Long-term results of laparoscopic versus open resections for rectal cancer for 124 unselected patients

Feliciotti, F; Guerrieri, Mario; Paganini, Alessandro M.; Sanctis, A. De; Campagnacci, Roberto; Perretta, Silvana; D’Ambrosio, Giuseppe; Lezoche, Giovanni

doi:10.1007/s00464-002-8874-y

Cited by 124 publications

(70 citation statements)

References 26 publications

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“…Feliciotti et al prospectively studied laparoscopic assisted and open resections and found both methods to respect oncologic principles with similar long-term outcomes. 21 Prospective studies have revealed that laparoscopic resection compared with open surgery did not worsen survival or disease control in patients with rectosigmoid cancer. 2 recent meta-analysis reviewed the current literature on the laparoscopic resection of rectal cancer.…”

Section: Prospective Randomized Controlled Trials: Long-term Results mentioning

confidence: 99%

Laparoscopy in Colorectal Malignancies: Current Concepts

Bharatam¹

2010

WJOLS

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Section: Prospective Randomized Controlled Trials: Long-term Results mentioning

confidence: 99%

Laparoscopy in Colorectal Malignancies: Current Concepts

Bharatam¹

2010

WJOLS

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“…En el análisis univariado, la necesidad de transfusión de glóbulos rojos en el intraoperatorio y la edad sobre 75 años, fueron los factores que resultaron significativos con un OR de 8,36 (3,18) y 1,79 (1,(1)(2)(3)20) respectivamente. Los factores que no resultaron significativos pero que se consideraron para el análisis multivariado fueron el puntaje ASA III o IV, el IMC, el tiempo operatorio y la cirugía de urgencia (Tabla 5).…”

Section: Resultsunclassified

“…Numerosas publicaciones han demostrado las ventajas del abordaje laparoscópico en cuanto a menor necesidad de analgésicos, menor tiempo de estadía hospitalaria, menor tiempo de reinicio de actividades regulares y menor infección de sitio quirúrgico [1][2][3][4][5] . Sin embargo, el abordaje mínimamente invasivo no está exento de complicaciones, su morbilidad descrita va entre un 6 y un 30% y la mortalidad entre 0 y 4,5% 6 .…”

Section: Factores Asociados a Morbilidad Precoz En Cirugía Colorrectaunclassified

Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica

Gellona

et al. 2013

Rev Chil Cir

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Factors associated with early morbidity in laparoscopic colorectal surgery Introduction: Different factors have been associated with increased risk of complications in laparoscopic colorectal surgery. The aim of this study is to identify these factors in our series. Method: Retrospective cohort. All patients undergoing laparoscopic colorectal surgery between January 2000 and June 2012 were included. Patients who had postoperative complications until 30 days postoperatively were identified and analyzed by univariate and multivariate logistic regression. A p value less than 0.2 was used was used as a criteria for entry into the multivariate model. Results: The series consists of 848 patients with a median age of 58 ± 22 years. Main surgical indications were: neoplasia (42.3%), diverticular disease (27.8%) and inflammatory bowel disease (8.8%). Most frecuently-performed procedures were: sigmoidectomy (39.5%), anterior resection of the rectum (13.4%), right hemicolectomy (13%) and total colectomy (8.7%). On univariate analysis, factors associated with complications were age over 75 years (OR 1.82, 95% CI 1.02 to 3.25) and red blood cell transfusion (OR 8.47, 95% CI 3.69 to 19.43). On multivariate analysis, red blood cell transfusion (OR 7.9 95% CI 1.78 to 35.88) and ASA III or IV (OR 3.26 95% CI 1.01 to 17.23) were independent factors associated with postoperative complications. Conclusion: Intraoperative red blood cell transfusion and ASA score III or IV are independent risk factors associated with complications in laparoscopic colorectal surgery.

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“…Feliciotti et al 89 prospectively studied LARR and open resections and found both methods respected surgical oncologic principles, with similar long-term outcomes. Additional studies have mimicked these results.…”

Section: Laparoscopic Resection For Rectal Cancermentioning

confidence: 96%

Minimal Access Cancer Management

Greene

Kercher

Teigland

et al. 2007

CA: A Cancer Journal for Clinicians

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Minimal access approaches in the treatment of a variety of solid tumors of the stomach, large bowel, and genitourinary system are now being advocated in several surgical specialty areas. The laparoscope has evolved from a diagnostic tool to a modality that allows for removal of tumors using small incisions and the application of pneumoperitoneum with carbon dioxide. Through studies using animal models and patient investigation, the immunologic benefits of laparoscopic cancer procedures appear to be beneficial when compared with conventional laparotomy. Overall benefits of analgesic reduction, more rapid postoperative recovery, and patient satisfaction are the byproducts of minimal access approaches. Patients with cancers of the stomach, colon, and kidney show similar long-term outcomes when compared with conventional open techniques. Caution, however, should be exercised in recommending laparoscopic approaches for routine management of primary tumors of the rectum and adrenal gland.

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Long-term results of laparoscopic versus open resections for rectal cancer for 124 unselected patients

Cited by 124 publications

References 26 publications

Laparoscopy in Colorectal Malignancies: Current Concepts

Laparoscopy in Colorectal Malignancies: Current Concepts

Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica

Minimal Access Cancer Management

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