Is laparoscopic colorectal surgery less invasive than classical open surgery? Quantitation of physical activity using an accelerometer to assess postoperative convalescence

2003 ◽  
Vol 17 (8) ◽  
pp. 1269-1273 ◽  
Author(s):  
H. Noro ◽  
M. Yoshikawa ◽  
M. Nomura ◽  
T. Yumiba ◽  
E. Taniguchi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Less Invasive ◽  
Postoperative Convalescence

scholarly journals Primary Outcome of Laparoscopic Colorectal Resections in a Northern Finnish Hospital: A Single Center Study

2018 ◽  
Vol 108 (2) ◽  
pp. 137-143
Author(s):  
H. Huhta ◽  
S. Vuolio ◽  
I. Typpö ◽  
A. Rahko ◽  
K. Suokanerva ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Open Surgery ◽  
Primary Outcome ◽  
Laparoscopic Colorectal Surgery ◽  
Surgical Complication ◽  
Hospital Data ◽  
Patient Registries ◽  
American Society ◽  
Colorectal Resections ◽  
Laparoscopic Colorectal Resections

Background and Aims: Over the past decades, laparoscopic colorectal surgery has become widely used for various indications. Large multicenter studies have demonstrated that laparoscopy has clear advantages over open surgery. Compared to open procedures, laparoscopy decreases perioperative blood loss, post-operative pain, and hospitalization time, but provides equivalent long-term oncological and surgical results. Most studies have been conducted in high-volume institutions with selected patients, which may have influenced the reported outcome of laparoscopy. Here, we investigated the primary outcome of all laparoscopic colorectal resections performed between 2005 and 2015 in a low-volume center. Materials and Methods: This retrospective study included bowel resections performed between 2005 and 2015 in the Lapland Central Hospital. Data were retrieved from electronic patient registries, and all operations that began as a laparoscopy were included. Patient records were investigated to determine the primary surgical outcome and possible complications within the first 30 days after surgery. Results: During 2005–2015, 385 laparoscopic colorectal resections were performed. Indications included benign (n = 166 patients, 43.1%) and malignant lesions (n = 219 cases, 56.9%). The median patient age was 68 years, and 50.4% were male. The median American Society of Anesthesiologist score was III, and 48.5% of patients had an American Society of Anesthesiologist class of III or IV. The median hospital stay after surgery was 6 days (interquartile range: 3.8). The conversion rate to open surgery rate was 13%. The total surgical complication rate was 24.2%, and re-operation was required in 11.2% of patients. A total of 26 patients had anastomotic leakage, of which 16 required re-operations. The 30-day mortality was 0.8%. Conclusion: Our results showed that laparoscopic colorectal surgery in a peripheral hospital resulted in primary outcome rates within the range of those reported in previous multicenter trials. Therefore, the routine use of laparoscopic colorectal resections with high-quality outcome is feasible in small and peripheral surgical units.

Laparoscopic Colorectal Surgery Is Associated With a Higher Intraoperative Complication Rate Than Open Surgery

2011 ◽  
Vol 253 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Tarik Sammour ◽  
Arman Kahokehr ◽  
Sanket Srinivasa ◽  
Ian P. Bissett ◽  
Andrew G. Hill
Keyword(s):  
Colorectal Surgery ◽  
Complication Rate ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Intraoperative Complication

scholarly journals Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review

2021 ◽  
Vol 10 (7) ◽  
pp. 1447
Author(s):  
Constantine Halkias ◽  
Athanasios Zoikas ◽  
Zoe Garoufalia ◽  
Michalis K. Konstantinidis ◽  
Argyrios Ioannidis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Case Reports ◽  
Case Series ◽  
Median Length ◽  
Laparoscopic Operation ◽  
Management Of Complications ◽  
Lateral Pelvic Lymph Nodes

Introduction: Re-operative laparoscopic colorectal surgery is becoming increasingly common. It can be a challenging procedure, but its benefits can outweigh the associated risks. Methods: A systematic review of the literature reporting re-operative laparoscopic surgery was carried out. Retrospective and prospective cohort studies and case series were included, with case reports being excluded. Results: Seventeen articles dated from 2007 to 2020 were included in the systematic review. In total, 1555 patients were identified. Five hundred and seventy-four of them had a laparoscopic procedure and 981 an open re-operation. One hundred and eighty-three women had a laparoscopic operation. The median age ranged from to 44.9 years to 68.7 years. In seven studies, the indication of the index operation was malignancy, one study regarded re-laparoscopy for excision of lateral pelvic lymph nodes, and one study looked at redo surgery of ileal J pouch anal anastomosis. There were 16 mortalities in the laparoscopic arm (2.78%) and 93 (9.4%) in the open surgery arm. One hundred and thirty-seven morbidities were recorded in the open arm and 102 in the laparoscopic arm. Thirty-nine conversions to open occurred. The median length of stay ranged from 5.8 days to 19 days in laparoscopy and 9.7 to 34 days in the open surgery arm. Conclusions: Re-operative laparoscopic colorectal surgery is safe when performed by experienced hands. The management of complications, recurrence of malignancy, and lateral pelvic floor dissection can be safely performed. The complication rate is low, with conversion to open procedures being relatively uncommon.

Périphérique laparoscopic colorectal course

2010 ◽  
Vol 92 (1) ◽  
pp. 20-20
Author(s):  
Ceri Beaton
Keyword(s):  
Colorectal Cancer ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Training Programme ◽  
Open Resection ◽  
Training Scheme ◽  
Wet Lab ◽  
Training Schemes ◽  
National Training

Following the guidance from NICE in 2006 that stated that laparoscopic (including laparoscopically assisted) resection is recommended as an alternative to open resection for individuals with colorectal cancer in whom both laparoscopic and open surgery are considered suitable, training schemes in laparoscopic colorectal surgery (LCS) have been developed. The National Training Programme in Laparoscopic Colorectal Surgery was developed to provide LCS training for consultants in England and the Welsh Laparoscopic Colorectal Training Scheme [see article above] is open to SpRs and colorectal consultants in Wales. Wet-lab courses are generally seen as the first of many platforms in LCS training and can be followed by clinical immersion courses, inreach and outreach preceptorship, and masterclasses.

Laparoscopic Colorectal Surgery Produces Better Outcomes for High Risk Cancer Patients Compared to Open Surgery

2010 ◽  
Vol 252 (1) ◽  
pp. 84-89 ◽  
Author(s):  
Anil K. Hemandas ◽  
Tarig Abdelrahman ◽  
Karen G. Flashman ◽  
Angela J. Skull ◽  
Asha Senapati ◽  
...  
Keyword(s):  
High Risk ◽  
Colorectal Surgery ◽  
Cancer Patients ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
High Risk Cancer

scholarly journals Risk Factors for Conversion of Laparoscopic Colorectal Surgery to Open Surgery: Does Conversion Worsen Outcome?

2015 ◽  
Vol 39 (5) ◽  
pp. 1240-1247 ◽  
Author(s):  
Hossein Masoomi ◽  
Zhobin Moghadamyeghaneh ◽  
Steven Mills ◽  
Joseph C. Carmichael ◽  
Alessio Pigazzi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery

scholarly journals Adipose tissue alleviates the stress response by releasing adiponectin during laparoscopic surgery in patients with colorectal cancer

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Wenjiao Shi ◽  
Jian Lou ◽  
Xiaodan Zhang ◽  
Yun Ji ◽  
Xiaojian Weng ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Colorectal Cancer ◽  
Adipose Tissue ◽  
Laparoscopic Surgery ◽  
Stress Response ◽  
Colorectal Surgery ◽  
Open Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Venous Blood ◽  
Serum Levels

Abstract Background and objectives Laparoscopic colorectal surgery causes a lower stress response than open surgery. Adiponectin is mainly derived from adipocytes and has antidiabetic, antioxidative, and anti-inflammatory capabilities. The objective of the present study was to investigate the protein expression of adiponectin in adipose tissue, and the serum levels of adiponectin, oxidative stress markers and proinflammatory factors during laparoscopic colorectal surgery and open surgery periods. Methods Forty patients aged 60 to 80, with American Society of Anesthesiologists (ASA) I ~ II who underwent radical resection of colorectal cancer were recruited to the study. Laparoscopic group and open group included 20 patients each. Mesenteric adipose tissue and venous blood before (T1) and at the end (T2) of surgery were collected to examine adiponectin levels, and venous blood was collected to examine serum levels of oxidative stress related markers (superoxide dismutase (SOD), glutathione (GSH), lipid peroxide (LPO), malondialdehyde (MDA)), and inflammation-related factors (interleukin (IL)-1β, interleukin (IL)-6, tumor necrosis factor-α (TNF-α)). Results Protein and serum levels of adiponectin were analyzed, and adiponectin levels were significantly increased at T2 than T1 in the laparoscopic surgery, while adiponectin levels were significantly higher in the laparoscopic surgery than in the open surgery at T2. In addition, the serum levels of SOD and GSH were significantly higher in the laparoscopic surgery than in open surgery at T2. However, the serum levels of LPO, TNF-α, IL-1β, and IL-6 were significantly lower in the laparoscopic group than in open group at T2. Conclusion Laparoscopic surgery induced higher levels of adiponectin in both adipose tissue and the bloodstream. Oxidative stress and the inflammatory response were lower during laparoscopic colorectal surgery than during conventional open surgery. These data suggest that adipose tissue may alleviate the stress response during laparoscopic surgery by releasing adiponectin in patients with colorectal cancer.

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