Randomized, controlled trial of lateral node dissectionvs. nerve-preserving resection in patients with rectal cancer after preoperative radiotherapy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-09

AUTHORS

Hirokazu Nagawa, Tetsuichiro Muto, Koki Sunouchi, Yoshiki Higuchi, Giichiro Tsurita, Toshiaki Watanabe, Toshio Sawada

ABSTRACT

PURPOSE: The effectiveness of preoperative radiation therapy for advanced lower rectal carcinoma to preserve the function of pelvic organs and reduce local recurrences was examined in a prospective, randomized, controlled study. METHODS: Fifty-one patients with a diagnosis of localized and resectable adenocarcinoma of the lower rectum undergoing 50 Gy of preoperative radiotherapy were recruited into the trial between April 1993 and March 1995. The patients were randomly allocated to complete autonomic nerve-preserving surgery without lateral node dissection (D1), or surgery with dissection of the lateral lymph nodes including autonomic nerves (D2) followed by oral administration of carmofur for one year. RESULTS: No difference was observed in either survival or disease-free survival between D1 and D2 groups. There was no difference between the two groups in terms of recurrence rate. A significant difference was observed in urinary and sexual function (P = 0.02 and 0.02, respectively) one year after surgery between D1 and D2 groups. CONCLUSION: This study suggests that lateral node dissection is not necessary in terms of curability for patients with advanced carcinoma of the lower rectum who undergo preoperative radiotherapy. More... »

PAGES

1274-1280

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02234784

DOI

http://dx.doi.org/10.1007/bf02234784

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1024564402

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11584199


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