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<p>Lateral pelvic lymph node dissection (LPLND) provides oncologic benefits in patients with rectal cancer who have enlarged lateral nodes. However, anatomical complexity in the lateral pelvis makes&#xa0;the procedure technically challenging,&#xa0; which may lead to&#xa0; increased intraoperative blood loss, prolonged operative time, postoperative&#xa0;complications and incomplete lymph node dissection. To address such technical&#xa0; challenges, various surgical navigation tools have been developed. In this up-to-date narrative review, we summarize the current evidence on surgical navigation for LPLND and discuss their advantages,&#xa0; limitations and future perspectives.</p>

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Surgical navigation for lateral pelvic lymph node dissection in rectal cancer

  • 期刊论文

  • 发表日期：

    2025年2月12日

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  • K. Ochiai,
  • S. Ishihara

摘要

Lateral pelvic lymph node dissection (LPLND) provides oncologic benefits in patients with rectal cancer who have enlarged lateral nodes. However, anatomical complexity in the lateral pelvis makes the procedure technically challenging,  which may lead to  increased intraoperative blood loss, prolonged operative time, postoperative complications and incomplete lymph node dissection. To address such technical  challenges, various surgical navigation tools have been developed. In this up-to-date narrative review, we summarize the current evidence on surgical navigation for LPLND and discuss their advantages,  limitations and future perspectives.