scholarly journals Experience of Curative Colectomy via a Transverse Mini-incision for Locally Advanced Colonic Cancer

Author(s):  
Jun Sobajima ◽  
Keiichiro Ishibashi ◽  
Kensuke Kumamoto ◽  
Norihiro Haga ◽  
Hideyuki Ishida
2014 ◽  
Vol 99 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Hideyuki Ishida ◽  
Jun Sobajima ◽  
Masaru Yokoyama ◽  
Hiroshi Nakada ◽  
Norimichi Okada ◽  
...  

Abstract We performed a retrospective review of non-overweight (body mass index ≤ 25 kg/m2) patients scheduled to undergo a curative resection of locally advanced colon cancer via a transverse mini-incision (n = 62) or a longitudinal mini-incision (skin incision ≤7 cm, n = 62), with the latter group of patients randomly selected as historical controls matched with the former group according to tumor location. Extension of the transverse mini-incision wound was necessary in 3 patients (5%). Both groups were largely equivalent in terms of demographic, clinicopathological, and surgical factors and frequency of postoperative complications. Postoperative analgesic was significantly less (P = 0.04) and postoperative length of the hospital stay was significantly shorter (P < 0.01) in the transverse mini-incision group. Concerning a mini-incision approach for locally advanced colonic cancer, a transverse incision seems to be advantageous with regard to minimal invasiveness and early recovery compared with a longitudinal incision.


2011 ◽  
Vol 2 (7) ◽  
pp. 206-207 ◽  
Author(s):  
Iraklis Perysinakis ◽  
Alexander Nixon ◽  
Aggeliki Katopodi ◽  
Emmanouil Tzirakis ◽  
Despoina Georgiadou ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Oskay Kaya ◽  
Engin Olcucuoglu ◽  
Gaye Seker ◽  
Hakan Kulacoglu

We present a case of immediate abdominal wall reconstruction with biologic mesh following the resection of locally advanced colonic cancer. The tumor in the right colon did not respond to neoadjuvant chemotherapy. Surgical enbloc excision, including excision of the invasion in the abdominal wall, was achieved, and the defect was reconstructed with porcine dermal collagen mesh. The patient was discharged with no complication, and adaptation of the mesh was excellent at the six-month followup.


Author(s):  
Nobuaki KAWARABAYASHI ◽  
Chikao MIKI ◽  
Takayuki YAMAMOTO ◽  
Tatsushi KITAGAWA ◽  
Kouichi MATSUMOTO ◽  
...  

2000 ◽  
Vol 61 (4) ◽  
pp. 1009-1012 ◽  
Author(s):  
Takashi UCHIYAMA ◽  
Kennichi KOYANO ◽  
Iwao MATSUDA ◽  
Shukichi SAKAGUCHI

2013 ◽  
Vol 15 (8) ◽  
pp. 944-948 ◽  
Author(s):  
A. Vignali ◽  
L. Ghirardelli ◽  
S. Di Palo ◽  
E. Orsenigo ◽  
C. Staudacher

1981 ◽  
Vol 24 (8) ◽  
pp. 636-638 ◽  
Author(s):  
Shu-Dean Hsu ◽  
George M. Schwartze ◽  
Vicki L. Maxwell

2005 ◽  
Vol 94 (1) ◽  
pp. 40-42 ◽  
Author(s):  
A. Lepistö ◽  
H. J. Järvinen

Objective: Aim of the study was to evaluate the cumulative success of colectomy and ileorectal anastomosis in 20 patients with ulcerative colitis. Patients and Methods: Data were collected from patient histories and cumulative success was calculated by the Kaplan-Meier method. Results: Seven of 20 (35 %) ileorectal anastomoses were lost. Cumulative success rate was 84 % at 5 years, 69 % at 10 years and 56 % at 20 years. Most common indication for proctectomy was disabling proctitis. Other reasons for failure were postoperative ileal necrosis and persisting presacral infection. Patients with advanced colonic cancer managed relatively well with ileorectal anastomosis until death. No cases of rectal cancer were detected during postoperative follow-up but one moderate dysplasia was treated locally. Conclusion: Ileorectal anastomosis can be chosen for patients who are not suitable for ileoanal operation. Rectal endoscopies are mandatory postoperatively.


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