Minimally invasive surgery for colorectal cancer: quality of life, body image, cosmesis, and functional results

Scarpa, Marco; Erroi, Francesca; Ruffolo, Cesare; Mollica, Eleonora; Polese, Lino; Pozza, Giulia; Norberto, Lorenzo; D’Amico, Davide; Angriman, Imerio

doi:10.1007/s00464-008-9884-1

Cited by 34 publications

(30 citation statements)

References 29 publications

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“…Among them, 9 publications analyzed results from 7 RCTs, 10,15–17,28,31–33,39 5 were NRPC studies, 29,34–36,38 2 were retrospective comparative studies, 27,37 1 was a retrospective matched comparative study, 30 and 3 were OP studies. 18,40,41 Regarding the RCTs, HRQoL was a primary outcome measure in 6 trials.…”

Section: Resultsmentioning

confidence: 99%

“…16,21–26 Selected studies used either their own constructed or not widely validated questionnaires, such as visual analog scales for pain while coughing, for fatigue, and at rest 27,28 ; the German self-report inventory BSKE (Befindlichkeitsskalierung anhand von Kategorien und Eigenschaftswörtern) by Janke, Hüppe, and Erdmann analyzing the results with respect to the two dimensions: positive mood and negative mood 29 ; the German versions of the QoL questionnaire (Short Form 12) and the Brief Symptom Inventory 29 ; and the body image questionnaire. 30 …”

Section: Methodsmentioning

confidence: 99%

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Quality of Life After Laparoscopic Colectomy for Cancer

Theodoropoulos

Karantanos

2014

JSLS

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Background and Objectives:This review focuses on health-related quality-of-life (HRQoL) assessment questionnaires and the influence of various parameters on HRQoL at distinct time points after laparoscopic colectomy for cancer.Methods:A PubMed electronic database literature search was conducted.Results:Twenty studies (7 prospective randomized, 5 nonrandomized, 2 retrospective, 1 matched, and 3 observational studies) used the following HRQoL tools: European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)–C30 (8 studies), EORTC QLQ-CR38 (6 studies), EORTC QLQ-CR29 (1 study), Short Form 36 (8 studies), Gastrointestinal Quality Life Index (2 studies), EuroQoL-5D (1 study), Symptoms Distress Scale (2 studies), Quality of Life Index (2 studies), and global quality of life (1 study). Long-term beneficial effects on patient HRQoL after laparoscopic colectomy for cancer have not been clearly shown compared with “open” resections. A physical function deterioration and emotional function improvement are observed during the first month. Most patients have recovered at 12 months. Distinct HRQoL domains may be affected in older, female, and chemotherapy-treated patients. HRQoL-related parameters of pain and cosmesis have been assessed in few of the current studies on hand-assisted and single-incision laparoscopic colectomy.Conclusion:Studies' heterogeneity in terms of assessment tools and time points remains as the main obstacle to establish robust conclusions. The addition of more patients and extension of the follow-up period will improve our knowledge on HRQoL changes after laparoscopic colectomy for cancer.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Quality of Life After Laparoscopic Colectomy for Cancer

Theodoropoulos

Karantanos

2014

JSLS

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“…Again, this finding is hardly surprising and has been repeatedly observed for a variety of colorectal procedures and conditions, such as colorectal cancer [17] and Crohn's disease [18]. Yet, the magnitude of this difference is smaller than expected, probably because a majority of patients were old and/or overweight and did not consider cosmetic as a primary issue.…”

Section: Discussionmentioning

confidence: 54%

Laparoscopic versus open sigmoid resection for diverticulitis: long-term results of a prospective, randomized trial

et al. 2011

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“…It is well established that, after colorectal laparoscopic surgery, immediate QoL is superior to that after open surgery [127][128][129]. This advantage may be extrapolated to low rectal cancer cases, mainly because some of these trials included rectosigmoid resections, but there are no data available in relation to rectal surgery.…”

Section: 9% [Consensus])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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Minimally invasive surgery for colorectal cancer: quality of life, body image, cosmesis, and functional results

Abstract: The cosmetic results and the consequent satisfaction with the body were significantly better after laparoscopic assisted resection compared to equivalent open procedure. These effects seemed to be temporary but they could help patients to accept the burden of surgery.

Cited by 34 publications

References 29 publications

Quality of Life After Laparoscopic Colectomy for Cancer

Quality of Life After Laparoscopic Colectomy for Cancer

Laparoscopic versus open sigmoid resection for diverticulitis: long-term results of a prospective, randomized trial

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

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