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Laparoscopic colectomy

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https://www.readbyqxmd.com/read/29121694/right-sided-versus-left-sided-colectomies-for-cancer-surgical-outcomes-and-novel-considerations
#1
Matteo Lavazza, Stefano Rausei, Georgios D Lianos, Vincenzo O Pappalard, Francesco Frattini, Gianlorenzo Dionigi, Domenico Iovino, Francesca Rovera, Luigi Boni
INTRODUCTION: The aim of this study is to compare short-term outcomes of right versus left colectomies performed as a form of cancer treatment. MATERIALS AND METHODS: This study includes 305 consecutive patients with adenocarcinoma treated by laparoscopic or open colectomy. Right colectomy has been compared with left colectomy. The study endpoints were the first flatus day, the first evacuation day, the first day of postoperative solid oral diet intake, and the postoperative hospital stay length...
November 9, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29113714/laparoscopic-versus-open-colectomy-for-obstructing-right-colon-cancer-a-systematic-review-and-meta-analysis
#2
R Cirocchi, F Cesare Campanile, S Di Saverio, G Popivanov, L Carlini, D Pironi, R Tabola, N Vettoretto
BACKGROUND: Hemicolectomy is the treatment of choice for intestinal obstruction from right colon cancer. This review compares the laparoscopic vs open access in hemicolectomy for patients with right colon cancer. METHODS: A systematic review and meta-analysis of clinical studies published after January 2017 was performed according to the Prisma guidelines. The study has been recorded on the Prospero register (CRD42016044108). RESULTS: Five studies were included for review...
November 4, 2017: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29100586/trends-of-ureteral-stent-usage-in-surgery-for-diverticulitis
#3
Alexander S Chiu, Raymond A Jean, Jolanta Gorecka, Kimberly A Davis, Kevin Y Pei
BACKGROUND: Many believe that the use of ureteral stents in colorectal surgery for diverticulitis aids prevention and easier identification of ureteral injuries; others argue that the added time, cost, and risks of stent placement negate potential benefits. Even among providers who use stents, selective use is common. Among unclear consensus, it remains unknown if the use of stents is growing. MATERIALS: Patients in the National Inpatient Sample who underwent a partial colectomy or anterior rectal excision for diverticulitis between 2000 and 2013 were included (n = 811,071)...
October 31, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29089694/laparoscopic-management-of-colonic-diverticular-disease-and-its-complications-an-analysis
#4
Prakash Kurumboor, N P Kamalesh, K Pramil, Deepak George, Rohan Shetty, Shaji Ponnambathayil, Sylesh Aikot
Dense inflammatory reactions, loss of tissue planes and sepsis make surgical treatment of diverticulitis complex and difficult. Experience with laparoscopic management of this disease is scanty in our country. This study aims to assess the pattern of presentation, the site of involvement and complications of diverticulitis coli. This study also aims to audit the results of laparoscopic approach for complicated colonic diverticulitis. A retrospective analysis of all patients who had laparoscopic management of complicated diverticulitis patients from August 2007 to October 2014 was done from the database...
October 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29080956/validation-of-an-online-risk-calculator-for-the-prediction-of-anastomotic-leak-after-colon-cancer-surgery-and-preliminary-exploration-of-artificial-intelligence-based-analytics
#5
T Sammour, L Cohen, A I Karunatillake, M Lewis, M J Lawrence, A Hunter, J W Moore, M L Thomas
BACKGROUND: Recently published data support the use of a web-based risk calculator ( www.anastomoticleak.com ) for the prediction of anastomotic leak after colectomy. The aim of this study was to externally validate this calculator on a larger dataset. METHODS: Consecutive adult patients undergoing elective or emergency colectomy for colon cancer at a single institution over a 9-year period were identified using the Binational Colorectal Cancer Audit database. Patients with a rectosigmoid cancer, an R2 resection, or a diverting ostomy were excluded...
October 28, 2017: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29078880/impact-of-complications-on-length-of-stay-in-elective-laparoscopic-colectomies
#6
Mary Megan Mrdutt, Claire L Isbell, J Scott Thomas, Courtney N Shaver, Rahila Essani, Rajalakshmi Warrier, Harry Troy Papaconstantinou
BACKGROUND: Length of hospital stay (LOS) is an indirect measure of surgical quality and a surrogate for cost. The impact of postoperative complications on LOS following elective colorectal surgery is not well defined. The purpose of this study is to determine the contribution of specific complications towards LOS in elective laparoscopic colectomy patients. MATERIALS AND METHODS: American College of Surgeon's National Surgical Quality Improvement Program database (2011-2014) was queried for patients undergoing elective laparoscopic partial colectomy with primary anastomosis...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29067582/growth-in-robotic-assisted-procedures-is-from-conversion-of-laparoscopic-procedures-and-not-from-open-surgeons-conversion-a-study-of-trends-and-costs
#7
Priscila R Armijo, Spyridon Pagkratis, Eugene Boilesen, Tiffany Tanner, Dmitry Oleynikov
BACKGROUND: Utilization of laparoscopy (LAP) has been increasing in general surgery for years, and there is currently a rapid increase in the utilization of robotic-assisted surgeries (RAS). This study evaluates trends in the surgical approach utilized in some commonly performed surgeries, the proportion of each approach within the procedures, and the cost of these surgeries based on the surgical approach. METHODS: This is a retrospective study using the Vizient database...
October 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29062451/two-cases-of-laparoscopic-total-colectomy-with-natural-orifice-specimen-extraction-and-review-of-the-literature
#8
Ersin Gundogan, Aydin Aktas, Cuneyt Kayaalp, Fatih Gonultas, Fatih Sumer
We present two cases of natural orifice specimen extraction (NOSE) after laparoscopic total colectomy and ileorectal anastomosis (TC-IRA), and we also review all of the previously reported cases. Our aim was to focus on patient selection for NOSE after TC-IRA. The PubMed and Google Scholar databases were scanned. Demographic features, surgical indications, and techniques were analyzed. Basic calculations were used for statistical analysis. A total of 13 cases were detected in addition to our 2 cases. All of the specimens were removed through the natural orifices successfully...
September 2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29055878/laparoscopic-hemicolectomy-for-a-patient-with-situs-inversus-totalis-a-case-report
#9
Kazuhito Sasaki, Hiroaki Nozawa, Kazushige Kawai, Keisuke Hata, Tomomichi Kiyomatsu, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Manabu Kaneko, Shigenobu Emoto, Koji Murono, Toshiaki Watanabe
INTRODUCTION: Situs inversus totalis (SIT) is a rare congenital anomaly in which the left and right aspects of the thoracic and intra-abdominal organs are inverted, like a mirror image. Surgical procedures in a patients with SIT is difficult as their anatomy is abnormal. In particular, laparoscopic procedures are considered more difficult in patients with SIT because of the mirror-image anatomy. PRESENTATION OF CASE: The patient was a 75-year-old woman with ascending colon cancer...
October 16, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29054345/the-effect-of-formal-robotic-residency-training-on-the-adoption-of-minimally-invasive-surgery-by-young-colorectal-surgeons
#10
David E Disbrow, Stephanie M Pannell, Beth-Ann Shanker, Jeremy Albright, Juan Wu, Amir Bastawrous, Mark Soliman, Jane Ferraro, Robert K Cleary
OBJECTIVE: The minimally invasive approach to colorectal surgery is still underused. Only 50% to 60% of colectomies and 10% to 20% of rectal resections for cancer are performed laparoscopically. The increasing adoption of the robotic platform for colorectal surgery warrants re-evaluation of minimally invasive surgery (MIS) training techniques. Although considering lessons learned from past laparoscopic training, a standardized national robotic training program for colon and rectal surgery residents was developed and implemented in 2011...
October 17, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29049081/mentor-tutoring-an-efficient-method-for-teaching-laparoscopic-colorectal-surgical-skills-in-a-general-hospital
#11
Nobuki Ichikawa, Shigenori Homma, Tadashi Yoshida, Yosuke Ohno, Hideki Kawamura, Kazuki Wakizaka, Kazuaki Nakanishi, Keizo Kazui, Hiroaki Iijima, Hiroki Shomura, Tohru Funakoshi, Shiro Nakano, Akinobu Taketomi
OBJECTIVE: We retrospectively assessed the efficacy of our mentor tutoring system for teaching laparoscopic colorectal surgical skills in a general hospital. MATERIALS AND METHODS: A series of 55 laparoscopic colectomies performed by 1 trainee were evaluated. Next, the learning curves for high anterior resection performed by the trainee (n=20) were compared with those of a self-trained surgeon (n=19). RESULTS: Cumulative sum analysis and multivariate regression analyses showed that 38 completed cases were needed to reduce the operative time...
October 18, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/29032159/comparison-between-different-approaches-applied-in-laparoscopic-right-hemi-colectomy-a-systematic-review-and-network-meta-analysis
#12
REVIEW
Fei Li, Xin Zhou, Bingyan Wang, Lei Guo, Jilian Wang, Wendong Wang, Wei Fu
AIM: Several different operative approaches have been applied nowadays in laparoscopic right hemi-colectomy. This study aims to evaluate the potential benefits of different approaches by conducting a network meta-analysis (NMA). METHOD: A comprehensive literature research of the PubMed, Embase, Medline, the Cochrane Central Library, Wan Fang and China National Knowledge Infrastructure (CNKI) databases was performed. Original articles comparing two of three different approaches including medial to lateral (MtL) approach, lateral to medial (LtM) approach and cranial to caudal (CtC) approach of laparoscopic right colon resection for patients with both neoplastic and benign diseases were included...
October 12, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28991090/single-incision-laparoscopic-colectomy-with-complete-mesocolic-excision-versus-multiport-laparoscopic-colectomy-for-colon-cancer
#13
COMMENT
Saeed Shoar, Habibollah Mahmoodzadeh, Nasrin Shoar, Daniel P Geilser
No abstract text is available yet for this article.
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28991088/totally-laparoscopic-retroileal-transverse-colon-to-rectal-anastomosis-following-extended-left-colectomy
#14
Paul Dunlavy, Lauren Allan, Shankar Raman
No abstract text is available yet for this article.
November 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28985875/safety-considerations-in-learning-new-procedures-a-survey-of-surgeons
#15
Todd A Jaffe, Steven J Hasday, Meghan Knol, Jason Pradarelli, Sudha R Pavuluri Quamme, Caprice C Greenberg, Justin B Dimick
BACKGROUND: There exists a tension between surgical innovation and safety. The learning curve associated with the introduction of new procedures/technologies has been associated with preventable patient harm. Surgeon's perceptions regarding the safety of methods for learning new procedures/technologies are largely uncharacterized. MATERIALS AND METHODS: A survey was designed to evaluate surgeons' perceptions related to learning new procedures/technologies. This included clinical vignettes across two domains: (1) experience with an operation (e...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28976805/single-port-and-conventional-laparoscopy-in-colorectal-surgery-comparison-of-two-techniques
#16
Udit Gibor, Zvi Perry, Sergey Domchik, Solly Mizrahi, Boris Kirshtein
BACKGROUND: Single-incision laparoscopic surgery (SILS) was introduced to further the enhanced outcome of conventional multiport laparoscopy (CML). We compared their short- and long-term outcomes in colorectal surgery. MATERIALS AND METHODS: Retrospective review of patients who underwent elective laparoscopic colorectal surgery during 3-year period. Patients' data, surgery outcomes, and oncological results were compared. RESULTS: Sixty-one patients (33 male, 28 female), mean age 67...
October 4, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28969090/procedural-difficulty-differences-according-to-tumor-location-do-not-compromise-the-clinical-outcome-of-laparoscopic-complete-mesocolic-excision-for-colon-cancer-a-retrospective-analysis
#17
Min Ki Kim, In Kyu Lee, Bong-Hyeon Kye, Jun-Gi Kim
Laparoscopic colectomy procedures and their corresponding difficulty levels may vary depending on the tumor location within the colon, and a laparoscopic complete mesocolic excision (CME) with central vascular ligation (CVL) would require more proficiency than a conventional laparoscopic colectomy. We aimed to report our laparoscopic CME with CVL data and to investigate the clinical outcome differences of laparoscopic CME with CVL by various tumor sub-site locations. Prospectively collected clinical data of consecutive patients who received laparoscopic colectomy for primary colon cancer between April 1995 and December 2010 from single surgeon were retrospectively reviewed...
September 8, 2017: Oncotarget
https://www.readbyqxmd.com/read/28960923/surgery-for-constipation-systematic-review-and-practice-recommendations-results-i-colonic-resection
#18
REVIEW
C H Knowles, U Grossi, M Chapman, J Mason
AIM: To assess the outcomes of colectomy in adults with chronic constipation (CC). METHOD: Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements (SES) with a summative Oxford Centre for Evidence-Based Medicine (2009) level. RESULTS: Forty articles were identified, providing data on outcomes in 2045 patients...
September 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28954998/solitary-distant-peritoneal-metastasis-of-cecal-cancer-after-laparoscopic-colectomy-a-case-report
#19
Akira Ouchi, Koji Komori, Kenya Kimura, Takashi Kinoshita, Seiji Ito, Tetsuya Abe, Yoshiki Senda, Kazunari Misawa, Yuichi Ito, Norihisa Uemura, Seiji Natsume, Jiro Kawakami, Yasuhiro Shimizu
A 77-year-old Japanese female underwent laparoscopic ileocecal resection and lymph node dissection for cecal cancer by a previous doctor. Two years and 9 months after previous operation, contrast-enhanced computed tomography and magnetic resonance imaging with gadolinium ethoxybenzyl-L-diethylenetriamine pentaacetic acid revealed an intraperitoneal tumor at the right subphrenic fossa. 18F-fluorodeoxyglucose position emission tomography showed fluorodeoxyglucose accumulation in the tumor, and we suspected the tumor to be solitary distant peritoneal metastasis of the previous cecal cancer to the right diaphragm...
2017: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/28948374/short-term-outcomes-of-laparoscopic-surgery-in-octogenarians-with-colorectal-cancer-a-single-institution-analysis
#20
Masashi Miguchi, Masanori Yoshimitsu, Keishi Hakoda, Ichiro Omori, Toshihiko Kohashi, Jun Hihara, Hideki Ohdan, Naoki Hirabayashi
PURPOSE: The number of elderly patients with colorectal cancer (CRC) treated with surgery has gradually increased. The aim of this study was to evaluate the short-term outcomes in patients ≥80 years of age who underwent laparoscopic or open surgery for CRC using a propensity score-matched analysis to make uniform the patient background characteristics affecting the postoperative morbidity and mortality. METHODS: We compared the short-term outcomes of open vs...
September 25, 2017: Surgery Today
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