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Laparoscopic Colon Surgery

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https://www.readbyqxmd.com/read/29669684/impact-on-surgical-and-oncological-results-of-the-use-of-colonic-stents-as-a-bridge-to-surgery-for-potentially-curable-occlusive-colorectal-neoplasms
#1
Antònia Crespí-Mir, Juan Manuel Romero-Marcos, Anabel de la Llave-Serralvo, Carlos Dolz-Abadía, José Andrés Cifuentes-Ródenas
INTRODUCTION: The outcomes of patients treated with colonic stents as a bridge to surgery (BTS) have recently been questioned in terms of safety and long-term oncologic outcomes. The aim of this study is to evaluate the effects on surgical and oncologic outcomes of colonic stents as a BTS for potentially resectable obstructive colorectal cancer. METHODS: We conducted a retrospective analysis of patients operated on for potentially resectable obstructive colorectal cancer with or without distant disease between September 2002 and October 2015, comparing the patients treated with a colonic stent as a BTS (Stent group) with those directly operated on (Surgery group)...
April 15, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29666000/how-does-the-application-of-surgical-components-in-enhanced-recovery-programs-for-colorectal-surgery-change-over-time
#2
Julie Veziant, Daniel Leonard, Bruno Pereira, Karem Slim
BACKGROUND: Enhanced recovery programs (ERP) improve post-operative outcomes in proportion to how fully they are implemented. Maintaining an optimal level of application of all the ER components is thus essential. Our aim was to assess the sustainability of ER surgical components 2 years after their first implementation. METHOD: Patients undergoing elective colorectal resections were included in a prospective database. To retrospectively analyze compliance with ERP over a period of 24 months, the following components were considered: colonic preparation, surgical approach, nasogastric tube omission and absence of abdominal drainage...
April 14, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/29663399/multidimensional-analyses-of-the-learning-curve-for-single-incision-plus-one-port-laparoscopic-surgery-for-sigmoid-colon-and-upper-rectal-cancer
#3
Junmeng Li, Yanan Wang, Dong Liu, Haipeng Zhou, Tingyu Mou, Guoxin Li, Haijun Deng
BACKGROUND AND OBJECTIVES: Single-incision plus one port surgery (SILS + 1) provides the advantages of being minimally invasive and easier to perform than pure single-incision laparoscopic surgery. The aim of this study was to investigate the learning curve (LC) for SILS + 1 for sigmoid colon and upper rectal cancer. METHOD: From November 2012 to May 2014, a series of 85 consecutive patients underwent selective SLIS + 1 for sigmoid colon and upper rectal cancer performed by a single surgeon at Nanfang Hospital...
April 17, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29663305/factors-associated-with-short-term-morbidity-in-patients-undergoing-colon-resection-for-crohn-s-disease
#4
H Hande Aydinli, Erman Aytac, Feza H Remzi, Mitchell Bernstein, Alexis L Grucela
BACKGROUND: Patients undergoing colon resection for Crohn's disease are at risk of developing postoperative complications. The aim of this study is to identify factors associated with short-term (30-day) morbidity in patients undergoing colon resection for Crohn's disease from a national database. METHODS: Patients who underwent colon resection for Crohn's disease in 2015 were identified from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database...
April 16, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29663069/a-study-of-using-carbon-nanoparticles-to-improve-lymph-nodes-staging-for-laparoscopic-assisted-radical-right-hemicolectomy-in-colon-cancer
#5
Lelin Pan, Feng Ye, Jing-Jing Liu, Xiao-Qun Ba, Qin-Song Sheng
PURPOSE: This study aimed to analyze and evaluate the feasibility of using carbon nanoparticles (CNs) to track lymph nodes (LNs) metastases in right colon tumors, especially for patients who underwent laparoscopic-assisted radical right hemicolectomy. METHOD: A total of 99 patients were enrolled in this retrospective study between November 2015 and September 2017 (control group n = 47). One day before surgery, 1 ml of CNs suspension was injected into the submucosal layer around the site of the primary lesions by colonoscopy...
April 16, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29658820/umbilical-microbiome-and-laparoscopic-surgery-a-descriptive-clinical-study
#6
Alberto Aiolfi, Emanuele Asti, Elena Costa, Davide Ferrari, Gianluca Bonitta, Paola Gaia, Milvana Tedaja, Luigi Bonavina
BACKGROUND: The human skin microbiome consists of colonizing and pathogen germs. The umbilical dimple is a humid environment prone to bacterial colonization and growth. In the laparoscopic era, the umbilicus has become the most common site of entrance into the peritoneum. The aim of this study was to describe the characteristics of umbilical microflora before antiseptic skin preparation. METHODS: Descriptive single-center study. A series of patients who underwent laparoscopic/open and elective/urgent abdominal surgery over a 2-month period were included...
April 16, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29656799/long-term-outcomes-of-laparoscopic-versus-open-d3-dissection-for-stage-ii-iii-colon-cancer-results-of-propensity-score-analyses
#7
Dai Shida, Hiroki Ochiai, Shunsuke Tsukamoto, Yukihide Kanemitsu
BACKGROUND: Non-inferiority of the laparoscopic approach for stage II/III colon cancer has not been clearly established. This study aimed to evaluate the long-term outcomes of laparoscopic versus open D3 surgery. METHODS: Subjects were 1230 consecutive patients with stage II/III colon cancer, who were referred to the National Cancer Center Hospital from 2004 to 2013. Open surgery was performed in 821 (67%) patients, and laparoscopic surgery was performed in 409 (33%)...
April 5, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29650830/-curative-resection-for-unresectable-locally-advanced-colorectal-cancer-following-intensive-chemotherapy-plus-molecular-targeted-agent-report-of-three-cases
#8
Yuto Hozaka, Shinichiro Mori, Yoshiaki Kita, Kenji Baba, Takaaki Arigami, Yoshikazu Uenosono, Yasuto Uchikado, Yuko Mataki, Kosei Maemura, Shoji Natsugoe
Intensive chemotherapy plus molecular targeted agent improve overall survival for patients with unresectable colorectal cancer.We performed laparoscopic surgery following intensive chemotherapy of mFOLFOX6 or FOLFIRI plus molecular targeted agent for 3 patients with unresectable locally advanced colorectal cancer with abscess formation.A 60-year-old man was diagnosed as having unresectable rectal cancer with abscess formation and underwent curative resection after partial response following chemotherapy.A 42-year-old woman was diagnosed as having unresectable sigmoid colon cancer with abscess formation and underwent curative resection after partial response following chemotherapy...
April 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29624907/laparoscopic-right-hemicolectomy-for-a-colon-cancer-patient-with-an-ileal-conduit
#9
Shinsuke Suzuki, Toshiya Nagasaki, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Yosuke Fukunaga, Hironori Fukuoka, Hajime Ushigome, Satoshi Murahashi, Shun Miyanari, Hironori Minami, Masashi Ueno
Here, we describe our experience of laparoscopic surgery in a colon cancer patient with an ileal conduit. To our knowledge, this is the second case presented in the English-language literature. A 71-year-old woman with a history of both open anterior exenteration with ileal conduit reconstruction for bladder cancer and open cholecystectomy for cholecystitis was diagnosed with ascending colon cancer (cT3N1M0). Laparoscopic right hemicolectomy with conduit preservation was planned. After adhesiolysis, complete mesocolic excision and central vascular ligation were achieved laparoscopically without injury to the conduit or other structures...
April 6, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29616421/analysis-of-the-vascular-interrelationships-among-the-first-jejunal-vein-the-superior-mesenteric-artery-and-the-middle-colic-artery
#10
Atsushi Hamabe, SungAe Park, Shunji Morita, Tsukasa Tanida, Yoshito Tomimaru, Hiroshi Imamura, Keizo Dono
BACKGROUND: The technical difficulty of laparoscopic surgery for transverse colon cancer is partly due to the vascular variability around the middle colic vessels. Although individual variations in the arteries or veins in this area were previously investigated, the vascular interrelationships between these vessels remain unknown. This study was designed to investigate the vascular interrelationships between the arteries and veins around the middle colic vessels and to provide practically useful classifications...
April 3, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29615004/laparoscopy-assisted-colectomy-as-an-oncologically-safe-alternative-for-patients-with-stage-t4-colon-cancer-a-propensity-matched-cohort-study
#11
Hao Wang, Xiaoyu Chen, Hao Liu, Tingyu Mou, Haijun Deng, Liying Zhao, Guoxin Li
BACKGROUND: It is still controversial whether laparoscopy-assisted colectomy (LAC) is suitable for patients with stage T4 colon cancer. This study aimed to compare the short- and long-term outcomes of LAC and open colectomy (OC) for patients with pathologic T4 colon cancer. METHODS: Data of eligible patients with colon cancer in our institution from March 2004 to September 2014 were retrospectively reviewed. The patients were followed up to September 2016. Propensity score matching was performed to control the bias...
April 3, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29611153/indocyanine-green-icg-enhanced-fluorescence-for-intraoperative-assessment-of-bowel-microperfusion-during-laparoscopic-and-robotic-colorectal-surgery-the-quest-for-evidence-based-results
#12
Alberto Mangano, Federico Gheza, Liaohai Leo Chen, Eleonora Maddalena Minerva, Pier Cristoforo Giulianotti
Anastomotic leakage is a severe complication after colonic/rectal surgery. One of the most important causes of anastomotic leakage is poor vascular supply. However, microvascular impairment at the anastomotic site is very often not detected intraoperatively by observation under white light. Indocyanine green (ICG)-enhanced fluorescence is a technology that may be useful for detecting microvascular alterations and potentially preventing anastomotic leakage. The aim of this Editorial-Minireview is to briefly and critically assess the literature evidence regarding the feasibility of using an ICG ?uorescent tracer for detecting microvascular changes in the perianastomotic tissue and its potential role in preventing anastomotic leakage...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29610931/optimal-surgery-for-mid-transverse-colon-cancer-laparoscopic-extended-right-hemicolectomy-versus-laparoscopic-transverse-colectomy
#13
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: Although the feasibility and safety of laparoscopic surgery for transverse colon cancer have been shown by the recent studies, the optimal laparoscopic approach for mid-transverse colon cancer is controversial. METHODS: We retrospectively analyzed the data of patients with the mid-transverse colon cancer at our institutions between January 2007 and April 2017. Thirty-eight and 34 patients who received extended right hemicolectomy and transverse colectomy, respectively, were enrolled...
April 2, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29603001/oncological-outcome-following-laparoscopic-versus-open-surgery-for-cancer-in-the-transverse-colon-a-nationwide-cohort-study
#14
Andreas Nordholm-Carstensen, Kristian Kiim Jensen, Peter-Martin Krarup
BACKGROUND: The literature on transverse colonic cancer resection is sparse. The optimal surgical approach for this disease is thus unknown. This study aimed to examine laparoscopic versus open surgery for transverse colonic cancer. METHODS: This study was a nationwide, retrospective cohort study of all patients registered with a transverse colonic cancer in Denmark between 2010 and 2013. Data were obtained from the Danish Colorectal Cancer Group, the Danish Pathology Registry, Danish National Patient Registry, and patients' records...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602999/long-term-oncologic-outcomes-after-laparoscopic-vs-open-colon-cancer-resection-a-high-quality-population-based-analysis-in-a-southern-german-district
#15
Vinzenz Völkel, Teresa Draeger, Michael Gerken, Monika Klinkhammer-Schalke, Alois Fürst
BACKGROUND: Over 20 years after the introduction of laparoscopic surgery for colon cancer, many surgeons still prefer the open approach. Whereas randomized controlled trials (RCTs) have proven the oncologic safety of laparoscopy, long-term data depicting daily clinical routine are scarce. METHODS: This population-based cohort study compares 5-year overall, relative, and recurrence-free survival rates after laparoscopic and open colon carcinoma surgery. Data derive from an independent German cancer registry encompassing all tumor patients within a political district of 1...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602989/an-in-vivo-analysis-of-safe-laparoscopic-grasping-thresholds-for-colorectal-surgery
#16
Jenifer Barrie, Louise Russell, Adrian J Hood, David G Jayne, Anne Neville, Peter R Culmer
BACKGROUND: Analysis of safe laparoscopic grasping thresholds for the colon has not been performed. This study aimed to analyse tissue damage thresholds when the colon is grasped laparoscopically, correlating histological changes to mechanical compressive forces. METHODS: An instrumented laparoscopic grasper was used to measure the forces applied to porcine colon, with data captured and plotted as a force-time (f-t) curve. Haematoxylin and eosin histochemistry of tissue subjected to 10, 20, 40, 50 and 70 N for 5, 30 and 60 s was performed, and the area of colonic circular and longitudinal muscle was compared in grasped and un-grasped regions...
March 30, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602975/standardization-of-surgical-procedures-to-reduce-risk-of-anastomotic-leakage-reoperation-and-surgical-site-infection-in-colorectal-cancer-surgery-a-retrospective-cohort-study-of-1189-patients
#17
Ken Eto, Mitsuyoshi Urashima, Makoto Kosuge, Masahisa Ohkuma, Rota Noaki, Kai Neki, Daisuke Ito, Yasuhiro Takeda, Hiroshi Sugano, Katsuhiko Yanaga
PURPOSE: Anastomotic leakage (AL) and surgical site infection (SSI) are prevalent complications of colorectal surgery. To lower this risk, we standardized our surgical procedures in 2012, with a preferential use of laparoscopic approach (LS) for both colon and rectal surgery, combined with triangulating anastomosis (TA) for colon surgery and defunctioning ileostomy (DI) for low anterior resection. Our aim was to evaluate the outcomes of our standardized procedures. METHODS: The incidence rate of AL (primary outcome) and of reoperation and SSI (secondary outcome) was compared before (early period, n = 648) and after (late period, n = 541) standardization, through a retrospective analysis...
March 30, 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29601667/laparoscopic-sigmoidectomy-in-a-case-of-sigmoid-colon-cancer-with-situs-inversus-totalis
#18
Takashi Takeda, Naotsugu Haraguchi, Ayumi Yamaguchi, Mamoru Uemura, Masakazu Miyake, Michihiko Miyazaki, Masataka Ikeda, Mitsugu Sekimoto
Situs inversus totalis (SIT) is a rare anatomic anomaly in which organs in the chest and abdomen exist in a mirror image reversal of their normal positions. SIT can complicate surgical procedures, and few reports have described laparoscopic surgery for colorectal cancer in patients with SIT. Here, we report a case of successful laparoscopic surgery in a patient with SIT and sigmoid colon cancer. Laparoscopic sigmoidectomy involved colonic mobilization with high ligation of the inferior mesenteric vessels and complete mesocolic excision...
March 30, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29601663/survival-benefit-of-lymph-node-dissection-in-surgery-for-colon-cancer-in-elderly-patients-a-multicenter-propensity-score-matched-study-in-japan
#19
Makoto Takahashi, Hiroaki Niitsu, Kazuhiro Sakamoto, Takao Hinoi, Minoru Hattori, Michitoshi Goto, Hiroyuki Bando, Shoichi Hazama, Kiyoshi Maeda, Kenji Okita, Hisanaga Horie, Masahiko Watanabe
INTRODUCTION: In surgery for elderly patients with colorectal cancer, it is unclear whether radical lymph node (LN) dissection safely offers a survival benefit. The aim of the study was to evaluate the impact of the LN yield in elderly patients undergoing surgery for colorectal cancer. METHODS: The subjects were selected from a surgical database of 2065 patients aged ≥80 years old who underwent surgery for colorectal cancer at 41 hospitals in Japan between 2003 and 2007...
March 30, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29595689/single-port-surgery-sps-strategy-for-small-bowel-obstruction-sbo-caused-by-postoperative-internal-hernia-a-series-case-report
#20
Kohei Taniguchi, Ryo Iida, Koshi Ota, Mitsuhiro Asakuma, Kazuhisa Uchiyama, Akira Takasu
RATIONALE: Internal hernia due to postoperative adhesions sometimes causes small bowel obstruction (SBO) and requires emergency surgery. The difficulties in the management of SBO with internal hernia include accurate diagnosis and estimation of its ischemic degree and of the risk of SBO recurrences following the surgical procedure. Laparoscopic surgery is a noninvasive to reduce postoperative adhesions and therefore has been widely used recently. However, surgeons often tend to hesitate in applying laparoscopic surgery for SBO because of some situational disadvantages such as poor operating space or iatrogenic bowel injury...
March 2018: Medicine (Baltimore)
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