Laparoscopic resection for rectal cancer: Outcomes in 194 patients and review of the literature

Bärlehner, E.; Benhidjeb, Tahar; Anders, S.; Schicke, B

doi:10.1007/s00464-004-9134-0

Cited by 129 publications

(115 citation statements)

References 30 publications

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“…19 The majority of the morbidity data associated with laparoscopic anterior resection come from oncological patients and reports anastomotic leakage rates as high as 13.5%. 20 This does not necessarily reflect endometriosis practice in younger fitter women, and small series have reported much lower leak rates. 19 The complication rate in our series is similar to previous reports ( Table 7).…”

Section: Discussionmentioning

confidence: 99%

Urological and colorectal complications following surgery for rectovaginal endometriosis

Slack

Child

Lindsey

et al. 2007

BJOG

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Objectives To report the short-and medium-term complications of laparoscopic laser excisional surgery for rectovaginal endometriosis.Design Retrospective cohort study.Setting University teaching hospital, UK. Methods Women were identified from operative database, and a case note review was performed. Data for surgical outcome and surgical complications were collected.Main outcome measures Rates of urinary tract and colorectal complications.Results A total of 128 women underwent surgery. Of these, 32 required intraoperative closure of a rectal wall defect, including 3 segmental rectosigmoid resections. There were three rectovaginal fistulae and one ureterovaginal fistula. Ureteric damage occurred in two women, and five women suffered postoperative urinary retention. The risk of intraoperative bowel intervention was increased in women who complained of cyclical rectal bleeding.Conclusion Laparoscopic laser excision of rectovaginal endometriosis is a safe procedure with similar, if not lower, complication rates to other published surgical series.

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Section: Discussionmentioning

confidence: 99%

Urological and colorectal complications following surgery for rectovaginal endometriosis

Slack

Child

Lindsey

et al. 2007

BJOG

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“…19 The study cohort included 112 patients with colon and lower rectal carcinomas (74 men and 38 women ranging in age from 40.9 to 85.4 years; median, 64.3 AE 10.1), and 19 gastric cancer patients (9 men and 10 women ranging in age from 67.5 AE 11.5 years; range, 32.1-78.6). Only patients with a meticulously complete follow-up record were enrolled.…”

Section: Patientsmentioning

confidence: 99%

Patient survival by Hsp70 membrane phenotype

Pfister

Radons

Busch

et al. 2007

Cancer

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BACKGROUNDHeat shock proteins (HSPs) play important roles in tumor immunity. The authors prospectively investigated the correlation between the tumor‐specific Hsp70 membrane expression as an independent clinicopathological marker and overall survival in tumor entities that differ in their route of metastasis.METHODSHsp70 membrane expression was examined by flow cytometry in 58 colon, 19 gastric, 54 lower rectal carcinoma, and 19 squamous cell carcinoma specimens and the corresponding normal tissues at time of first diagnosis. Kaplan‐Meier survival curves were analyzed to determine the relation of Hsp70 expression to the patients' prognosis.RESULTSAn Hsp70 membrane‐positive phenotype was found in 40% (colon), 37% (gastric), 43% (lower rectal), and 42% (squamous cell) of the analyzed tumor specimens. None of the corresponding normal tissues was found to be Hsp70 membrane‐positive. In patients with colon (P = .032) and gastric (P = .045) carcinomas, an Hsp70 membrane expression correlated significantly with an improved overall survival; a negative association was seen in lower rectal (P = .085) and squamous cell carcinoma (P = .048).CONCLUSIONSThe authors hypothesized that differing relations between surface expression of Hsp70 on tumor cells and clinical outcomes may reflect differences in the route of metastases. Colon and gastric carcinomas metastasize into the liver where hepatic natural killer cells may have the capacity to recognize and kill Hsp70 membrane‐positive tumor cells and thus account for a better overall survival. Cancer 2007; 110:926–35. © 2007 American Cancer Society.

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“…26 Additionally, hernia formation occurs in 3.6-24.3% of port sites after laparoscopic colorectal resection. [27][28][29][30][31][32][33] Thus, ongoing efforts have focused on developing strategies to minimize the need for sizeable abdominal incisions.…”

Section: Evolution Of the Surgical Management Of Rectal Cancermentioning

confidence: 99%

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

Emhoff

Lee

Sylla

2013

Digestive Endoscopy

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The surgical management of rectal cancer has evolved over the past century, with total mesorectal excision (TME) emerging as standard of care. As a result of the morbidity associated with open TME, minimally invasive techniques have become popular. Natural orifice translumenal endoscopic surgery (NOTES) has been held as the next revolution in surgical techniques, offering the possibility of 'incisionless' TME. Early clinical series of transanal TME with laparoscopic assistance (n = 72) are promising, with overall intraoperative and postoperative complication rates of 8.3% and 27.8%, respectively, similar to laparoscopic TME. The mesorectal specimen was intact in all patients, and 94.4% had negative margins. There was no oncological recurrence in average-risk patients at short-term follow up, and 2-year survival rates in high-risk patients were comparable to that after laparoscopic TME. These preliminary studies demonstrate transanal NOTES TME with laparoscopic assistance to be clinically feasible and safe given careful patient selection, surgical expertise, and appropriate procedural training. We are hopeful that with optimization of transanal instruments and surgical techniques, pure transanal NOTES TME will become a viable alternative to open and laparoscopic TME in the future.

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Laparoscopic resection for rectal cancer: Outcomes in 194 patients and review of the literature

Cited by 129 publications

References 30 publications

Urological and colorectal complications following surgery for rectovaginal endometriosis

Urological and colorectal complications following surgery for rectovaginal endometriosis

Patient survival by Hsp70 membrane phenotype

Transanal colorectal resection using natural orifice translumenal endoscopic surgery (NOTES)

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