。我们还描述了新辅助治疗后纤维化使标准切除不安全时的处理方法。
仔细的病例选择和侧方淋巴结清扫技术的标准化对于确保肿瘤学上合理且手术可行的操作很重要。本文描述了LPLND的逐步操作步骤，并展示了一段视频。
侧方淋巴结清扫技术的标准化至关重要。该手术有明确的学习曲线，需要相当的专业知识以避免并发症并实现最佳结果。
