Persistent Descending Mesocolon as An Intraoperative Risk Factor in Laparoscopic Surgery for Left‐Sided Colon and Rectal Cancer

2021 ◽  
Author(s):  
Kiyoaki Hamada ◽  
Yorihisa Sumida ◽  
Keisuke Ozeki ◽  
Soichiro Kiya ◽  
Shintaro Hashimoto ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Risk Factor ◽  
Laparoscopic Surgery ◽  
Colon And Rectal Cancer

Assessment of Circumferential Resection Margins (CRM) clearance in Conventional open Versus Laparoscopic Cancer Rectum Resection

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ibrahim H Bayan ◽  
Ahmed Abdelaziz ◽  
Tarek Youssef Ahmed ◽  
Mohamed Magdy
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Abdominal Surgery ◽  
Open Surgery ◽  
Laparoscopic Group ◽  
Resection Margins ◽  
Laparoscopy Group ◽  
Surgery Group ◽  
Colon And Rectal Cancer ◽  
Significant Difference

Abstract Background Colon and rectal cancer represent the fourth commonest malignancy worldwide. Globally, colon and rectal cancer make up 9.4% and 10.1% in men and women of all cancers, respectively. Colon and rectal tumors are the third most common malignancy after breast and lung cancer, respectively. The main management of rectal cancer involves a multi-disciplinary team approach and an individually tailored treatment routine. Operative surgery remains the primary and definitive treatment for locally confined rectal adenocarcinoma and is the only historical and current treatment which allows for cure. Resection of the colon and rectal cancer can be done either by open surgical excision or laparoscopically. Aim of the work The objective is to compare the radicality of total mesorectal excision for rectal cancer in both open and laparoscopic surgery through the pathology report. Methods In this multicentric, prospective, comparative study, we included the pathologically established rectal cancer patients from 2 hospitals in Cairo, Egypt, Ain Shams University Hospitals and Maadi Military Hospital, Egypt between 2013 and 2016. The sample size was 40 patients divided into two groups; 20 patients for laparoscopic arm and 20 patients for the open trans-abdominal surgery. Inclusion criteria: histopathology confirmed rectal cancer, patients fit for operative resection, and with T1- T3 grades according to the preoperative evaluation. The exclusion criteria: Patients with T4 stage tumor, patients present as emergency cases and patients present with recurrence of the tumor and synchronous colonic tumors. Results The circumferential resection margins (CRM) of the mesorectum when examined pathologically after resection showed no difference between the two arms of the study with laparoscopic group specimens 3.18±1.16 mm mean, (SD) compared to 3.50±0.45 mm mean, (SD) in the open surgery group with no statistically significant difference. The longitudinal resection margins (LRM) was (5.50±1.98 mean, SD) in the laparoscopic group compared to (5.20±2.28 mean, SD) in the open conventional surgery group with no significant difference found between the two groups. Total operative time was significantly shorter in the trans-abdominal surgery group, while the hospital stay period was significantly shorter in the laparoscopy group. Laparoscopy group also showed significantly time before flatus passage, and the patients in the laparoscopy group started oral intake faster than open surgery group. Conclusion In our study, the radicality of the rectal cancer excision in both laparoscopic and traditional open surgery, showed non inferiority of the laparoscopic technique over open surgery Long-term clinical outcomes of overall survival and recurrence is the foremost parameters which should be taken in consideration for decision for laparoscopic surgery for rectal cancer. Additional follow-up results from the current trial are presently being developed, beside with records on other secondary end points, like cost effectiveness and quality of life.

Response to Bell et al ., ‘The effect of increasing body mass index on laparoscopic surgery for colon and rectal cancer’

2018 ◽  
Vol 20 (10) ◽  
pp. 931-931
Author(s):  
S. K. Sood ◽  
P. Kang ◽  
U. Ihedioha ◽  
J. Evans
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Body Mass ◽  
Colon And Rectal Cancer

scholarly journals The effect of increasing body mass index on laparoscopic surgery for colon and rectal cancer

2018 ◽  
Vol 20 (9) ◽  
pp. 778-788 ◽  
Author(s):  
S. Bell ◽  
J. C. Kong ◽  
R. Wale ◽  
M. Staples ◽  
K. Oliva ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Body Mass ◽  
Colon And Rectal Cancer

Laparoscopic surgery for colon and rectal cancer

1993 ◽  
Vol 9 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Ronald Bleday ◽  
Timothy Babineau ◽  
R. Armour Forse
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Colon And Rectal Cancer

scholarly journals Simplifying Laparoscopic Surgery for Left Side Colon and Rectal Cancer Using Linear Stapler for Vascular Ligation: A Prospective Cohort Study

2017 ◽  
Vol 08 (04) ◽  
pp. 341-348
Author(s):  
Masanori Naito ◽  
Takeo Sato ◽  
Takatoshi Nakamura ◽  
Takahiro Yamanashi ◽  
Hirohisa Miura ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cohort Study ◽  
Laparoscopic Surgery ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Linear Stapler ◽  
Colon And Rectal Cancer ◽  
Vascular Ligation

scholarly journals Hand-assisted laparoscopic surgery for left-sided colon and rectal cancer: 10 Years single centre experience

2016 ◽  
Vol 63 (1) ◽  
pp. 23-28
Author(s):  
Rokas Rackauskas ◽  
Audrius Dulskas ◽  
Vygintas Aliukonis ◽  
Narimantas Samalavicius
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Surgery ◽  
Laparoscopic Colorectal Surgery ◽  
Tertiary Care ◽  
Stage Iv ◽  
Operation Time ◽  
Minimal Invasive ◽  
Invasive Technique ◽  
Colon And Rectal Cancer

Introduction. Hand-assisted laparoscopic surgery (HALS) was introduced into clinical practice in the mid-1990s. Although this technique was established as a bridge to total laparoscopic colorectal surgery there are still those who oppose it. In this study we report our 10 year experience of practicing HALS. Methods. This study is a retrospective analysis of prospectively collected data of 426 patients undergoing hand-assisted laparoscopic colorectal surgery for left-sided colon and rectal cancer in a single tertiary care institution, the National Cancer Institute, from January, 2006, to July, 2016. All consenting patients with left sided colon and rectal cancer were included in the analysis. Results. Patient population showed a similar female and male ratio 212 (49.76%) vs. 214 (50.24%). Average age was 64.13 ? 9.92 years (from 26 to 91). Operation time was 108 minutes ? 44.1 min (30 - 320 min). The mean length of the postoperative hospital stay was 6.88, ranging from 2 to 34 days. The pathohistological examination revealed mean lymph node harvest was 16.4 ? 9.61, ranging from 0 to 54. Stage I and II cancer prevailed in the majority of cases, accounting for 129 (30.28%) for each, stage III - 135 (31.69%), and stage IV - 33 (7.74%). Complication rate was 7.27%. Surgical reintervention was required in 10 cases (2.35%). Mortality rate occurred only in two (0.47%) patients. Conclusion. In conclusion, the HALS technique combines the benefits of a minimal invasive technique for the patient and palpatory benefits for the surgeon, which makes surgery for left-sided colon and rectum cancer faster, and with a similar outcome to laparoscopic colectomy.

scholarly journals Robotic versus laparoscopic surgery in colon and rectal cancer

2012 ◽  
Vol 55 (7) ◽  
pp. 620
Author(s):  
Jae-Won Shin ◽  
Seon-Hahn Kim
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Colon And Rectal Cancer

Is laparoscopic surgery really effective for the treatment of colon and rectal cancer in very elderly over 80 years old? A prospective multicentric case–control assessment

2016 ◽  
Vol 30 (10) ◽  
pp. 4372-4382 ◽  
Author(s):  
Francesco Roscio ◽  
Luigi Boni ◽  
Federico Clerici ◽  
Paolo Frattini ◽  
Elisa Cassinotti ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Case Control ◽  
Very Elderly ◽  
Colon And Rectal Cancer

Single-incision Laparoscopic Surgery for Colon and Rectal Cancer

2013 ◽  
Vol 23 (6) ◽  
pp. 494-497 ◽  
Author(s):  
Iván Arteaga González ◽  
Antonio Martín Malagón ◽  
Sara Gonzalez Garcia ◽  
Eudaldo M. Lopez-Tomassetti Fernández ◽  
Angel Carrillo Pallares
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Colon And Rectal Cancer
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