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178382

The Number of Lymph Nodes Harvested in Open and Laparoscopic Colo-Rectal Surgery: A Comparative Study

Article

Last updated: 23 Jan 2023

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Abstract

Background: The prognostic significance of identifying lymph node metastasis in cancer colon and rectum is of great importance. There is an association between the number of lymph nodes in the resection specimen and survival particularly in node negative cancer.  Aim: This study aims at comparing the number of lymph nodes harvested in open and laparoscopic colorectal surgery for colorectal cancer.  Patients and methods: This is a prospective study involving 40 patients with left sided colonic cancer and rectal cancer. The patients were divided into equal 4 groups: Group (1A): patients who underwent open left hemicolectomy or sigmoidectomy Group (1B): Patients who underwent laparoscopic left hemicolectomy or sigmoidectomy Group (2A): Patients who underwent open anterior or low anterior resection Group (2B): Patients who underwent laparoscopic anterior or low anterior resection Histopathological examination of the retrieved specimens and assessment of the number of lymph nodes was done. Data was compared among different groups.  Results: In laparoscopic procedures, more lymph nodes were retrieved than in open surgery with statistically significant difference (p-value 0.019). The mean SD of number of lymph nodes retrieved was 14 in the laparoscopic group versus 10.5 in the open group.  Conclusion: Laparoscopic resection of left sided colorectal cancer yields adequate samples of lymph nodes number that are comparable to those obtained by open surgery.

DOI

10.21608/asjs.2018.178382

Keywords

Lymph node harvest, colorectal cancer, laparoscopic resection

Authors

First Name

Ahmed

Last Name

Morad

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

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City

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Orcid

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First Name

Tarek

Last Name

Youssef

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Ahmed

Last Name

Aly

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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Volume

11

Article Issue

1

Related Issue

25663

Issue Date

2018-01-01

Receive Date

2021-06-17

Publish Date

2018-01-01

Page Start

1

Page End

9

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_178382.html

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https://asjs.journals.ekb.eg/service?article_code=178382

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1

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023