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Laparoscopic proctectomy

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https://www.readbyqxmd.com/read/28056250/-outcome-evaluation-based-on-evidence-based-medicine-of-laparoscopic-surgery-for-rectal-cancer
#1
H W Yao, Y H Liu
Laparoscopic surgery of rectal cancer has experienced more than 20 years of technical development and clinical research. Based on the published high-level clinical trials such as COREAN, COLOR Ⅱ, ACOSOG Z6051 and ALacaRT, laparoscopic surgery is recommended as method to treat rectal cancer by the NCCN Clinical Practice Guideline on Rectal Cancer (version 1.2016) with class 2A evidence. But it is also suggested that the surgeons should have experiences of performing minimally invasive proctectomy with total mesorectal excision...
January 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28024946/short-and-mid-term-outcomes-after-endoscopic-transanal-or-laparoscopic-transabdominal-total-mesorectal-excision-for-low-rectal-cancer-a-single-institutional-case-control-study
#2
Bernard Lelong, Hélène Meillat, Christophe Zemmour, Flora Poizat, Jacques Ewald, Diane Mege, Jean Claude Lelong, Jean Robert Delpero, Cécile de Chaisemartin
BACKGROUND: Transabdominal laparoscopic proctectomy for rectal cancer was associated with post-operative recovery improvement. Early studies showed favourable short-term results of endoscopic transanal proctectomy with low conversion rates to an open procedure. We aimed to compare efficacy, morbidity, and functional outcomes of endoscopic transanal proctectomy (ETAP) to standard laparoscopic proctectomy (LAP) for low rectal cancer. STUDY DESIGN: From 2008 to 2013, 72 consecutive patients received proctectomy and coloanal manual anastomosis for low rectal adenocarcinoma...
December 23, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27997470/oncological-outcomes-after-robotic-proctectomy-for-rectal-cancer-analysis-of-a-prospective-database
#3
Tarik Sammour, Songphol Malakorn, Brian K Bednarski, Harmeet Kaur, Ui Sup Shin, Craig Messick, Yi-Qian Nancy You, George J Chang
OBJECTIVE: The aim of this study is to evaluate the oncological outcomes of robotic total mesorectal excision (TME) at an NCI designated cancer center. SUMMARY BACKGROUND DATA: The effectiveness of laparoscopic TME could not be established, but the robotic-assisted approach may hold some promise, with improved visualization and ergonomics for pelvic dissection. Oncological outcome data is presently lacking. METHODS: Patients who underwent total mesorectal excision or tumor-specific mesorectal excision for rectal cancer between April 2009 and April 2016 via a robotic approach were identified from a prospective single-institution database...
December 16, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27990592/combined-notes-total-mesorectal-excision-and-single-incision-laparoscopy-principles-for-conservative-proctectomy-a-single-centre-study
#4
H Meillat, C de Chaisemartin, F Poizat, E Bories, R Fara, J R Delpero, B Lelong
BACKGROUND: Surgery for low rectal cancer remains a challenge when a standard laparoscopic approach is used. Transanal endoscopic total mesorectal excision (TME) has been shown to be feasible and to be associated with a low conversion rate. Combining the transanal and transabdominal single-port approaches (with an abdominal single port implanted in the future stoma and extraction site) could allow TME with minimal wound trauma, low morbidity, and faster recovery. The aim of the current study was to assess the short- and mid-term results of this technique...
December 19, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27974672/long-term-outcomes-and-propensity-score-matching-analysis-rectal-cancer-resection-for-patients-with-elevated-preoperative-risk
#5
Hao Feng, Tobias S Schiergens, Zhi-Hai Mao, Jingkun Zhao, Xiaohui Shen, Ai-Guo Lu, Wolfgang E Thasler
BACKGROUND: It is still controversial about the treatment strategy for rectal cancer patients with elevated operative risk and elder rectal cancer patients. METHODS: This study presented a retrospective single center experience in rectal cancer proctectomy for high operative risk patients. High operative risk patient was defined as Cr-POSSUM > 5% combined with associated risk factors. 220 in 1477 consecutive patients met the inclusion criteria. RESULTS: 132 patients were selected (66:66) after propensity score matching...
December 9, 2016: Oncotarget
https://www.readbyqxmd.com/read/27941329/advantages-of-early-preventive-ileostomy-closure-after-total-mesorectal-excision-surgery-for-rectal-cancer-an-institutional-retrospective-study-of-123-consecutive-patients
#6
Min-Wei Zhou, Zi-Hao Wang, Zong-You Chen, Jian-Bin Xiang, Xiao-Dong Gu
BACKGROUND/AIM: Preventive ileostomy is frequently constructed to minimizethe consequences of anastomotic leakage after resection of rectal cancer. There is no consensus regarding the best timing for temporary stoma closure after proctectomy for rectal cancer. This retrospective study sought to determine whether the timing of stoma closure influenced postoperative outcomes. METHODS: Subjects were 123 patients with rectal cancer undergoing laparoscopic or open total mesorectal excision surgery with preventive ileostomy from 2012 to 2015...
December 10, 2016: Digestive Surgery
https://www.readbyqxmd.com/read/27934790/abdomino-endoscopic-perineal-excision-of-the-rectum-for-benign-and-malignant-pathology-technique-considerations-for-true-transperineal-verus-transanal-total-mesorectal-excision-endoscopic-proctectomy
#7
Hazar Al Furajii, Niall Kennedy, Ronan A Cahill
PURPOSE: Transanal minimally invasive surgery using single port instrumentation is now well described for the performance of total mesorectal excision with restorative colorectal/anal anastomosis most-often in conjunction with transabdominal multiport assistance. While non-restorative abdomino-endoscopic perineal excision of the anorectum is conceptually similar, it has been less detailed in the literature. METHODS: Consecutive patients undergoing non-restorative ano-proctectomy including a transperineal endoscopic component were analysed...
January 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27796599/robotic-assisted-colorectal-surgery-in-obese-patients-a-case-matched-series
#8
Jeffrey N Harr, Samuel Luka, Aman Kankaria, Yen-Yi Juo, Samir Agarwal, Vincent Obias
BACKGROUND: Reports demonstrate laparoscopic colorectal surgery in obese patients is associated with higher conversion to laparotomy and complication rates. While several advantages of robotic-assisted surgery have been reported, outcomes in obese patients have not been adequately studied. Therefore, this study compares outcomes of robotic-assisted surgery in non-obese and obese patients. METHODS: A retrospective review of 331 consecutive robotic procedures performed at a single institution between 2009 and 2015 was performed...
October 27, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27561925/phosphodiesterase-5-inhibitors-and-vacuum-erection-device-for-penile-rehabilitation-after-laparoscopic-nerve-preserving-radical-proctectomy-for-rectal-cancer-a-prospective-controlled-trial
#9
Haijun Deng, Dong Liu, Xiangming Mao, Xiaoliang Lan, Hao Liu, Guoxin Li
The current study sought to clarify the role of phosphodiesterase type 5 inhibitors (PDE-5i) and a vacuum erection device (VED) in penile rehabilitation after laparoscopic nerve-preserving radical proctectomy (LNRP) for rectal cancer. Participants were assigned to one of the following arms-no-intervention, nightly use of sildenafil 25 mg for 3 months after surgery, or concurrent use of nightly sildenafil 25 mg/day for 3 months and a vacuum erection device (VED) 10 to 15 minutes/day for 3 months-in a nonrandomized fashion...
August 24, 2016: American Journal of Men's Health
https://www.readbyqxmd.com/read/27421299/emergency-surgery-for-epidural-abcess-secondary-to-sacral-fistula-after-laparoscopic-proctectomy
#10
Jeremie Zeitoun, Benjamin Menahem, Audrey Fohlen, Gil Lebreton, Jean Lubrano, Arnaud Alves
A 61-year-old man presented via the emergency department with a few days history of abdominal and colic occlusion symptoms. He presented signs of sepsis, midline lumbar spine tenderness and reduced hip flexion. Computer tomography of the abdomen and pelvis showed a presacral collection contiguous with the posterior part of the colo-rectal anastomosis, and MRI lumbar spine revealed abscess invation into the epidural space. He underwent a laparotomy with washout of the presacral abscess and a colostomy with a prolonged course of intravenous antibiotic therapy...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27412123/characteristics-of-learning-curve-in-minimally-invasive-ileal-pouch-anal-anastomosis-in-a-single-institution
#11
Ahmet Rencuzogullari, Luca Stocchi, Meagan Costedio, Emre Gorgun, Hermann Kessler, Feza H Remzi
BACKGROUND: Previous work from our institution has characterized the learning curve for open ileal pouch-anal anastomosis (IPAA). The purpose of the present study was to assess the learning curve of minimally invasive IPAA. METHODS: Perioperative outcomes of 372 minimally invasive IPAA by 20 surgeons (10 high-volume vs. 10 low-volume surgeons) during 2002-2013, included in a prospectively maintained database, were assessed. Predicted outcome models were constructed using perioperative variables selected by stepwise logistic regression, using Akaike's information criterion...
July 12, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27388931/impact-of-conversion-to-open-surgery-on-early-postoperative-morbidity-after-laparoscopic-resection-for-rectal-adenocarcinoma-a-retrospective-study
#12
Anass Mohammed Majbar, Mourad Abid, Mouna Alaoui, Farid Sabbah, Mohamed Raiss, Mohamed Ahallat, Abdelmalek Hrora
BACKGROUND: The impact of conversion to open surgery after a laparoscopic resection for rectal adenocarcinoma on postoperative morbidity is still unclear. Most previous studies included colon and rectal carcinomas and produced conflicting results. The aim of this study was to investigate the impact of conversion to open surgery on early postoperative morbidity in patients who underwent a laparoscopic resection for rectal adenocarcinoma. METHODS: This was a retrospective bicentric study...
September 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27312241/preliminary-results-of-robotic-colorectal-surgery-at-the-national-cancer-institute-cairo-university
#13
Ashraf Saad Zaghloul, Ahmed Mostafa Mahmoud
BACKGROUND: The available literature on minimally invasive colorectal cancer demonstrates that laparoscopic approach is feasible and associated with better short term outcomes than open surgery while maintaining equivalent oncologic safety. Reports have shown that robotic surgery may overcome some of the pitfalls of laparoscopic intervention. OBJECTIVE OF THE WORK: To evaluate early results of robotic colorectal surgery, in a cohort of Egyptian patients, regarding operative time, operative and early post-operative complications, hospital stay and pathological results...
September 2016: Journal of the Egyptian National Cancer Institute
https://www.readbyqxmd.com/read/27311004/effect-of-preservation-of-denonvilliers-fascia-during-laparoscopic-resection-for-mid-low-rectal-cancer-on-protection-of-male-urinary-and-sexual-functions
#14
Hong-Bo Wei, Jia-Feng Fang, Zong-Heng Zheng, Bo Wei, Jiang-Long Huang, Tu-Feng Chen, Yong Huang, Pu-Run Lei
The aim of this study was to investigate the effect of preservation of Denonvilliers' fascia (DF) during laparoscopic resection for mid-low rectal cancer on protection of male urogenital function. Whether preservation of DF during TME is effective for protection of urogenital function is largely elusive.Seventy-four cases of male mid-low rectal cancer were included. Radical laparoscopic proctectomy was performed, containing 38 cases of preservation of DF (P-group) and 36 cases of resection of DF (R-group) intraoperatively...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27258914/case-matched-comparison-of-robotic-versus-laparoscopic-proctectomy-for-inflammatory-bowel-disease
#15
Ahmet Rencuzogullari, Emre Gorgun, Meagan Costedio, Erman Aytac, Hermann Kessler, Maher A Abbas, Feza H Remzi
The present study reports an early institutional experience with robotic proctectomy (RP) and outcome comparison with laparoscopic proctectomy (LP) in patients with inflammatory bowel disease (IBD). Patients who underwent either RP or LP during proctocolectomy for IBD between January 2010 and June 2014 were matched (1:1) and reviewed. Twenty-one patients undergoing RP fulfilled the study criteria and were matched with an equal number of patients who had LP. Operative time was longer (304 vs. 213 min, P=0.008) and estimated blood loss was higher in the RP group (360 vs...
June 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27234928/the-impact-of-surgeon-laparoscopic-training-and-case-volume-of-laparoscopic-surgery-on-conversion-during-elective-laparoscopic-colorectal-surgery
#16
Haane Massarotti, Fabio Rodrigues, Colin O'Rourke, Sami A Chadi, Steven Wexner
AIM: The study aimed to determine whether laparoscopic volume and type of training influence conversion during elective laparoscopic colorectal surgery. METHOD: An Institutional Review Board-approved prospective database was reviewed for patients who underwent colorectal resection by six colorectal surgeons for all diagnoses from 2009-2014. Surgeons were designated as laparoscopic- or open-trained based on formal laparoscopic colorectal surgery training, and classified as low laparoscopic volume (LLV) (<100 procedures) or high laparoscopic volume (HLV) (>100 procedures)...
May 28, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27232247/considering-value-in-rectal-cancer-surgery-an-analysis-of-costs-and-outcomes-based-on-the-open-laparoscopic-and-robotic-approach-for-proctectomy
#17
Jorge Silva-Velazco, David W Dietz, Luca Stocchi, Meagan Costedio, Emre Gorgun, Matthew F Kalady, Hermann Kessler, Ian C Lavery, Feza H Remzi
OBJECTIVE: The aim of the study was to compare value (outcomes/costs) of proctectomy in patients with rectal cancer by 3 approaches: open, laparoscopic, and robotic. BACKGROUND: The role of minimally invasive proctectomy in rectal cancer is controversial. In the era of value-based medicine, costs must be considered along with outcomes. METHODS: Primary rectal cancer patients undergoing curative intent proctectomy at our institution between 2010 and 2014 were included...
May 26, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27112126/neoadjuvant-radiotherapy-a-risk-factor-for-short-term-wound-complications-after-radical-resection-for-rectal-cancer
#18
Stefan D Holubar, Rachel K Brickman, Spencer W Greaves, S Joga Ivatury
BACKGROUND: Neoadjuvant radiotherapy (RT) for rectal cancer may increase wound complications after oncologic proctectomy. We aimed to assess the relationship between neoadjuvant RT and 30-day wound complications after radical surgery for rectal cancer. STUDY DESIGN: We identified rectal cancer patients (International Classification of Diseases, revision-9 [ICD-9] code 154.1) who underwent radical resection, using NSQIP from 2005 to 2010. Patients were stratified into preoperative radiation vs no radiation groups...
August 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/27110866/initial-experience-of-restorative-proctocolectomy-for-ulcerative-colitis-by-transanal-total-mesorectal-rectal-excision-and-single-incision-abdominal-laparoscopic-surgery
#19
C A Leo, S Samaranayake, Z L Perry-Woodford, L Vitone, O Faiz, J D Hodgkinson, I Shaikh, J Warusavitarne
AIM: Laparoscopic surgery is well established for colon cancer, with defined benefits. Use of laparoscopy for the performance of restorative proctocolectomy (RPC) with ileoanal anastomosis is more controversial. Technical aspects include difficult dissection of the distal rectum and a potentially increased risk of anastomotic leakage through multiple firings of the stapler. In an attempt to overcome these difficulties we have used the technique of transanal rectal excision to perform the proctectomy...
December 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26714950/robotic-versus-laparoscopic-total-mesorectal-excision-tme-for-sphincter-saving-surgery-is-there-any-difference-in-the-transanal-tme-rectal-approach-a-single-center-series-of-120-consecutive-patients
#20
COMPARATIVE STUDY
Pierre-Emmanuel Colombo, Martin M Bertrand, Mathias Alline, Eric Boulay, Anne Mourregot, Sébastien Carrère, François Quénet, Marta Jarlier, Philippe Rouanet
BACKGROUND: Robotic total mesorectal excision (R-TME), a novel way for minimally invasive treatment of rectal cancer, was shown in previous studies to be safe and effective. However, comparison with laparoscopic total mesorectal excision (L-TME) has drawn contradictory disputes, especially concerning operative high-risk patients. The aim of this study was to compare R-TME and L-TME on the rectal technical approach. METHODS: Between October 2009 and March 2013, a total of 120 consecutive rectal carcinomas, operated for sphincter-saving procedure, were enrolled...
May 2016: Annals of Surgical Oncology
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