Short- and long-term results of laparoscopic surgery for transverse colon cancer

Surgery Today ◽  
2013 ◽  
Vol 44 (7) ◽  
pp. 1266-1272 ◽  
Author(s):  
Yoshinori Hirasaki ◽  
Masaki Fukunaga ◽  
Masahiko Sugano ◽  
Kunihiko Nagakari ◽  
Seiitirou Yoshikawa ◽  
...  
2014 ◽  
Vol 18 (5) ◽  
pp. 1003-1009 ◽  
Author(s):  
Liying Zhao ◽  
Yanan Wang ◽  
Hao Liu ◽  
Hao Chen ◽  
Haijun Deng ◽  
...  

2017 ◽  
Vol 41 ◽  
pp. 78-85 ◽  
Author(s):  
Christos D. Athanasiou ◽  
Jonathan Robinson ◽  
Marina Yiasemidou ◽  
Sonia Lockwood ◽  
Georgios A. Markides

2018 ◽  
Vol 34 (2) ◽  
pp. 201-207 ◽  
Author(s):  
Marco Milone ◽  
Michele Manigrasso ◽  
Ugo Elmore ◽  
Francesco Maione ◽  
Nicola Gennarelli ◽  
...  

2019 ◽  
Vol 23 (9) ◽  
pp. 1893-1899
Author(s):  
Toshiya Nagasaki ◽  
Takashi Akiyoshi ◽  
Yosuke Fukunaga ◽  
Tetsuro Tominaga ◽  
Tomohiro Yamaguchi ◽  
...  

2019 ◽  
Vol 103 (1-2) ◽  
pp. 15-20
Author(s):  
Tetsuo Ishizaki ◽  
Kenji Katsumata ◽  
Masayuki Hisada ◽  
Masanobu Enomoto ◽  
Takaaki Matsudo ◽  
...  

This study describes the efficacy of the evaluation of blood vessel anatomy by 3-dimensional computed tomography (3D-CT) for laparoscopic surgery for transverse colon cancer (TCC). A total of 102 patients with TCC were examined by preoperative 3D-CT to clarify their blood vessel anatomy at Tokyo Medical University Hospital between January 2010 and December 2015, before undergoing laparoscopic surgery using the obtained 3D-CT data. Regarding blood vessel variation, the middle colic artery (MCA) was present in all patients (100%). The common duct type was observed in 89 patients (87.3%), and a type of branch separate from the superior mesenteric artery was observed in 13 patients (12.7%). The accessory MCA was present in 25 patients (24.5%). The middle colic vein was present in all patients (100%), and it drained into the following vessels: the superior mesenteric vein, gastrocolic trunk, first jejunal vein, and inferior mesenteric vein [67 (65.8%), 25 (24.5%) 8 (7.8%), and 2 (1.9%) patients, respectively]. Regarding the surgical outcome, the bleeding volume was 43 g, the operative time was 218 minutes, the number of harvested lymph nodes was 21, the proximal resection margin was 164 mm, the distal resection margin was 105 mm, and the length of postoperative hospital stay was 10 days. Although complicated variations and anomalies in the MCA and the contiguous veins were observed, preoperative 3D-CT will be useful for surgeons performing laparoscopic surgery on patients with TCC.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Jesse Yu Tajima ◽  
Nobuhisa Matsuhashi ◽  
Takao Takahashi ◽  
Chika Mizutani ◽  
Yoshinori Iwata ◽  
...  

Abstract Purpose Malignant large-bowel obstruction (MLBO) is a highly urgent condition in colorectal cancer with high complication rates. Self-expandable metal stent (SEMS) placement in MLBO is a new decompression treatment in Japan. Preoperative stent placement (bridge to surgery: BTS) avoids emergency surgery, but oncological influences of stent placement and post-BTS surgical approach remain unclear. We examined short- and long-term results of surgery for MLBO after SEMS placement in our hospital. Methods We retrospectively reviewed 75 patients with MLBO who underwent resection after SEMS placement at our hospital from June 2013 to December 2018. Postoperative morbidity and mortality were evaluated by comparison with the surgical approach. Results Tumor location was significantly higher in the left-side colon and rectum (n = 59, 78.7%) than right-side colon (n = 16, 21.3%). Technical and clinical success rates for SEMS placement were 97.3% and 96.0%, respectively. Laparoscopic surgery was performed in 54 patients (69.0%), and one-stage anastomosis was performed in 73 (97.3%). Postoperative complications were similar in the open surgery (open) group (n = 5, 23.8%) and laparoscopic surgery (lap) group (n = 7, 13.0%), with no severe complications requiring reoperation. Three-year overall survival (OS) and relapse-free survival (RFS) rates were not significantly different in the lap vs open group (67.5% vs 66.4%; 82.2% vs 62.5%). Conclusion Preoperative stent treatment avoids stoma construction but allows anastomosis. One-time surgery was performed safely contributing to minimally invasive treatment and acceptable short- and long-term results.


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