Copyright ©2010 Baishideng.
World J Gastrointest Surg. Apr 27, 2010; 2(4): 95-100
Published online Apr 27, 2010. doi: 10.4240/wjgs.v2.i4.95
Table 1 Answers to criticism of extended pelvic lymphadenectomy
Low rate of lateral lymph node metastasis
15.6% for Rba, 12.2% for Rb T3, 25.1% for Rb T4[1]
Poor survival for lateral lymph node positive cases even after dissection
5-year survival of 45.8% in lateral lymph node positive cases[1]
Increased Morbidity
Yes, but decreased by autonomic nerve-preservation[5,6]
Longer operative time and blood loss