Laparoscopic colorectal surgery

Agachan, Feran; Joo, Jae Sik; Sher, Marc E.; Weiss, Eric G.; Nogueras, Juan J.; Wexner, Steven D.

doi:10.1007/s004649900357

Cited by 130 publications

(77 citation statements)

References 90 publications

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“…Reduction in operative time with increasing experience and aptitude has been documented by some studies (Liem et al, 1996;Agachan et al, 1997). The operative time in senior group was obviously shorter than in junior group (187.9±60.0min vs 231.3±55.7min, p=0.006) in our study.…”

Section: Discussionsupporting

confidence: 59%

Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection

Zhang¹,

Wang²,

Liang³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Purpose: This study was designed to evaluate the outcomes of laparoscopic colorectal resection in a period of learning curve completed by surgeons with different experience and aptitudes with a view to making clear whether seniors had a better learning curve compared with juniors. Methods: From May 2010 to August 2012, the first twenty patients underwent laparoscopic colorectal resection completed by each surgeon were selected for analysis retrospectively. A total of 240 patients treated by 5 seniors and 7 juniors were divided into the senior group (n=100) and the junior group (n=140). The short-term outcomes of laparoscopic surgery of the two groups were compared. Results: The mean numbers of lymph nodes harvested were 21.2±11.0 in the senior group and 17.3±11.5 in the junior group (p=0.010); The mean operative times were 187.9±60.0min as compared to 231.3±55.7 min (p=0.006), and blood loss values were 177.0±100.7ml and 234.0±185ml, respectively (p=0.001); Conversion rate in the senior group was obviously lower than in the junior group (10.0% vs 20.7%, p=0.027) and the mean time to passing of first flatus were 3.3±0.9 and 3.8±0.9 days (p=0.001). For low rectal cancer, the sphincter preserving rates were 68.7% and 35.3% (p=0.027). Conclusions: Seniors could perform laparoscopic colorectal resection with relatively better oncological outcomes and quicker recovery, and seniors could master the laparoscopic skill more easily and quickly. Seniors had a better learning curve for laparoscopic colorectal cancer resection compared to juniors.

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Section: Discussionsupporting

confidence: 59%

Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection

Zhang¹,

Wang²,

Liang³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…[24][25][26][27] The association between high volume for surgeons and hospitals and better surgical outcomes is well documented for many surgical procedures. [28][29][30][31] The literature [32][33][34][35][36][37][38][39][40][41] suggests that this also applies to colorectal surgery for both the open and laparoscopic techniques. We thus purposefully refrained from evaluating clinical outcomes in this study.…”

Section: Discussionmentioning

confidence: 99%

Impact of Surgeon and Hospital Caseload on the Likelihood of Performing Laparoscopic vs Open Sigmoid Resection for Diverticular Disease

et al. 2007

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“…Nevertheless, operative times do decrease along the learning curve as shown in different studies 24 . We had zero conversion rates for APR.…”

Section: Discussionmentioning

confidence: 99%

Early Outcome of Laparoscopic Abdominoperineal Resection, Our Experience in Bangabandhu Sheikh Mujib Medical University

Jalal

Sheikh

Rahman

et al. 2014

Faridpur Med Coll J

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:Anorectal malignancies that require abdominoperineal resection (APR) is very common. Laparoscopic APR can be a better option. Laparoscopic APR has been seldom studied. This study aims to evaluate perioperative and early postoperative outcomes of laparoscopic APRs performed for the treatment of ano-rectal carcinomas. Patients operated for ano-rectal carcinoma between June 2011 to June 2013 in Bangabandhu Sheikh Mujib Medical University (BSMMU) were observed. Demographics, tumor and procedure-related parameters, perioperative results, early postoperative outcomes and survival were observed. Total 22 patients were under went laparoscopic APR. Male: Female ratio was 15:7 (68.18%: 31.82%). Age range was from 30-65 years with a mean age of 36.55 years. Mean operation time was 165 minutes and mean post-operative hospital stay was 6.8 days. Overall complication rate was 45.45%. Laparoscopic APR is a safe, effective and technically feasible procedure. It can be a better operative procedure than open APR.

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Laparoscopic colorectal surgery

Cited by 130 publications

References 90 publications

Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection

Seniors Have a Better Learning Curve for Laparoscopic Colorectal Cancer Resection

Impact of Surgeon and Hospital Caseload on the Likelihood of Performing Laparoscopic vs Open Sigmoid Resection for Diverticular Disease

Early Outcome of Laparoscopic Abdominoperineal Resection, Our Experience in Bangabandhu Sheikh Mujib Medical University

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