Minilaparotomy Approach to Colon Cancer

Abstract

Our minilaparotomy approach maintained the same curative resection for colon cancers as a conventional laparotomy, but it was less invasive and allowed for an earlier recovery and hospital discharge than conventional laparotomy. The minilaparotomy approach is thus considered to be an attractive alternative to conventional colon surgery.

Curative Resection of Transverse Colon Cancer via Minilaparotomy

“…Nakagoe et al 11 reported that the minilaparotomy approach failed in 12 out of 84 cases of colon cancer and that 5 of the failed cases involved cancer in the splenic flexure. Takegami et al 12 proposed the use of a laparoscope for performing minilaparotomy for cancer in the splenic flexure. We now perform curative colectomy via minilaparotomy for cancer 10 cm orally or anally from the splenic flexure utilizing laparoscopic instruments.…”

“…Several reports, [8][9][10][11][12][13] including those of our group, [14][15][16] have demonstrated favorable results using a minilaparotomy approach without laparoscopic assistance for the resection of colon cancer and have proposed that this approach might be a minimally 14 we continued to use this approach as the first choice to resect colon cancer, while laparoscopically assisted surgery for colon cancer has also been widely expanded during this decade. 15,16 Little is known about the feasibility, safety, and early oncologic outcome of the minilaparotomy for the curative resection of transverse colon cancer, which was generally considered difficult to resect laparoscopically.…”

Postoperative Ileus in Elective Colorectal Surgery: Management Strategies

“…In open approach, a transverse, limited midline, oblique or paramedian incision should be used whenever possible. Such small transverse or mini-laparotomy incisions may have positive impact on analgesic requirement, pulmonary complications, systemic inflammatory response and length of stay in hospital (Nakagoe, et al 2001;Nakagoe, et al 2004;Takegami, et al 2003;Werawatganon and Charuluxanun 2005). In ERAS protocol, routine use of nasogastric tubes and abdominal drains following GI surgery is not recommended.…”

Oncologic Outcome of Stages II/III Colon Cancer Treated via Minilaparotomy

“…In addition, keeping the incision small is believed to facilitate early recovery of patients undergoing laparoscopic-assisted colectomy. 1 The report by Fleshman et al 1 and the subsequent work by several investigators, [2][3][4] including ourselves, 5 have demonstrated favorable results when using the minilaparotomy approach without laparoscopic assistance for resection of colon cancer and have suggested that this approach could be a useful alternative to laparoscopic-assisted surgery.…”

“…6 Meanwhile, laparoscopic-assisted surgery for colon cancer has continued to predominate during this decade. Despite the fact that the feasibility, safety, and minimal invasiveness of the minilaparotomy approach for treatment of benign and malignant colorectal diseases have been well described in the literature, [3][4][5][6][7][8][9][10][11][12] little is known about the oncologic efficacy of this type of surgery in the treatment of locally advanced colon cancer. Therefore, we conducted this retrospective study to evaluate the oncologic outcome of stages II/III colon cancer treated by using the minilaparotomy approach.…”