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Colorectal laparoscopie

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https://www.readbyqxmd.com/read/29666000/how-does-the-application-of-surgical-components-in-enhanced-recovery-programs-for-colorectal-surgery-change-over-time
#1
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/29658679/iatrogenic-spleen-injury-during-minimally-invasive-left-colonic-flexure-mobilization-the-quest-for-evidence-based-results
#2
Alberto Mangano, Federico Gheza, Pier C Giulianotti
INTRODUCTION: To assess the frequency, risk factors and outcomes of iatrogenic spleen injury during minimally invasive colo-rectal surgery with a particular focus on the routine splenic flexure mobilization tehcnique. EVIDENCE ACQUISITION: Exclusion criteria: 1. topic not pertinent to the main topic of the review; 2. All case reports, editorials, conference highlights were excluded. After a title and abstract first selection and a final full-text analysis has been performed...
April 13, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29650919/-a-case-of-treated-with-laparoscopic-surgery-for-intussusception-up-to-the-splenic-flexion-region-due-to-cecum-cancer
#3
Go Masuda, Takeshi Hori, Nozomi Iimori, Tomohiro Lee, Masashige Tendo, Bunzo Nakata, Tetsuro Ishikawa
A 93-year-old woman was admitted to the hospital because of respiratorydiscomfort. A chest CT scan indicated aspiration pneumonitis and, simultaneously, intussusception was observed in the splenic flexure region. Abdominal enhance CT scan revealed a tumor in the advanced region of intussusception. Laparoscopy-assisted ileocecal resection was performed. Since the intussusception was difficult to reduce laparoscopically, the ileocecum was mobilized and the intussusception was reduced manually. In the resected specimen, a type 1 tumor was observed in the cecum and histopathologic ally diagnosed as cercal cancer...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29621034/role-of-emergency-laparoscopic-colectomy-for-colorectal-cancer-a-population-based-study-in-england
#4
Abigail E Vallance, Deborah S Keller, James Hill, Michael Braun, Angela Kuryba, Jan van der Meulen, Kate Walker, Manish Chand
OBJECTIVE: To evaluate factors associated with the use of laparoscopic surgery and the associated postoperative outcomes for urgent or emergency resection of colorectal cancer in the English National Health Service. SUMMARY OF BACKGROUND DATA: Laparoscopy is increasingly used for elective colorectal cancer surgery, but uptake has been limited in the emergency setting. METHODS: Patients recorded in the National Bowel Cancer Audit who underwent urgent or emergency colorectal cancer resection between April 2010 and March 2016 were included...
April 4, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29611154/intracorporeal-ileocolic-anastomosis-in-laparoscopic-right-colectomy-a-new-way-to-make-it-simple
#5
Roberto Rossini, Giorgio Lisi, Irene Gentile, Giuliano Barugola, Giacomo Ruffo
Although there has been a recent increase in the use of laparoscopy in colorectal surgery, the percentage of patients who undergo surgery using entirely minimally invasive techniques is still quite low, and there are substantial differences among centers. It has been argued that the limiting factor in the use of laparoscopic procedures is not the tumor or patient characteristics, but rather the number of surgeons with adequate skills to perform an entirely laparoscopic colectomy. To address this issue, we report here our totally laparoscopic right colectomy technique, with particular focus on a new way to perform the enterotomy closure, which may simplify ileocolic anastomosis...
March 29, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29611044/long-term-oncologic-outcomes-after-laparoscopic-versus-open-rectal-cancer-resection-a-high-quality-population-based-analysis-in-a-southern-german-district
#6
Teresa Draeger, Vinzenz Völkel, Michael Gerken, Monika Klinkhammer-Schalke, Alois Fürst
BACKGROUND: An increasing number of rectal carcinoma resections in Germany and worldwide are performed laparoscopically. The recently published COLOR II trial demonstrated the oncologic safety of this surgical approach. It remains unclear whether these findings can be transferred to clinical practice. PATIENTS AND METHODS: This population-based retrospective cohort study aimed to evaluate 5-year overall, relative, disease-free, and local recurrence-free survival of rectal cancer patients treated by open surgery and laparoscopy...
April 2, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29602696/preoperative-assessment-of-peritoneal-carcinomatosis-of-colorectal-origin
#7
A Dohan, C Hobeika, N H Najah, M Pocard, P Rousset, C Eveno
The goal of preoperative assessment of patients with peritoneal carcinomatosis (PC) from colorectal origin is to select candidates for curative surgery by evaluating the possibility of complete resection, and to plan the surgical procedure. Quantitative and qualitative evaluation of lesional localization remains difficult even with current technical progress in imaging. Computed tomography (CT), the reference imaging technique, allows detection of both peritoneal and extra-peritoneal lesions. Sensitivity and specificity for detecting PC are 83% (95%CI: 79-86%) and 86% (95%CI: 82-89%), respectively...
March 27, 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29594167/first-experiences-with-the-new-senhance%C3%A2-telerobotic-system-in-visceral-surgery
#8
REVIEW
Dietmar Stephan, Heike Sälzer, Frank Willeke
Until recently, robotic-assisted surgery has exclusively been connected to the name DaVinci®. In 2016, a second robotic system, the Senhance®, became available. To introduce the new robotic system into clinical routine, detailed team training and an integration program were useful. Within the first 6 months, 116 cases were performed with this system. The integration program intended to start with simple and well-standardized clinical cases. We chose inguinal hernia repair using the TAPP (transabdominal preperitoneal) technique as the starting procedure...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29579322/multicentre-study-of-laparoscopic-or-open-assessment-of-the-peritoneal-cancer-index-big-renape
#9
G Passot, F Dumont, D Goéré, C Arvieux, P Rousset, J-M Regimbeau, D Elias, L Villeneuve, O Glehen
BACKGROUND: The peritoneal cancer index (PCI) is a comparative prognostic factor for colorectal peritoneal metastasis (CRPM). The ability of laparoscopy to determine the PCI in consideration of cytoreductive surgery remains undetermined, and this study was designed to compare it with laparotomy. METHODS: A prospective multicentre study was conducted for patients with no known CRPM, but at risk of peritoneal disease. Surgery began with laparoscopic exploration followed by open exploration to determine the PCI...
March 26, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29577556/the-effect-of-increasing-body-mass-index-on-laparoscopic-surgery-for-colon-and-rectal-cancer
#10
Stephen Bell, Joseph C Kong, Roger Wale, Margaret Staples, Karen Oliva, Simon Wilkins, Paul Mc Murrick, Satish K Warrier
BACKGROUND: Obesity is common in Western countries and its prevalence is increasing. Colorectal cancer is common, and surgery for colorectal cancer is technically more challenging in obese patients. Laparoscopic surgery for colon cancer has been shown to be oncologically equivalent, with improved short- term outcomes. Laparoscopic surgery for rectal cancer has proven technically challenging, and recent results have raised concerns about oncologic equivalence. OBJECTIVE: To evaluate the effect of body mass index (BMI) on the clinical and oncological outcomes of surgery for colorectal cancer, including the rate at which laparoscopic surgery is attempted and the rate at which laparoscopic surgery is converted to open surgery...
March 25, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29570185/-laparoscopy-in-liver-surgery
#11
László Piros, Zoltán Máthé
More than 9000 laparoscopic liver resections (LLR) are performed worldwide for benign lesions, malignancy (mainly for hepatocellular carcinoma and colorectal cancer liver metastasis), and living donor hepatectomy. Although there is no absolute size criterion, smaller, peripheral lesions (<5 cm) of the anteriolateral segments, that lie far from major vessels and anticipated transection planes are most amenable to LLR, but nowadays lesions of the less ideal posterosuperior segments are feasible for LLR too...
March 23, 2018: Magyar Onkologia
https://www.readbyqxmd.com/read/29555197/laparoscopic-versus-open-major-hepatectomy-a-systematic-review-and-meta-analysis-of-individual-patient-data
#12
REVIEW
Meidai Kasai, Federica Cipriani, Brice Gayet, Luca Aldrighetti, Francesca Ratti, Juan M Sarmiento, Olivier Scatton, Ki-Hun Kim, Ibrahim Dagher, Baki Topal, John Primrose, Takeo Nomi, David Fuks, Mohammad Abu Hilal
BACKGROUND: The role of laparoscopy for major hepatectomies remains a matter of development to be further assessed. The purpose of this study is to compare the short- and long-term outcomes between laparoscopic and open major hepatectomies meta-analyzing individual patient data from published comparative studies. METHODS: All retrospective studies comparing between laparoscopic and open major hepatectomies published until March 2017 were identified independently by 2 reviewers by searching in PubMed and Cochrane Central Register of Controlled Trials...
March 16, 2018: Surgery
https://www.readbyqxmd.com/read/29553101/pain-perception-after-colorectal-surgery-a-propensity-score-matched-prospective-cohort-study
#13
Fabian Grass, Matthieu Cachemaille, David Martin, Nicolas Fournier, Dieter Hahnloser, Catherine Blanc, Nicolas Demartines, Martin Hübner
The purpose of this prospective cohort study was to compare multimodal pain management and pain perception after open vs. laparoscopic colorectal surgery within enhanced recovery care. Pain scores at rest and at mobilization were prospectively assessed in consecutive patients using Visual Analog Scales (VAS 0-10) and consumption of different analgesics was recorded daily until 96 hours postoperatively. Uni- and multivariate risk factors for pain peaks (≥ 4/10) were identified by logistic regression and compared between two propensity score matched groups (open vs...
2018: Bioscience Trends
https://www.readbyqxmd.com/read/29549473/impact-of-visceral-obesity-and-sarcopenia-on-short-term-outcomes-after-colorectal-cancer-surgery
#14
Wei-Zhe Chen, Xiao-Dong Chen, Liang-Liang Ma, Feng-Min Zhang, Ji Lin, Cheng-Le Zhuang, Zhen Yu, Xiao-Lei Chen, Xiao-Xi Chen
BACKGROUND: With the increased prevalence of obesity and sarcopenia, those patients with both visceral obesity and sarcopenia were at higher risk of adverse outcomes. AIM: The aim of this study was to ascertain the combined impact of visceral obesity and sarcopenia on short-term outcomes in patients undergoing colorectal cancer surgery. METHODS: We conducted a prospective study from July 2014 to February 2017. Patients' demographic, clinical characteristics, physical performance, and postoperative short-term outcomes were collected...
March 16, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29536753/-enhanced-recovery-program-in-colorectal-surgery
#15
Balázs Bánky, Miklós Lakatos, Krisztina Varga, Edit Hansági, Éva Horváth, Géza Járay
INTRODUCTION: Enhanced recovery after surgery (ERAS) programme has been described and practiced for twenty years in the perioperative management of colorectal patients. ERAS is a complex, evidence based strategy which proved to be extremely effective when linked to laparoscopy in reducing morbidity, length of hospital stay, as well as reducing cost of colorectal service. AIMS: We gradually adapted elements of ERAS protocol along with laparoscopy in the colorectal surgical treatment at a county hospital from 2013...
March 2018: Magyar Sebészet
https://www.readbyqxmd.com/read/29534879/-surgical-management-of-deep-endometriosis-with-colorectal-involvement-cngof-has-endometriosis-guidelines
#16
M Ballester, H Roman
Deep endometriosis with colorectal involvement is considered one of the most severe forms of the disease due to its impact on patients' quality of life and fertility but also by the difficulties encountered by the clinicians when proposing a therapeutic strategy. Although the literature is very rich, evidence based medicine remains poor explaining the great heterogeneity concerning the management of such patients. Surgery therefore remains a therapeutic option. It improves the intensity of gynecological, digestive and general symptoms and the quality of life...
March 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29462751/primary-splenic-malignant-lymphoma-mimicking-metastasis-of-rectosigmoid-cancer-a-case-report
#17
Masaki Wakasugi, Yumiko Yasuhara, Yujiro Nakahara, Takashi Matsumoto, Hiroyoshi Takemoto, Ko Takachi, Kiyonori Nishioka, Kyotaro Yoshida, Satoshi Oshima
INTRODUCTION: Primary splenic malignant lymphoma is quite a rare disease, and its preoperative diagnosis is difficult. CASE PRESENTATION: An 80-year-old man was diagnosed with advanced rectosigmoid cancer with liver and splenic metastases, for which he underwent single-incision laparoscopic high anterior resection for the primary rectosigmoid cancer. After chemotherapy, he underwent laparoscopy-assisted splenectomy and open partial hepatectomy of segment 3 and segment 5/6 of the liver...
February 9, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29451037/esophageal-hiatal-hernia-risk-diagnosis-and-management
#18
Hai-Xiang Yu, Chun-Shan Han, Jin-Ru Xue, Zhi-Feng Han, Hua Xin
Esophageal hiatal hernia involves abnormal abdominal entry into thoracic cavity. It is classified based on orientation between esophageal junction and diaphragm. Sliding hiatal hernia (Type-I) comprises the most frequent category, emanating from right crus of diaphragm. Type-II esophageal hernia engages both left and right muscular crura. Type-III and IV additionally include the left crus. Age and increased body mass index are key risk factors, and congenital skeletal aberrations trigger pathogenesis through intestinal malrotations...
April 2018: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29440057/the-role-of-robotics-in-colorectal-surgery
#19
REVIEW
Christina L Cheng, Craig Rezac
Studies of laparoscopic approaches in colorectal surgery support the use of such methods. Compared with the open approach, laparoscopy reduces rates of postoperative complications and decreases length of stay, while providing equivalent oncologic outcomes. Nevertheless, much of colorectal surgery is still being performed by the open approach. This may be partly due to the technical challenges in performing laparoscopy, particularly when working in narrow spaces such as the pelvis. Moreover, some of the current literature has questioned the oncologic outcomes after laparoscopic surgery for rectal cancer...
February 12, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29433869/trends-in-laparoscopic-colorectal-surgery-over-time-from-2005-2014-using-the-nsqip-database
#20
Catherine H Davis, Beverly A Shirkey, Linda W Moore, Tanmay Gaglani, Xianglin L Du, H Randolph Bailey, Marianne V Cusick
BACKGROUND: Laparoscopy, originally pioneered by gynecologists, was first adopted by general surgeons in the late 1980s. Since then, laparoscopy has been adopted in the surgical specialties and colorectal surgery for treatment of benign and malignant disease. Formal laparoscopic training became a required component of surgery residency programs as validated by the Fundamentals of Laparoscopic Surgery curriculum; however, some surgeons may be more apprehensive of widespread adoption of minimally invasive techniques...
March 2018: Journal of Surgical Research
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