Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer

Kobayashi, Yuta; Uemura, Mamoru; Paku, Masakatsu; Kitakaze, Masatoshi; Tei, Mitsuyoshi; Kagawa, Yoshinori; Takeda, Mitsunobu; Sekido, Yuki; Hata, Tsuyoshi; Hamabe, Atsushi; Ogino, Takayuki; Miyoshi, Norikatsu; Doki, Yuichiro; Eguchi, Hidetoshi

doi:https://doi.org/10.21873/anticanres.16860

Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer

Kobayashi, Yuta; Uemura, Mamoru; Paku, Masakatsu et al.

Anticancer Research, 2024, 44(2), 695-701

アクセス数:92件（2025-04-28 20:04 集計）

固定URL: https://hdl.handle.net/11094/97176

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タイトル	Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer
著者	著者名 Kobayashi, Yuta
	NRID 1000010528483 1000010528483 ORCID 0000-0001-6285-5619 0000-0001-6285-5619 researchmap permalink mamoruuemura mamoruuemura Scopus Author ID 36796497400 36796497400 著者名 Uemura, Mamoru
	NRID 1000080804468 1000080804468 著者名 Paku, Masakatsu
	NRID 1000030835252 1000030835252 著者名 Kitakaze, Masatoshi
	著者名 Tei, Mitsuyoshi
	NRID 1000080571364 1000080571364 著者名 Kagawa, Yoshinori
	NRID 1000090768962 1000090768962 researchmap permalink takeda27832 takeda27832 著者名 Takeda, Mitsunobu
	NRID 1000000781709 1000000781709 researchmap permalink 00781709 00781709 Scopus Author ID 57193691322 57193691322 著者名 Sekido, Yuki
	NRID 1000080749747 1000080749747 researchmap permalink tsuyoshi_hata tsuyoshi_hata Scopus Author ID 57189996374 57189996374 著者名 Hata, Tsuyoshi
	NRID 1000060621034 1000060621034 ORCID 0000-0001-5535-3514 0000-0001-5535-3514 researchmap permalink hamabe_atsushi hamabe_atsushi 著者名 Hamabe, Atsushi
	NRID 1000050597458 1000050597458 researchmap permalink togino04 togino04 Scopus Author ID 57200254430 57200254430 著者名 Ogino, Takayuki
	NRID 1000020528624 1000020528624 researchmap permalink nor nor Scopus Author ID 9242781300 9242781300 著者名 Miyoshi, Norikatsu
	NRID 1000020291445 1000020291445 researchmap permalink ydoki3251 ydoki3251 Scopus Author ID 7006390687 7006390687 著者名 Doki, Yuichiro
	NRID 1000090542118 1000090542118 researchmap permalink abcdabcdabcd abcdabcdabcd Scopus Author ID 7101627772 7101627772 著者名 Eguchi, Hidetoshi
キーワード等	lateral lymph node dissection
	surgery for rectal cancer
	Venous thromboembolism
内容	Kobayashi Y., Uemura M., Paku M., et al. Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer. Anticancer Research 44, 695 (2024); https://doi.org/10.21873/anticanres.16860 .
抄録	Background/Aim: Postoperative venous thromboembolism (VTE) is a well-recognized complication that leads to morbidity and mortality. Lateral lymph node dissection (LLND) for rectal cancer is thought to potentially increase the risk of VTE due to its technical complexity. However, the relationship between LLND and VTE remains inadequately understood. The aim of this study was to elucidate the impact of LLND on the incidence of postoperative VTE. Patients and Methods: This is a retrospective analysis of patients who underwent rectal cancer resection between 2010 and 2018 to identify the risk factors associated with postoperative VTE. Patients were divided into two groups: those who underwent surgery with LLND (LLND+ group) and those who underwent surgery without LLND (LLND– group). Results: A total of 543 patients were enrolled in this study, and 113 patients underwent surgery for rectal cancer with LLND. VTE developed in 8 patients (1.47%), with the incidence rates being 4.42% in the LLND+ group and 0.69% in the LLND–group, respectively (p=0.012). Three of 8 patients had developed severe postoperative complications, and the other two patients needed intraoperative repair of the iliac vein during LLND procedure. Multivariate analysis identified the incidence of postoperative complications and LLND as the independent risk factors of VTE. Conclusion: Patients undergoing rectal cancer surgery with LLND should be closely monitored for signs of VTE.
出版者	International Institute of Anticancer Research
収録物名	Anticancer Research
巻(号)	44(2)
ページ	695-701
刊行年月	2024-02-01
言語	英語
ハンドルURL	https://hdl.handle.net/11094/97176
PISSN	02507005
eISSN	17917530
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.21873/anticanres.16860
アクセス権	open access
権利情報	© 2024 International Institute of Anticancer Research. All rights reserved.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCTERMS.bibliographicCitation	Anticancer Research. 2024, 44(2), p. 695-701
DC.title	Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer
DC.creator	Kobayashi, Yuta
	Uemura, Mamoru
	Paku, Masakatsu
	Kitakaze, Masatoshi
	Tei, Mitsuyoshi
	Kagawa, Yoshinori
	Takeda, Mitsunobu
	Sekido, Yuki
	Hata, Tsuyoshi
	Hamabe, Atsushi
	Ogino, Takayuki
	Miyoshi, Norikatsu
	Doki, Yuichiro
	Eguchi, Hidetoshi
DC.publisher	International Institute of Anticancer Research
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2024-02-01
DC.identifier	https://doi.org/10.21873/anticanres.16860
DC.subject	lateral lymph node dissection
	surgery for rectal cancer
	Venous thromboembolism
DC.description	Kobayashi Y., Uemura M., Paku M., et al. Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer. Anticancer Research 44, 695 (2024); https://doi.org/10.21873/anticanres.16860 .
DCTERMS.abstract	Background/Aim: Postoperative venous thromboembolism (VTE) is a well-recognized complication that leads to morbidity and mortality. Lateral lymph node dissection (LLND) for rectal cancer is thought to potentially increase the risk of VTE due to its technical complexity. However, the relationship between LLND and VTE remains inadequately understood. The aim of this study was to elucidate the impact of LLND on the incidence of postoperative VTE. Patients and Methods: This is a retrospective analysis of patients who underwent rectal cancer resection between 2010 and 2018 to identify the risk factors associated with postoperative VTE. Patients were divided into two groups: those who underwent surgery with LLND (LLND+ group) and those who underwent surgery without LLND (LLND– group). Results: A total of 543 patients were enrolled in this study, and 113 patients underwent surgery for rectal cancer with LLND. VTE developed in 8 patients (1.47%), with the incidence rates being 4.42% in the LLND+ group and 0.69% in the LLND–group, respectively (p=0.012). Three of 8 patients had developed severe postoperative complications, and the other two patients needed intraoperative repair of the iliac vein during LLND procedure. Multivariate analysis identified the incidence of postoperative complications and LLND as the independent risk factors of VTE. Conclusion: Patients undergoing rectal cancer surgery with LLND should be closely monitored for signs of VTE.
DC.rights	© 2024 International Institute of Anticancer Research. All rights reserved.
DC.format	97176
citation_title	Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer
citation_author	Kobayashi, Yuta
	Uemura, Mamoru
	Paku, Masakatsu
	Kitakaze, Masatoshi
	Tei, Mitsuyoshi
	Kagawa, Yoshinori
	Takeda, Mitsunobu
	Sekido, Yuki
	Hata, Tsuyoshi
	Hamabe, Atsushi
	Ogino, Takayuki
	Miyoshi, Norikatsu
	Doki, Yuichiro
	Eguchi, Hidetoshi
citation_publisher	International Institute of Anticancer Research
citation_language	英語
citation_date	2024-02-01
citation_journal_title	Anticancer Research
citation_volume	44
citation_issue	2
citation_firstpage	695
citation_lastpage	701
citation_doi	https://doi.org/10.21873/anticanres.16860
citation_public_url	https://hdl.handle.net/11094/97176

Venous Thromboembolism Following Lateral Lymph Node Dissection for Rectal Cancer

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