Minimally invasive surgery in colon cancer patients leads to improved short-term outcomes and excellent oncologic results

2011 ◽  
Vol 202 (5) ◽  
pp. 528-531 ◽  
Author(s):  
Sonia T. Orcutt ◽  
Christy L. Marshall ◽  
Celia N. Robinson ◽  
Courtney J. Balentine ◽  
Daniel A. Anaya ◽  
...  
2011 ◽  
Vol 166 (2) ◽  
pp. 182-188 ◽  
Author(s):  
Celia N. Robinson ◽  
Courtney J. Balentine ◽  
Christy L. Marshall ◽  
Jonathan A. Wilks ◽  
Daniel Anaya ◽  
...  

Author(s):  
Atthaphorn Trakarnsanga ◽  
Martin R. Weiser

Overview: Minimally invasive surgery (MIS) of colorectal cancer has become more popular in the past two decades. Laparoscopic colectomy has been accepted as an alternative standard approach in colon cancer, with comparable oncologic outcomes and several better short-term outcomes compared to open surgery. Unlike the treatment for colon cancer, however, the minimally invasive approach in rectal cancer has not been established. In this article, we summarize the current status of MIS for rectal cancer and explore the various technical options.


2010 ◽  
Vol 158 (2) ◽  
pp. 271
Author(s):  
C.N. Robinson ◽  
C.J. Balentine ◽  
C.L. Marshall ◽  
J.A. Wilks ◽  
D.A. Anaya ◽  
...  

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262531
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Shintaro Hashimoto ◽  
Kiyoaki Hamada ◽  
...  

Background Hemodialysis patients who undergo surgery have a high risk of postoperative complications. The aim of this study was to determine whether colon cancer surgery can be safely performed in hemodialysis patients. Methods This multicenter retrospective study included 1372 patients who underwent elective curative resection surgery for colon cancer between April 2016 and March 2020. Results Of the total patients, 19 (1.4%) underwent hemodialysis, of whom 19 (100%) had poor performance status and 18 had comorbidities (94.7%). Minimally invasive surgery was performed in 78.9% of hemodialysis patients. The postoperative complication rate was significantly higher in hemodialysis than non-hemodialysis patients (36.8% vs. 15.5%, p = 0.009). All postoperative complications in the hemodialysis patients were infectious type. Multivariate analysis revealed a significant association of hemodialysis with complications (odds ratio, 2.9362; 95%CI, 1.1384–7.5730; p = 0.026). Conclusion Despite recent advances in perioperative management and minimally invasive surgery, it is necessary to be aware that short-term complications can still occur, especially infectious complications in hemodialysis patients.


2018 ◽  
Vol 32 (4) ◽  
pp. 377-378 ◽  
Author(s):  
Hernan A. Sanchez-Trejo ◽  
Daniel Hakakian ◽  
Terrence Curran ◽  
Luca Antonioli ◽  
Balazs Csoka ◽  
...  

Author(s):  
Stephen Gerfer ◽  
Kaveh Eghbalzadeh ◽  
Elmar Kuhn ◽  
Thorsten Wahlers ◽  
Sarah Brinkschröder ◽  
...  

Abstract Background The role of conventional surgical aortic valve replacement (SAVR) is increasingly questioned since the indication for transcatheter aortic valve implantations (TAVIs) is currently extended. While the number of patients referred to SAVR decreases, it is unclear if SAVR should be performed by junior resident surgeons in the course of a heart surgeons training. Methods Patients with isolated aortic valve replacement (AVR) were analyzed with respect to the surgeon's qualification. AVR performed by resident surgeons was compared with AVR by senior surgeons. The collective was analyzed with respect to clinical short-term outcomes comparing full sternotomy (FS) with minimally invasive surgery and ministernotomy (MS) with right anterior thoracotomy (RAT) after a 1:1 propensity score matching. Results The 30-day all-cause mortality was 2.3 and 3.4% for resident versus senior AVR groups, cerebrovascular event rates were 1.1 versus 2.6%, and no cases of significant paravalvular leak were detected. Clinical short-term outcomes between FS and minimally invasive access, as well after MS and RAT were comparable. Conclusion Our current data show feasibility and safety of conventional SAVR procedure performed by resident surgeons in the era of TAVI. Minimally invasive surgery should be trained and performed in higher volumes early in the educational process as it is a safe treatment option.


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