Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video)

Hongjie Yang; Peishi Jiang; Zhichun Zhang; Jiafei Liu; Yuanda Zhou; Peng Li; Qingsheng Zeng; Yu Long; Xipeng Zhang; Yi Sun

doi:10.5114/wiitm.2024.140318

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video)

Hongjie Yang

^{1, 2, 3, 4}

,

Peishi Jiang

³

,

Zhichun Zhang

^{1, 2, 3, 4}

,

Jiafei Liu

^{1, 2, 4}

,

Yuanda Zhou

^{1, 2, 4}

,

Peng Li

^{1, 2, 4}

,

Qingsheng Zeng

^{1, 2, 4}

,

Yu Long

^{1, 2, 4}

,

Xipeng Zhang

^{1, 2, 3, 4}

,

Yi Sun

^{1, 2, 3, 4}

Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, China
The Institute of Translational Medicine, Tianjin Union Medical Center of Nankai University, Tianjin, China
Nankai University, Tianjin, China
Tianjin Institute of Coloproctology, Tianjin, China

Videosurgery Miniinv 2024; 19 (2): 223–232

DOI: https://doi.org/10.5114/wiitm.2024.140318

Online publish date: 2024/06/17

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EndNote

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AMA

Yang H, Jiang P, Zhang Z, et al. Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video). Videosurgery and Other Miniinvasive Techniques. 2024;19(2):223-232. doi:10.5114/wiitm.2024.140318.

APA

Yang, H., Jiang, P., Zhang, Z., Liu, J., Zhou, Y.,  & Li, P. et al. (2024). Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video). Videosurgery and Other Miniinvasive Techniques, 19(2), 223-232. https://doi.org/10.5114/wiitm.2024.140318

Chicago

Yang, Hongjie, Peishi Jiang, Zhichun Zhang, Jiafei Liu, Yuanda Zhou, Peng Li,  and Qingsheng Zeng et al. 2024. "Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video)". Videosurgery and Other Miniinvasive Techniques 19 (2): 223-232. doi:10.5114/wiitm.2024.140318.

Harvard

Yang, H., Jiang, P., Zhang, Z., Liu, J., Zhou, Y., Li, P., Zeng, Q., Long, Y., Zhang, X.,  and Sun, Y. (2024). Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video). Videosurgery and Other Miniinvasive Techniques, 19(2), pp.223-232. https://doi.org/10.5114/wiitm.2024.140318

MLA

Yang, Hongjie et al. "Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video)." Videosurgery and Other Miniinvasive Techniques, vol. 19, no. 2, 2024, pp. 223-232. doi:10.5114/wiitm.2024.140318.

Vancouver

Yang H, Jiang P, Zhang Z, Liu J, Zhou Y, Li P et al. Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video). Videosurgery and Other Miniinvasive Techniques. 2024;19(2):223-232. doi:10.5114/wiitm.2024.140318.

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Introduction
Lateral lymph node dissection (LLND) has now been widely accepted as the optimal procedure to minimize lateral local recurrence (LLR) for selected cases with advanced lower rectal cancer in Asian countries. However, there is still controversy over the preservation or resection of the inferior vesical vessels (IVVs) during LLND due to concerns of impaired post-operative urinary function. Moreover, the standardized procedure for autonomic nerve preservation has not yet been established.

Aim
To evaluate the early-stage postoperative voiding function in patients who underwent LLND with uni- versus bilateral resection of the IVVs and to introduce an autonomic nerve sparing technique with a fascial space priority approach (FSPA).

Material and methods
LLND was performed in 106 consecutive patients with advanced low rectal cancer at Tianjin Union Medical Center from May 2017 to October 2022. Prospectively collected clinical data were retrospectively compared between patients who received uni-lateral and bilateral LLND. A video with narration was provided to introduce the stepwise procedure of autonomic nerve preservation during IVV resection.

Results
The unilateral lymph node dissection (LND) group and the bilateral LND group included 75 and 31 cases, respectively. All LLNDs were performed with FSPA with IVV resection as a standard procedure. No significant differences were observed in overall catheterization days (p = 0.336) and re-catheterization rate (p = 0.575) between groups. No patients in either group suffered from long-term (≥ 30 days) voiding dysfunction.

Conclusions
Autonomic nerve sparing is achievable with resection of IVVs during LLND. Satisfactory early-stage voiding function could be obtained with IVV resection on both sides.

keywords:

Early-stage voiding function following uni- versus bilateral inferior vesical vessel resection during therapeutic lateral lymph node dissection with autonomic nerve sparing for advanced low rectal cancer (with video)

Hongjie Yang 1, 2, 3, 4 , Peishi Jiang 3 , Zhichun Zhang 1, 2, 3, 4 , Jiafei Liu 1, 2, 4 , Yuanda Zhou 1, 2, 4 , Peng Li 1, 2, 4 , Qingsheng Zeng 1, 2, 4 , Yu Long 1, 2, 4 , Xipeng Zhang 1, 2, 3, 4 , Yi Sun 1, 2, 3, 4

lateral lymph node dissection, inferior vesical vessels, autonomic nerve sparing

Hongjie Yang

^{1, 2, 3, 4}

,

Peishi Jiang

³

,

Zhichun Zhang

^{1, 2, 3, 4}

,

Jiafei Liu

^{1, 2, 4}

,

Yuanda Zhou

^{1, 2, 4}

,

Peng Li

^{1, 2, 4}

,

Qingsheng Zeng

^{1, 2, 4}

,

Yu Long

^{1, 2, 4}

,

Xipeng Zhang

^{1, 2, 3, 4}

,

Yi Sun

^{1, 2, 3, 4}