scholarly journals Treatment of splenic flexure colon cancer: a comparison of three different surgical procedures: Experience of a high volume cancer center

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Daniela Rega ◽  
Ugo Pace ◽  
Dario Scala ◽  
Paolo Chiodini ◽  
Vincenza Granata ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Surgical Procedures ◽  
Splenic Flexure ◽  
High Volume ◽  
Cancer Center

scholarly journals The Current Status of Emergency Operations at a High-Volume Cancer Center

2014 ◽  
Vol 99 (6) ◽  
pp. 719-722 ◽  
Author(s):  
Koji Komori ◽  
Kenya Kimura ◽  
Takashi Kinoshita ◽  
Seiji Ito ◽  
Tetsuya Abe ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
High Volume ◽  
Current Status ◽  
Cancer Center ◽  
Operative Death ◽  
Emergency Operations ◽  
Emergency Situations ◽  
Sufficient Detail ◽  
The Status ◽  
Clinical Conditions

Abstract This study aimed to assess the pathogenic causes, clinical conditions, surgical procedures, in-hospital mortality, and operative death associated with emergency operations at a high-volume cancer center. Although many reports have described the contents, operative procedures, and prognosis of elective surgeries in high-volume cancer centers, emergency operations have not been studied in sufficient detail. We retrospectively enrolled 28 consecutive patients who underwent emergency surgery. Cases involving operative complications were excluded. The following surgical procedures were performed during emergency operations: closure in 3 cases (10.7%), diversion in 22 cases (78.6%), ileus treatment in 2 cases (7.1%), and hemostasis in 1 case (3.6%). Closure alone was performed only once for peritonitis. Diversion was performed in 17 cases (77.3%) of peritonitis, 4 cases (18.2%) of stenosis of the gastrointestinal tract, and 1 case (4.5%) of bleeding. There was a significant overall difference (P = 0.001). The frequency of emergency operations was very low at a high-volume cancer center. However, the recent shift in treatment approaches toward nonoperative techniques may enhance the status of emergency surgical procedures. The results presented in this study will help prepare for emergency situations and resolve them as quickly and efficiently as possible.

A Tale of Two Colons and Two Cancers

Swiss Surgery ◽  
2003 ◽  
Vol 9 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Gervaz ◽  
Bühler ◽  
Scheiwiller ◽  
Morel
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Adjuvant Chemotherapy ◽  
Splenic Flexure ◽  
Chromosomal Instability ◽  
Proximal Colon ◽  
Colorectal Carcinogenesis ◽  
Physiological Data ◽  
Central Hypothesis ◽  
Group Stratification

The central hypothesis explored in this paper is that colorectal cancer (CRC) is a heterogeneous disease. The initial clue to this heterogeneity was provided by genetic findings; however, embryological and physiological data had previously been gathered, showing that proximal (in relation to the splenic flexure) and distal parts of the colon represent distinct entities. Molecular biologists have identified two distinct pathways, microsatellite instability (MSI) and chromosomal instability (CIN), which are involved in CRC progression. In summary, there may be not one, but two colons and two types of colorectal carcinogenesis, with distinct clinical outcome. The implications for the clinicians are two-folds; 1) tumors originating from the proximal colon have a better prognosis due to a high percentage of MSI-positive lesions; and 2) location of the neoplasm in reference to the splenic flexure should be documented before group stratification in future trials of adjuvant chemotherapy in patients with stage II and III colon cancer.

Educational system for acquiring appropriate laparoscopic colorectal surgical skills: analysis in a Japanese high-volume cancer center

2020 ◽  
Author(s):  
Ryota Nakanishi ◽  
Yosuke Fukunaga ◽  
Toshiki Mukai ◽  
Toshiya Nagasaki ◽  
Tomohiro Yamaguchi ◽  
...  
Keyword(s):  
Educational System ◽  
High Volume ◽  
Surgical Skills ◽  
Cancer Center

scholarly journals High volume pancreaticoduodenectomy performed at a community cancer center

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S38-S39
Author(s):  
A. Sabesan ◽  
B. Gough ◽  
C. Anderson ◽  
R. Abdel-Misih ◽  
N.J. Petrelli ◽  
...  
Keyword(s):  
High Volume ◽  
Cancer Center

scholarly journals SURGICAL MODALITIES FOR SIGMOID COLON CANCER COMPLICATED BY DECOMPENSATED OBSTRUCTION

2020 ◽  
Vol 19 (3) ◽  
pp. 80-91
Author(s):  
S. N. Schaeva ◽  
E. V. Gordeeva ◽  
E. A. Kazantseva
Keyword(s):  
Colon Cancer ◽  
Lymph Nodes ◽  
Sigmoid Colon ◽  
Surgical Procedures ◽  
Postoperative Mortality ◽  
Sigmoid Colon Cancer ◽  
Second Stage ◽  
Resection Status ◽  
Group 2 ◽  
Group 1

AIM: to evaluate the early and long-term results of emergency two-stage surgical procedures in patients with sigmoid colon cancer complicated by decompensated bowel obstruction.PATIENTS AND METHODS: the cohort study included 112 patients with sigmoid colon cancer complicated by bowel obstruction that underwent emergency two-stage surgical procedures in general surgical and coloproctological units in 2011-2017. The group 1 (n=60) included patients who, at the first stage, underwent Hartmann’s procedure, at the second stage – stoma reversal. The group 2 (n=52) included patients with a loop colostomy at the first stage and radical elective surgery as a second stage. The comparative analysis between the groups was carried out according to the following criteria: the type of surgery, the type of intestinal stoma, the rate and type of postoperative complications, postoperative mortality, resection status (R0/R1), the number of removed lymph nodes, the rate of adjuvant polychemotherapy (PChT).RESULTS: postoperative mortality in the group 1 was 3.33% (n=2) and occurred after the first main stage (Hartmann’s procedure), there were no deaths in group 2 (p=0.28). The procedures in group 2 fully met the criteria of oncological radicalism based on the number of lymph nodes examined and resection status (p<0.0001 and p<0.0001, respectively). Three-year overall survival at stage IIB in group 1 was 44.4% vs 75.2% in group 2 (p<0.0001); with IIIB in the 1st group – 60.3% vs 68.2% in group 2 (p=0.034); at IIIС in the 1st group – 35.7% vs 60.7% in the 2nd group (p=0.009). The 3-year disease – free survival at stage IIB in the 1st group was 41.7% vs 68.8% in the 2nd group (p<0.0001); with IIIB in the 1st group – 53.6% vs 64.5% in group 2 (p=0.036); at IIIС in the 1st group – 33.2% vs 60.8% in the 2nd group (p=0.023).CONCLUSION: for sigmoid colon cancer complicated by decompensated obstruction, in general hospitals the stage treatment with the colostomy at the first stage is preferable.

scholarly journals Robotic Surgery: da Vinci® and beyond

2012 ◽  
Vol 94 (1) ◽  
pp. 8-9 ◽  
Author(s):  
Katie Bennett
Keyword(s):  
Robotic Surgery ◽  
Surgical Procedures ◽  
Da Vinci ◽  
High Volume ◽  
Indelible Mark ◽  
The Uk

In 2001 the first da Vinci® robot (Intuitive Surgical Inc) was installed in the UK at St Mary's hospital, London. It was initially used for high-volume, standard surgical procedures. More than 10 years on, 27 robots are in use in England. The da Vinci® robot, used primarily in urology but also in gynaecology, ENT, colorectal, cardiology and paediatrics, is making an indelible mark on the NHS.

scholarly journals Outcomes for 556 consecutive patients with stages I-III colon cancer managed in a single cancer center in Cyprus over 10 years

2019 ◽  
Vol 30 ◽  
pp. iv16
Author(s):  
D. Papamichael ◽  
P. Kountourakis ◽  
P. Papanastasopoulos ◽  
E. Xenophontos ◽  
I. Constantinou ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cancer Center ◽  
Single Cancer
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