scholarly journals Comparison Between Transverse Mini-Incision and Longitudinal Mini-Incision for the Resection of Locally Advanced Colonic Cancer

2014 ◽  
Vol 99 (3) ◽  
pp. 216-222 ◽  
Author(s):  
Hideyuki Ishida ◽  
Jun Sobajima ◽  
Masaru Yokoyama ◽  
Hiroshi Nakada ◽  
Norimichi Okada ◽  
...  
Keyword(s):  
Colonic Cancer ◽  
Locally Advanced ◽  
Tumor Location ◽  
Skin Incision ◽  
Early Recovery ◽  
Minimal Invasiveness ◽  
Advanced Colon Cancer ◽  
Postoperative Length ◽  
Advanced Colonic Cancer ◽  
Mini Incision

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.

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

2012 ◽  
Vol 37 (5) ◽  
pp. 924-931
Author(s):  
Jun Sobajima ◽  
Keiichiro Ishibashi ◽  
Kensuke Kumamoto ◽  
Norihiro Haga ◽  
Hideyuki Ishida
Keyword(s):  
Colonic Cancer ◽  
Locally Advanced ◽  
Advanced Colonic Cancer ◽  
Mini Incision

scholarly journals Long term survival after right hemicolectomy and pancreatoduodenectomy for locally advanced colonic cancer: Case report

2011 ◽  
Vol 2 (7) ◽  
pp. 206-207 ◽  
Author(s):  
Iraklis Perysinakis ◽  
Alexander Nixon ◽  
Aggeliki Katopodi ◽  
Emmanouil Tzirakis ◽  
Despoina Georgiadou ◽  
...  
Keyword(s):  
Case Report ◽  
Colonic Cancer ◽  
Locally Advanced ◽  
Right Hemicolectomy ◽  
Cancer Case ◽  
Term Survival ◽  
Long Term Survival ◽  
Advanced Colonic Cancer

scholarly journals Standard and multivisceral colectomy in locally advanced colon cancer

2020 ◽  
Vol 54 (3) ◽  
pp. 341-346
Author(s):  
Artur M. Sahakyan ◽  
Andranik Aleksanyan ◽  
Hovhannes Batikyan ◽  
Hmayak Petrosyan ◽  
Mushegh А. Sahakyan
Keyword(s):  
Colon Cancer ◽  
Blood Transfusion ◽  
Locally Advanced ◽  
Multivisceral Resection ◽  
Tumor Location ◽  
Safe Procedure ◽  
Advanced Colon Cancer ◽  
Visceral Peritoneum ◽  
T4 Colon Cancer ◽  
Perioperative Blood Transfusion

AbstractBackgroundManagement of locally advanced colon cancer (LACC) is challenging. Surgery is the mainstay of the treatment, yet its outcomes remain unclear, especially in the setting of multivisceral resections. The aim of the study was to examine the outcomes of standard and multivisceral colectomy in patients with LACC.Patients and methodsPatients demographics, clinical and perioperative data of patients operated within study period 2004–2018 were collected. LACC was defined as stage T4 colon cancer including tumor invasion either through the visceral peritoneum or to the adjacent organs/structures. Accordingly, either standard or multivisceral colectomy (SC and MVC) was performed.ResultsTwo hundred and three patients underwent colectomy for LACC. Of those, 112 had SC (55.2%) and 91 (44.8%) had MVC. Severe morbidity and mortality rates were 5.9% and 2.5%, respectively. MVC was associated with an increased blood loss (200 ml vs. 100 ml, p = 0.01), blood transfusion (22% vs. 8.9%, p = 0.01), longer operative time (180 minutes vs. 140 minutes, p < 0.01) and postoperative hospital stay (11 days vs. 10 days, p < 0.01) compared with SC. The complication-associated parameters were similar. Male gender, presence of ≥ 3 comorbidities, tumor location in the left colon and perioperative blood transfusion were associated with complications in the univariable analysis. In the multivariable model, the presence of ≥ 3 comorbidities was the only independent predictor of complications.ConclusionsColectomy with or without multivisceral resection is a safe procedure in LACC. In experienced hands, the postoperative outcomes are similar for SC and MVC. Given the complexity of the latter, these procedures should be reserved to qualified expert centers.

scholarly journals Instant Abdominal Wall Reconstruction with Biologic Mesh following Resection of Locally Advanced Colonic Cancer

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Oskay Kaya ◽  
Engin Olcucuoglu ◽  
Gaye Seker ◽  
Hakan Kulacoglu
Keyword(s):  
Abdominal Wall ◽  
Colonic Cancer ◽  
Locally Advanced ◽  
Abdominal Wall Reconstruction ◽  
Biologic Mesh ◽  
Right Colon ◽  
Porcine Dermal Collagen ◽  
Dermal Collagen ◽  
The Right ◽  
Advanced Colonic Cancer

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.

Concomitant Adjacent Organ Resection in Locally Advanced Colon Cancer

2009 ◽  
Vol 25 (2) ◽  
pp. 94 ◽  
Author(s):  
Sung Wook Cho ◽  
Ryung-Ah Lee ◽  
Soon Sup Chung ◽  
Kwang Ho Kim
Keyword(s):  
Colon Cancer ◽  
Locally Advanced ◽  
Adjacent Organ ◽  
Advanced Colon Cancer

scholarly journals Differences in effectiveness and use of laparoscopic surgery in locally advanced colon cancer patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Schootman ◽  
Matthew Mutch ◽  
T. Loux ◽  
J. M. Eberth ◽  
N. O. Davidson
Keyword(s):  
Colon Cancer ◽  
Length Of Stay ◽  
Cancer Patients ◽  
Postoperative Ileus ◽  
Locally Advanced ◽  
Composite Outcome ◽  
Improvement Program ◽  
Advanced Colon Cancer ◽  
Outcome Score ◽  
T4 Colon Cancer

AbstractPatients with locally advanced colon cancer have worse outcomes. Guidelines of various organizations are conflicting about the use of laparoscopic colectomy (LC) in locally advanced colon cancer. We determined whether patient outcomes of LC and open colectomy (OC) for locally advanced (T4) colon cancer are comparable in all colon cancer patients, T4a versus T4b patients, obese versus non-obese patients, and tumors located in the ascending, descending, and transverse colon. We used data from the 2013–2015 American College of Surgeons’ National Surgical Quality Improvement Program. Patients were diagnosed with nonmetastatic pT4 colon cancer, with or without obstruction, and underwent LC (n = 563) or OC (n = 807). We used a composite outcome score (mortality, readmission, re-operation, wound infection, bleeding transfusion, and prolonged postoperative ileus); length of stay; and length of operation. Patients undergoing LC exhibited a composite outcome score that was 9.5% lower (95% CI − 15.4; − 3.5) versus those undergoing OC. LC patients experienced a 11.3% reduction in postoperative ileus (95% CI − 16.0; − 6.5) and an average of 2 days shorter length of stay (95% CI − 2.9; − 1.0). Patients undergoing LC were in the operating room an average of 13.5 min longer (95% CI 1.5; 25.6). We found no evidence for treatment heterogeneity across subgroups (p > 0.05). Patients with locally advanced colon cancer who receive LC had better overall outcomes and shorter lengths of stay compared with OC patients. LC was equally effective in obese/nonobese patients, in T4a/T4b patients, and regardless of the location of the tumor.

Neoadjuvant chemotherapy in locally advanced colon cancer: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Rathin Gosavi ◽  
Clemente Chia ◽  
Michael Michael ◽  
Alexander G. Heriot ◽  
Satish K. Warrier ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colon Cancer ◽  
Neoadjuvant Chemotherapy ◽  
Meta Analysis ◽  
Locally Advanced ◽  
Advanced Colon Cancer

scholarly journals The role of intraoperative ultrasound in small renal mass robotic enucleation

2016 ◽  
Vol 88 (4) ◽  
pp. 311 ◽  
Author(s):  
Roberta Gunelli ◽  
Massimo Fiori ◽  
Cristiano Salaris ◽  
Umberto Salomone ◽  
Marco Urbinati ◽  
...  
Keyword(s):  
Renal Mass ◽  
Intraoperative Ultrasound ◽  
Radical Resection ◽  
Tumor Location ◽  
Small Renal Mass ◽  
Ultrasound Probe ◽  
3D Vision ◽  
Ischemic Time ◽  
Minimal Invasiveness ◽  
Robotic Ultrasound

Introduction: As a result of the growing evidence on tumor radical resection in literature, simple enucleation has become one of the best techniques associated to robotic surgery in the treatment of renal neoplasia, as it guarantees minimal invasiveness and the maximum sparing of renal tissue, facilitating the use of reduced or zero ischemia techniques during resection. The use of a robotic ultrasound probe represents a useful tool to detect and define tumor location, especially in poorly exophytic small renal mass. Materials and methods: A total of 22 robotic enucleations were performed on &lt; 3 cm renal neoplasias (PADUA score 18 Pz 6/7 e 4 Pz 8) using a 12-5 MHz robotic ultrasound probe (BK Drop-In 8826). Results: Once kidney had been isolated from the adipose capsule at the site of the neoplasia (2), the exact position of the lesion could be easily identified in all cases (22/22), even for mostly endophytic lesions, thanks to the insertion of the ultrasound probe through the assistant port. Images were produced and visualized by the surgeon using the TilePro feature of the DaVinci surgical system for producing a picture-in-picture image on the console screen. The margins of resection were then marked with cautery, thus allowing for speedy anatomical dissection. This reduced the time of ischemia to 8 min (6-13) and facilitated the enucleation technique when performed without clamping the renal peduncle (6/22). No complications due to the use of the ultrasound probe were observed. Conclusions: The use of an intraoperative robotic ultrasound probe has allowed for easier identification of small, mostly endophytic neoplasias, better anatomical approach, shorter ischemic time, reduced risk of pseudocapsule rupture during dissection, and easier enucleation in cases performed without clamping. It is noteworthy that the use of intraoperative ultrasound probe allows mental reconstruction of the tumor through an accurate 3D vision of the hidden field during surgical dissection.

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