Laparoscopic-Assisted Resection of Colorectal Malignancies

Chapman, Andrew E.; Levitt, Michael D.; Hewett, Peter; Woods, Rodney; Sheiner, H. J.; Maddern, Guy J.

doi:10.1097/00000658-200111000-00003

Cited by 153 publications

(127 citation statements)

References 58 publications

Supporting

Mentioning

117

Contrasting

Unclassified

Order By: Relevance

“…RCTs have demonstrated a reduction in primary length of hospital stay in association with laparoscopic colorectal surgery. [36][37][38] The combination of ERAS protocols and laparoscopically assisted colonic resections has been evaluated in three separate trials [27][28][29] that, unfortunately, have not yielded a pervasive message. These trials failed to elicit significant differences in outcome between groups that had undergone open as compared with laparoscopic colorectal resection within the context of an ERAS protocol.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of enhanced recovery protocols in colorectal surgery

Rawlinson

Kang

Evans

et al. 2011

annals

140

103

View full text Add to dashboard Cite

INTRODUCTION Colorectal surgery has been associated with a complication rate of 15-20% and mean postoperative inpatient stays of 6-11 days. The principles of enhanced recovery after surgery (ERAS) are well established and have been developed to optimise perioperative care and facilitate discharge. The purpose of this systematic review is to present an updated review of perioperative care in colorectal surgery from the available evidence and ERAS group recommendations. METHODS Systematic searches of the PubMed and Embase ™ databases and the Cochrane library were conducted. A hand search of bibliographies of identified studies was conducted to identify any additional articles missed by the initial search strategy. RESULTS A total of 59 relevant studies were identified. These included six randomised controlled trials and seven clinical controlled trials that fulfilled the inclusion criteria. These studies showed reductions in duration of inpatient stays in the ERAS groups compared with more traditional care as well as reductions in morbidity and mortality rates. CONCLUSIONS Reviewing the data reveals that ERAS protocols have a role in reducing postoperative morbidity and result in an accelerated recovery following colorectal surgery. Similarly, both primary and overall hospital stays are reduced significantly. However, the available evidence suggests that ERAS protocols do not reduce hospital readmissions or mortality. These findings help to confirm that ERAS protocols should now be implemented as the standard approach for perioperative care in colorectal surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

A systematic review of enhanced recovery protocols in colorectal surgery

Rawlinson

Kang

Evans

et al. 2011

annals

140

103

View full text Add to dashboard Cite

show abstract

“…These are all, rightly or wrongly, taken as measures of a radical rectal dissection. Parity in these parameters between laparoscopic and open surgery has been demonstrated by other investigators [12, 13,15,16,17,46,47,48,49,50,51,52,53,54,55]. A laparoscopic dissection can, therefore, fulfil these requirements.…”

Section: Discussionmentioning

confidence: 71%

“…Port-site herniation can be largely prevented by the meticulous closure of all port sites >10 mm. Operative complications such as major haemorrhage, inadvertent enterotomy, ureteral injury, and major vessel laceration have all been reported, with rates ranging from 0 to 12% [6, 12, 14, 46, 51, 56, 57, 59]. The overall morbidity rate is between 6 and 39% [59,68,69,70,71,72,73,74,75,76,77].…”

Section: Complicationsmentioning

confidence: 99%

Laparoscopy for Colorectal Malignancy

Pillinger

Monson

2005

Dig Surg

View full text Add to dashboard Cite

Laparoscopy for colorectal pathology is technically demanding with a steep learning curve. In expert hands, there is no doubt that there is a place for laparoscopy in the operative armamentarium for the treatment of benign disease. The question of its application in the treatment of carcinoma is more difficult to address. The evidence available suggests that laparoscopic resection is a feasible and appropriate option for the treatment of colorectal carcinoma. The skill and technology to perform the procedure are developing apace, and level 1 evidence to support it is tantalizingly close. This paper will outline the development of the technique, the operative approach, and the available evidence for its use in the treatment of carcinoma.

show abstract

“…1,2 In Korea in 2013, about two-thirds of patients with colorectal cancer were treated using a laparoscopic technique, and the percentage of patients treated with laparoscopic resection continues to increase. 12 In recent years, the trend to adopt a laparoscopic technique as the first option for colorectal surgery, which began among university and specialized hospitals, has extended to general hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Because of its obvious advantages including reduced pain, faster recovery, less postoperative morbidity, and shorter hospital stay, laparoscopic surgery is generally preferred over open procedures for patients having elective surgery for uncomplicated colorectal disease. However, there is not the same confidence in the use of laparoscopic colorectal surgery in an emergency.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Kim

Cheng

Lee

et al. 2017

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose: Laparoscopic surgery is accepted as a standard alternative to open procedures in the management of both benign and malignant colorectal disease. However, the safety and efficacy of the laparoscopic approach for emergency colorectal surgery has not been established. Hand-assisted laparoscopic (HAL) surgery might be a suitable option for colectomy in an emergency setting. The aim of this study was to report our experience of emergency HAL colectomy. Methods:This was a retrospective review of consecutive colorectal emergency cases that were treated using HAL colectomy. Patient demographics, indications for surgery, operative details, and postoperative complications were examined.Results: From March 2015 to April 2016, 18 patients underwent emergency HAL colectomy for complicated colorectal disease. Eight patients (44%) had an obstruction that required intraoperative decompression procedure. Sixteen patients (89%) had a perforation (five of which were sealed perforations involving large abscesses and inflammatory changes). Eight patients underwent sigmoidectomy, four underwent anterior resection, one underwent low anterior resection, two underwent left hemicolectomy, and three underwent Hartmann's procedure. There were two instances of open conversion (11%). The median duration of surgery was 178 minutes. The median time to bowel function recovery and median postoperative stay were 3 days and 10 days, respectively. The postoperative complication rate associated with the operation was 33% (6/18). There was one postoperative mortality. Conclusion:For the experienced surgeon, HAL can be a reasonable option for emergency colorectal surgery.

show abstract

Laparoscopic-Assisted Resection of Colorectal Malignancies

Cited by 153 publications

References 58 publications

A systematic review of enhanced recovery protocols in colorectal surgery

A systematic review of enhanced recovery protocols in colorectal surgery

Laparoscopy for Colorectal Malignancy

Outcomes of Hand-Assisted Laparoscopic Surgery for Colorectal Disease in an Emergency Setting

Contact Info

Product

Resources

About