Abdominal Wall Recurrences After Colorectal Resection for Cancer

Silecchia, Gianfranço; Perrotta, Nicola; Giraudo, G.; Salval, M.; Parini, U.; Feliciotti, F; Lezoche, E; Morino, Mario; Melotti, Gianluigi; Carlini, Massimo; Rosato, P.; Basso, Nicola

doi:10.1007/s10350-004-6386-7

Cited by 41 publications

(4 citation statements)

References 36 publications

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“…The difference was not statistically significant. Silecchia et al [14] studied statistics of laparoscopic colorectal carcinoma in the Italian laparoscopic centre for nearly 5 years and found the rate of post-operative incision implantation was 0%–0.2%. Compared with open operation, the difference was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Changes of serum and peritoneal inflammatory mediators in laparoscopic radical resection for right colon carcinoma

Zhu

Miao

et al. 2019

J Min Access Surg

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Section: Discussionmentioning

confidence: 99%

Changes of serum and peritoneal inflammatory mediators in laparoscopic radical resection for right colon carcinoma

Zhu

Miao

et al. 2019

J Min Access Surg

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“…Therefore, the time of intestinal function recovery in the NOSE group was shorter than the traditional laparoscopic group. Tumor metastasis at the puncture and incision sites after laparoscopic surgery for colorectal cancer is still a controversial issue [15][16][17][18][19] . Because there is no auxiliary incision on the abdominal wall in NOSE surgery, there is no chance of incision metastasis [20][21][22] .…”

Section: Discussionmentioning

confidence: 99%

Trans-rectal natural orifice specimen extraction (NOSE) during laparoscopic anterior resection: Chinese experience with a novel method

Zhou¹,

Wang²,

Du³

et al. 2019

Preprint

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Background: To introduce a novel method for double stapling technique in colorectal anastomosis during laparoscopic anterior resection of upper rectal or sigmoid colon cancer with trans-rectal natural orifice specimen extraction (NOSE). Methods: From June 2015 and May 2016, patients with upper-rectal or sigmoid colon cancer who received treatment in Shanghai East Hospital were enrolled. Preoperative and postoperative clinical variables were analyzed and compared between groups. Postoperative pain was analyzed utilizing a visual analog scale (VAS). Postoperative overall survival was analyzed using a K-M curve. Results: A total of 99 colorectal cancer cases were randomly divided into NOSE with novel method group (NOSE, n=48) and conventional laparoscopic group (non-NOSE, n=51). No statistically significant differences in preoperative demographics of the patients as sex, age, body mass index were found among the groups. The NOSE group had the longer operation time, but less blood loss than the non-NOSE group. The NOSE group had no abdominal incision and the lower postoperative VAS score. The time for intestinal function recovery and the length of hospital stay (LOS) was statistically significantly different, with the non-NOSE group having the longer time. The incidence of postoperative complications was lower in NOSE group (5/48, 10.4%) than in the non-NOSE group (8/51, 15.7%), the difference was statistically significant. The K-M survival curve showed no statistically significant difference in the disease free survival rate between the NOSE group and non-NOSE group. Conclusion: NOSE with novel method is safe and feasible to use in patients having colorectal cancer. Compared with traditional laparoscopic surgery, the postoperative complication rates of NOSE surgery were lower with an improved short-term clinical recovery.

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“…Although many studies showed that the outcomes of laparoscopic and open colon surgery were similar [6,[7][8][9][10] , similar comparative outcomes have not been clearly demonstrated in laparoscopic rectal surgery. Concerns regarding laparoscopic rectal surgery are port-site and abdominal wall metastases and local oncological clearance [11][12][13][14][15] . In addition, laparoscopic rectal surgery has a challenging learning curve because of the deep and narrow pelvis and its assist-dependent procedure [16] .…”

Section: Introductionmentioning

confidence: 99%

Open or laparoscopic resection: does approach matter?

Esen¹,

Akyol²

2018

MIS

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In colon cancer surgery, laparoscopic resection is a safer and more feasible method than open resection; however, despite its increasing popularity in recent years, laparoscopic approaches for the treatment of rectal cancer have not become a standard therapy option, due to the technical difficulties in gaining access to the deep and narrow pelvis and the steep learning curve. Multiple randomized trials found that short-term oncological outcomes and perioperative mortality and morbidity were comparable between laparoscopic and open rectal surgery, whereas comparative data between the two approaches. Comparative data between the two approaches on long-term oncological outcomes remain limited. In this review, we summarize the current status of laparoscopic surgery in rectal cancer in the light of recent studies.

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Abdominal Wall Recurrences After Colorectal Resection for Cancer

Cited by 41 publications

References 36 publications

Changes of serum and peritoneal inflammatory mediators in laparoscopic radical resection for right colon carcinoma

Changes of serum and peritoneal inflammatory mediators in laparoscopic radical resection for right colon carcinoma

Trans-rectal natural orifice specimen extraction (NOSE) during laparoscopic anterior resection: Chinese experience with a novel method

Open or laparoscopic resection: does approach matter?

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