Long-term results of laparoscopic colorectal cancer resection

Kuhry, Esther; Schwenk, W.; Gaupset, Robin; Romild, Ulla; Bonjer, H. Jaap

doi:10.1002/14651858.cd003432.pub2

Cited by 388 publications

(297 citation statements)

References 60 publications

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“…Port-site metastases and wound recurrences were rare and no differences in tumor recurrence and overall mortality, concluding laparoscopic resection of carcinoma of the colon is associated with a long-term outcome that is similar to that after open colectomy [22]. This was supported by MRC CLASSIC as well.…”

Section: Discussionmentioning

confidence: 63%

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

Heroor

Panjwani

Chaskar³

2015

Indian J Surg

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This study aims to document demographic and intraoperative variables and short-term postoperative outcomes in patients being operated by laparoscopy-assisted colorectal surgeries and assessing the magnitude of impact of the learning curve on surgical results. This study included 101 patients with colonic or rectal pathology getting operated for laparoscopy-assisted colorectal surgeries carried out by the same surgeon over 5 years (2008 to 2013). The patient data was retrospectively analyzed for pre-decided variables. Also, comparison was made between the surgeries performed during the learning curve of initial 30 cases with subsequent operations. Laparoscopic colorectal surgeries give satisfactory results in terms of intraoperative parameters like surgical duration, blood loss, and clinico-pathologic parameters like lymph nodal resection and distal and circumferential margins. Patients undergoing laparoscopic colorectal surgeries fare better in short-term postoperative period while early long-term outcomes appear similar as compared to the standard open colorectal surgeries. The surgical outcomes, both intraoperative and early postoperative, improve significantly once the learning curve is negotiated. Laparoscopic Surgery can be safely used as an alternative to conventional open colorectal surgeries without compromising on oncological principles.

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Section: Discussionmentioning

confidence: 63%

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

Heroor

Panjwani

Chaskar³

2015

Indian J Surg

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“…In 2008 Cochrane [36] review including 12 trials, evaluated oncological outcomes comparing laparoscopic assisted approach with open surgery. The rates of loco-regional recurrence and cancer related mortality were comparable in laparoscopic and open surgery arms, thus establishing the role of laparoscopic surgery in colon cancer.…”

Section: G) Drain Versus No Drainmentioning

confidence: 99%

A Review of Controversies in the Management of Colorectal Cancers

et al. 2012

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Colorectal cancer (CRC) is one of the most common malignancies worldwide. Due to a higher incidence of CRC in the western hemisphere a significant amount of research was carried out and majority of the controversies could be resolved as far as management of CRC is concerned. Recently a number of significant advances were made in the field of CRC related to surgery, systemic therapy and radiotherapy. During the last decade we have witnessed introduction of minimally invasive surgery, incorporation of more effective newer chemotherapeutic regimes and targeted therapies and refinements in radiotherapy protocols. The demographics and clinical picture of CRC seems to be different in developing countries and there is paucity of CRC related studies from developing countries. In-order to update the practicing surgeons a review of conventional controversies of CRC surgery was performed and an update on the recent developments in the field of CRC was also presented in this article.

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“…After dividing the inferior mesenteric vein under the pancreas and the inferior mesenteric artery (IMA), complete mobilization is achieved by lateral dissection and mobilization of the splenic flexure and the descending colon and freeing the greater omentum from the transverse colon. Dissection will proceed with medial dissection of distal sigmoid and rectum [2][3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 99%

“…Pioneers have shown feasibility of laparoscopic resection of rectal cancer, leading to a surge of this approach in recent years. Although the laparoscopic approach in colon cancer has been proved to be safe and feasible with equivalent longterm oncological outcome compared to open surgery [3][4][5], safety of laparoscopic surgery for rectal cancer remains debatable. Laparoscopic resection of rectal cancer might be efficacious, but this, as well as morbidity and oncological outcome, need to be demonstrated.…”

mentioning

confidence: 99%

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

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Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

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Long-term results of laparoscopic colorectal cancer resection

Abstract: Long-term results of laparoscopic colorectal cancer resection.

Cited by 388 publications

References 60 publications

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

A Review of Controversies in the Management of Colorectal Cancers

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

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