Laparoscopy Decreases Postoperative Complication Rates After Abdominal Colectomy

Kennedy, Gregory D.; Heise, Charles P.; Rajamanickam, Victoria; Harms, Bruce A.; Foley, Eugene F.

doi:10.1097/sla.0b013e31819ec903

Cited by 156 publications

(113 citation statements)

References 20 publications

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“…In a large American study, laparoscopic colorectal resections reduced postoperative complications [23]. In another report, laparoscopic resections were performed in elderly high-risk patients undergoing colon cancer surgery and showed good results with significant improvement of short-term morbidity and length of stay [24].…”

Section: Discussionmentioning

confidence: 99%

Outcome after Introduction of Complete Mesocolic Excision for Colon Cancer Is Similar for Open and Laparoscopic Surgical Treatments

Storli

Søndenaa²,

Furnes³

et al. 2013

Dig Surg

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Background: Complete mesocolic excision (CME) and a high (apical) vascular tie may improve oncologic outcome after surgery for colon cancer. Our primary aim was to emulate a previous national result of 73.8% overall survival (OS) with both the open and laparoscopic techniques. Methods: A prospective study of radical colon cancer was initiated in a Norwegian community teaching hospital in 2007 and comprised a consecutive group of 251 patients with TNM stages I-III that had surgery according to the CME principle. Oncological outcome was assessed as OS, disease-free survival (DFS) and cancer-specific survival (CSS), as well as time to recurrence (TTR), using Cox regression analysis. Results: In-hospital mortality was 3.6%, 2.3% for laparoscopic surgery and 4.9% for open management. Significantly more patients in the open CME group developed complications in the short term (p < 0.001). Twelve or more lymph nodes were retrieved from 82.9% (208/251) of the specimens. Overall 3-year OS was 84.5%, DFS 77.4%, CSS 91.5% and TTR 86.8%. The surgical approach was not a significant predictor for any of the survival parameters. Conclusions: There was no survival difference between open and laparoscopic CME colonic resections, and the present OS improved from a previous OS from 2000.

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Section: Discussionmentioning

confidence: 99%

Outcome after Introduction of Complete Mesocolic Excision for Colon Cancer Is Similar for Open and Laparoscopic Surgical Treatments

Storli

Søndenaa²,

Furnes³

et al. 2013

Dig Surg

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“…Laparoscopy is a practice widely recognized for abdominal operations [1], and its benefits for the patients, compared to open surgery, are well known: net immunologic advantage [2], reduced post-operative pain, faster recovery and decreased perioperative complications [3], [4], [5]. There is also a consistent number of emergency operations that are now performed by laparoscopy [6].…”

Section: Laparoscopic Trainingmentioning

confidence: 99%

Development of subliminal persuasion system to improve the upper limb posture in laparoscopic training: a preliminary study

et al. 2015

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give advice on improving trainees' posture. However, a poor posture can result in increased static muscle loading, faster fatigue, and impaired psychomotor task performance. In this paper, the authors propose a method, named subliminal persuasion, which gives the trainee real-time advice for correcting the upper limbs posture during laparoscopic training like the expert but leads to a lower increment in the workload.Methods: A 9-axis Inertial Measurement Unit (IMU) was used to compute the upper limbs posture, and a Detection Reaction Time (DRT) device was developed and used to measure the workload. A monitor displayed not only images from laparoscope, but also a visual stimulus, a transparent red cross superimposed to the laparoscopic images, when the trainee had incorrect upper limbs posture. One group was exposed, when their posture was not correct during training, to a short (about 33 ms) subliminal visual stimulus. The control group instead was exposed to longer (about 660 ms) supraliminal visual stimuli.Results: We found that subliminal visual stimulation is a valid method to improve trainees' upper limbs posture during laparoscopic training. Moreover, the additional workload required for subconscious processing of subliminal visual stimuli is less than the one required for supraliminal visual stimuli, which is processed instead at the conscious level. Conclusions:We propose subliminal persuasion as a method to give subconscious real-time stimuli to improve upper limbs posture during laparoscopic training. Its effectiveness and efficiency were confirmed against supraliminal stimuli transmitted at the conscious level: subliminal persuasion improved upper limbs posture of trainees, with a smaller increase on the overall workload.

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“…Abb. 3d) sind in der Erprobung [2,30]. Kennedy et al zeigten, dass bezogen auf das Langzeit-Outcome die laparoskopische mit der offen-chirurgisch gefertigten Anastomose vergleichbar, aber wegen der reduzierten Inzidenz an postoperativen Komplikationen und der kürzeren Hospitalisationszeit bei laparoskopischen Operationen sogar vorteilhaft ist [30].…”

Section: Laparoskopische Anastomoseunclassified

Intestinale Anastomosen und Techniken im Bereich des unteren Gastrointestinaltraktes

Mohr

Willis

2010

Chirurg

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Surgery of the lower gastrointestinal tract includes segmental resections for benign colorectal diseases and radical resections for treating colorectal cancer performed under elective and emergency conditions. The most important part of the surgical procedure is the reconstruction of the physiological intestinal continuity by anastomosis. At present laparoscopic surgery has widened the array of different suturing and stapling techniques. The effectiveness of manual and stapled anastomoses depends on the expertise of the surgeon. However, skillful preparation of the hand-sutured technique is essential.

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Laparoscopy Decreases Postoperative Complication Rates After Abdominal Colectomy

Cited by 156 publications

References 20 publications

Outcome after Introduction of Complete Mesocolic Excision for Colon Cancer Is Similar for Open and Laparoscopic Surgical Treatments

Outcome after Introduction of Complete Mesocolic Excision for Colon Cancer Is Similar for Open and Laparoscopic Surgical Treatments

Development of subliminal persuasion system to improve the upper limb posture in laparoscopic training: a preliminary study

Intestinale Anastomosen und Techniken im Bereich des unteren Gastrointestinaltraktes

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