Robotic Lateral Pelvic Lymph Node Dissection for Advanced Rectal Cancer: Bridging Eastern Surgical Precision and Western Multimodal Strategy
Dai Shida · 2025
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Description
Cancer low in the rectum can spread to lymph nodes along the pelvic sidewall, and East and West have long disagreed about what to do. Dai Shida reviews the divide in a 2025 paper. Japanese guidelines treat those nodes as regional disease to be cut out. Western practice long treated them as body-wide disease, favoring drug and radiation therapy before surgery without the extra clearance.
Trial evidence has since shown the dissection sharply cuts local relapse, especially with enlarged nodes, and 2025 European guidelines now endorse selective removal after drug treatment. Robot surgery suits the hard-to-reach area, with steady 3D vision and wristed tools across four defined tissue planes. Shida frames robotic dissection as a meeting point of Eastern surgical craft and Western combined therapy.
Catalog record
| CREATOR | Dai Shida |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 50 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |