Advances in Laparoscopic Colorectal Surgery

Parker, James; Feldmann, Timothy F.; Cologne, Kyle G.

doi:10.1016/j.suc.2017.01.005

Cited by 38 publications

(27 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Colorectal cancer is a predominant type of cancer and the third leading cause of cancer-associated death worldwide 1 , while gastric cancer is also one of the most common types of malignancies throughout the world 2 . Surgical resection is the primary procedure to treat patients with gastrointestinal cancer, with laparoscopic surgery being widely adopted for gastrointestinal cancers, such as gastric and colorectal cancer 10 , 20 . There are reports that perioperative oral care may improve respiratory function in patients who undergo gastrointestinal surgery by reducing the number of bacteria species 25 , indicating that perioperative oral health care may play a significant role in reducing post-operative complications in those patients.…”

Section: Introductionmentioning

confidence: 99%

Changes in bacterial number at different sites of oral cavity during perioperative oral care management in gastrointestinal cancer patients: preliminary study

et al. 2018

View full text Add to dashboard Cite

Objective The objective of this study was to clarify differences in bacterial accumulation between gastrointestinal cancer patients who underwent severely invasive surgery and those who underwent minimally invasive surgery.Material and Methods We performed a preliminary investigation of gastrointestinal cancer patients who were treated at the Department of Surgery, Takarazuka Municipal Hospital, from 2015 to 2017 (n=71; 42 laparoscopic surgery, 29 open surgery) to determine changes in bacterial numbers at different sites of the oral cavity (tongue dorsum, gingiva of upper anterior teeth, palatoglossal arch), as well as mouth dryness and tongue coating indices. Specifically, patients received professional tooth cleaning (PTC), scaling, tongue cleaning, and self-care instruction regarding tooth brushing from a dental hygienist a day before the operation. Professional oral health care was also performed by a dental hygienist two and seven days after surgery. Oral bacteria numbers were determined using a bacterial counter with a dielectrophoretic impedance measurement method.Results The number of bacteria at all three examined sites were significantly higher in the open surgery group when compared to the laparoscopic surgery group on the second postoperative day. Relevantly, bacterial count in samples from the gingiva of the upper anterior teeth remained greater seven days after the operation in patients who underwent open surgery. Furthermore, the dry mouth index level was higher in the open surgery group when compared to the laparoscopic surgery group on postoperative days 2 and 7.Conclusions Even with regular oral health care, bacterial numbers remained high in the upper incisor tooth gingiva in gastrointestinal cancer patients who received open surgery. Additional procedures are likely needed to effectively reduce the number of bacteria in the gingival area associated with the upper anterior teeth.

show abstract

Section: Introductionmentioning

confidence: 99%

Changes in bacterial number at different sites of oral cavity during perioperative oral care management in gastrointestinal cancer patients: preliminary study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…One of the factors examined in the course of studying laparoscopy, testifying to the training quality, is the percentage of conversion. With the development of technical skills and greater experience a decline in conversion to open surgery is observed [12]. In the COLOR study, the percentage of conversion was 17% [3], whereas in the LAPCOLON study -10.5% [5].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of patients with colorectal cancer – Technique assessment at an oncological centre

Ciepiela¹,

Macek²,

Haduch³

et al. 2019

Med Og Nauk Zdr.

View full text Add to dashboard Cite

Introduction and objective. Colorectal cancer is the third most common cancer in males and the second in females in the Świętokrzyskie region of southeast Poland. In 2015, 354 new colorectal cancer cases in males and 290 in females were reported. Minimally invasive procedures with a modern approach to preoperative care have become a new challenge for the surgeon and a link to robotic surgery. The aim of the study is to analysis surgical complications in the first years from the introduction of laparoscopic procedures for colorectal cancer surgery. Materials and method. Laparoscopic colon resection started at the Department of Surgical Oncology of the Świętokrzyskie Cancer Centre in 2011. The method was applied in the treatment of 196 patients mainly with malignant tumour of the colon and the rectum. In 30.6% of patients, open conversion to the procedure was performed. Complications and long-term results were analysed, assessing the operating time, length of hospital stay, local complications as well as early and late mortality. Results. The duration of laparoscopic procedures was longer compared to the treatment through laparotomy. The median of hospital stay was seven days. The following complications were observed: infection of the surgical wound in 4.1% patients, bleeding or wound dehiscence and hernia anastomosis in 2.4% patients. The conversion was performed in 58 patients, most often because of adhesions (42%) or extensive infiltration of tumour (39%). Early postoperative mortality of up to 30 days after the surgery was observed in 0.5% patient, while within a year after surgery-in 8.2% of patients. Conclusions. In the course of laparoscopic colon resection, no increase was observed in the number of perioperative complications. A large percentage of conversion demonstrates the need for further training of the operating team.

show abstract

“…In the treatment of colorectal cancer, laparoscopic surgery has developed rapidly throughout the world due to advantages such as smaller incision, less pain, reduced intraoperative blood loss, faster recovery, and shorter hospitalization compared with open surgery [5][6][7]. These clinical bene ts of laparoscopic surgery for colorectal cancer have been proved by a series of a large sample, multicenter, randomized controlled trials [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Short- and long-term outcomes of laparoscopic surgery for colorectal cancer in the elderly aged over 80 years old versus non-elderly: a retrospective cohort study

Ueda

Shiraishi

Kawasaki

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Recently, colorectal cancer has increased in elderly patients worldwide, with laparoscopic colorectal surgery increasing in elderly patients with colorectal cancer. However, whether laparoscopic colorectal surgery is an optimal procedure for colorectal cancer in the elderly remains unclear. This study aimed to verify safety and curability of laparoscopic colorectal surgery in elderly patients ≥80 years old. Methods Patients undergoing curative colorectal surgery from 2006 to 2014 were enrolled and classified into the laparoscopic surgery in elderly patients aged ≥80 years (LAC-E) group, open surgery in elderly patients (OC-E) group, and laparoscopic surgery in non-elderly patients (LAC-NE) group. Short- and long-term outcomes were compared between these groups. Results The LAC-E, OC-E, and LAC-NE groups comprised 85, 25, and 358 patients, respectively. Intraoperative blood loss and incidence of postoperative complications were significantly lower in the LAC-E versus OC-E group (97 vs. 440 mL, p<.01 and 14% vs. 32%, p<.05, respectively). Long-term outcomes were not different between these two groups. Operation time was significantly shorter in the LAC-E versus LAC-NE group (249 vs. 288 min, p<.01). Intraoperative blood loss and postoperative complications were similar between the groups. Although the 5-year overall survival rate in the LAC-E group was lower than that in the LAC-NE group (64% vs. 80%, p<.01), there was no difference in 5-year disease-specific survival between the groups. Conclusion Laparoscopic colorectal surgery is technically and oncologically safe for colorectal cancer in the elderly as well as the non-elderly and can be an optimal procedure for colorectal cancer in the elderly.

show abstract

Advances in Laparoscopic Colorectal Surgery

Cited by 38 publications

References 60 publications

Changes in bacterial number at different sites of oral cavity during perioperative oral care management in gastrointestinal cancer patients: preliminary study

Changes in bacterial number at different sites of oral cavity during perioperative oral care management in gastrointestinal cancer patients: preliminary study

Laparoscopic treatment of patients with colorectal cancer – Technique assessment at an oncological centre

Short- and long-term outcomes of laparoscopic surgery for colorectal cancer in the elderly aged over 80 years old versus non-elderly: a retrospective cohort study

Contact Info

Product

Resources

About