Outcome of Laparoscopic Versus Open Resection for Transverse Colon Cancer

Zeng, Weigen; Liu, Meng-jia; Zhou, Zhixiang; Hou, Hui-rong; Liang, Jianwei; Wang, Zheng; Zhang, Xingmao; Hu, Junjie

doi:10.1007/s11605-015-2891-3

Cited by 29 publications

(27 citation statements)

References 20 publications

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“…Short-term surgical outcomes including operating time, blood loss, perioperative complications, hospital stay, and re-hospitalization rates were comparable to those published previously (4)(5)(6)(8)(9)(10)(11)(12)14). Table 2 shows the short-term outcomes of laparoscopic transverse cancer resections in eight papers, including the present work.…”

Section: Discussionsupporting

confidence: 79%

“…Laparoscopic resection for transverse colon cancer is technically challenging because of difficulties caused by anatomical variations and barriers (4-7). There have been a limited number of reports showing its validity and feasibility to date (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Several studies demonstrated the clinical value of 3-D CT angiography for evaluating the vascular anatomy (17,18).…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic transverse colon resection is unique, with a unidirectional field of view, which may present a hazard for surgeons trying to understand spatial perception in that part of the abdomen. Over the last few years, surgeons' increasing experience with laparoscopic colonic resections has led to the publication of several studies comparing the surgical and oncological outcomes of the open to the laparoscopic approach for transverse colon cancer (4)(5)(6)(8)(9)(10)(11)(12)(13)(14). Although the feasibility and oncologic safety of this procedure have been reported, few reports have described ways to overcome some of these associated difficulties (15,16).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Koinuma

Horie

Ito

et al. 2018

Asian J Endoscop Surgery

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Koinuma

Horie

Ito

et al. 2018

Asian J Endoscop Surgery

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show abstract

“…During the past decades, several large prospective randomized trials have demonstrated better short-term clinical outcomes of laparoscopic surgery for colorectal cancer, and also established the long-term oncological safety of laparoscopic surgery for colorectal cancer [ 10 11 12 13 14 ]. So nowadays, many surgeons consider laparoscopic surgery as a better surgical option to treat patients suffering from colorectal cancer than conventional open surgery.…”

Section: Discussionmentioning

confidence: 99%

Reduced port laparoscopic surgery for colon cancer is safe and feasible in terms of short-term outcomes: comparative study with conventional multiport laparoscopic surgery

et al. 2016

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PurposeLaparoscopic surgery was previously accepted as an alternative surgical option in treatment for colorectal cancer. Nowadays, single-port laparoscopic surgery (SPLS) is introduced as a method to maximize advantages of minimally invasive surgery. However, SPLS has several limitations compared to conventional multiport laparoscopic surgery (CMLS). To overcome those limitations of SPLS, reduced port laparoscopic surgery (RPLS) was introduced. This study aimed at evaluating the short-term outcomes of RPLS.MethodsPatients who underwent CMLS and RPLS of colon cancer between August 2011 and December 2013 were included in this study. Short-term clinical and pathological outcome were compared between the 2 groups.ResultsThirty-two patients underwent RPLS and 217 patients underwent CMLS. Shorter operation time, less blood loss, and faster bowel movement were shown in RPLS group in this study. In terms of postoperative pain, numeric rating scale (NRS) of RPLS was lower than that of CMLS. Significant differences were shown in terms of tumor size, harvested lymph node, perineural invasion, and pathological stage. No significant differences were confirmed in terms of other surgical outcomes.ConclusionIn this study, RPLS was technically feasible and safe. Especially in terms of postoperative pain, RPLS was comparable to CMLS. RPLS may be a feasible alternative option in selected patients with colon cancer.

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“…With the improvement of living standards and the extension of life expectancy, the incidence of colon cancer is increasingly rising and will continue to rise in China[ 1 , 2 ]. Surgery is the mainstay of treatment for colon cancer.…”

Section: Introductionmentioning

confidence: 99%

Short-term outcomes of overlapped delta-shaped anastomosis, an innovative intracorporeal anastomosis technique, in totally laparoscopic colectomy for colon cancer

Zhou¹,

Wang²,

Liang³

et al. 2017

WJG

Self Cite

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AIMTo introduce an innovative intracorporeal anastomosis technique named overlapped delta-shaped anastomosis (ODA) for colon cancer cases undergoing totally laparoscopic colectomy (TLC) and to assess its feasibility and safety.METHODSFrom January 2016 to March 2017, a total of 20 consecutive patients with colon cancer accepted TLC and the ODA technique at our medical center. Patient demographics, operative outcomes, perioperative complications, and pathological results were collected and analyzed.RESULTSWe successfully completed TLC and the ODA procedure in all 20 cases, including 6 (30%) males and 14 (70%) females. In total, 11 (55%), 2 (10%), and 7 (35%) cases accepted right hemicolectomy, transverse hemicolectomy, and left hemicolectomy, respectively. None of the surgeries were converted to an open operation. Mean operative time was 178.5 min, and mean estimated blood loss was 58.5 mL. Mean time to first flatus was 2.5 d, and mean postoperative hospitalization duration was 6.8 d. No severe complications occurred, such as anastomotic leakage, snastomotic stenosis, anastomotic bleeding, and wound infection, except for one case who suffered from an abdominal infection and another case who suffered from gastric paralysis syndrome. Tumor recurrence was not observed in any patient during the follow-up period.CONCLUSIONThe ODA technique for colon cancer cases undergoing TLC appears to be safe and feasible, although our current results need to be verified in further studies.

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Outcome of Laparoscopic Versus Open Resection for Transverse Colon Cancer

Abstract: Laparoscopic resection for transverse colon cancer is associated with better short-term outcomes and equivalent long-term oncologic outcomes.

Cited by 29 publications

References 20 publications

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Four‐directional approach to the meso‐transverse attachment combined with preoperative radiological vascular simulation facilitates short‐term surgical outcomes in laparoscopic transverse colon cancer surgery

Reduced port laparoscopic surgery for colon cancer is safe and feasible in terms of short-term outcomes: comparative study with conventional multiport laparoscopic surgery

Short-term outcomes of overlapped delta-shaped anastomosis, an innovative intracorporeal anastomosis technique, in totally laparoscopic colectomy for colon cancer

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