Port site metastases and recurrence after laparoscopic colectomy

Lacy, Antonio M.; Delgado, Salvadora; García‐Valdecasas, Juan Carlos; Castells, Antoni; Piqué, Josep M.; Grande, L; Fuster, J.; Targarona, Eduardo M.; Pera, Miguél; Visa, Josep

doi:10.1007/s004649900776

Cited by 213 publications

(131 citation statements)

References 17 publications

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“…Although prospective, this study allowed patients to chose which type of surgery was performed, raising questions regarding selection bias. Lacy et al, 29 in a prospective and randomized trial, reported a recurrence rate of 16.1% among 31 laparoscopic-assisted resections after a mean follow-up of 21 months.…”

Section: Resultsmentioning

confidence: 99%

“…Of comparable series, Lumley et al 27 reported a recurrence rate of 6.3% to a median follow-up of 33 months, which is superior to most data from open series. A small randomized trial from Lacy et al's 29 group in Barcelona reported recurrence in 16.1% of 31 laparoscopic procedures compared with 15% of open colectomies during a mean follow-up of 21 months. Given that this study did not include rectal cancer cases, and that the follow-up period is shorter, the recurrence figures reported are comparable to those of the present series.…”

Section: Discussionmentioning

confidence: 99%

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Patterns of Recurrence and Survival After Laparoscopic and Conventional Resections for Colorectal Carcinoma

et al. 2000

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ObjectiveTo determine whether survival and recurrence after laparoscopic-assisted surgery for colorectal cancer is compromised by an initial laparoscopic approach. Summary Background DataLaparoscopic colorectal resection for malignancy remains controversial 8 years after its first description. Fears regarding compromised oncologic principles and early recurrence (particularly the phenomenon of port-site metastases) have tempered enthusiasm for this approach. Long-term follow-up data are at present scarce.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patterns of Recurrence and Survival After Laparoscopic and Conventional Resections for Colorectal Carcinoma

et al. 2000

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“…The first RCT looking at late outcomes of laparoscopic surgery for colonic cancer was reported by Lacey Trials. 7 Significant advantages were seen with regards to reduced blood loss, early return of intestinal motility, lower overall morbidity and shorter duration of hospital stay in the laparoscopic-assisted group. Also, univariate analysis established a significantly better cancer-related survival in the laparoscopic group, but subgroup analysis stratified for tumour stage revealed that survival benefit was mainly limited to stage III disease.…”

Section: Discussionmentioning

confidence: 91%

Evaluation of Laparoscopic Versus Open Surgery for Colorectal Malignancy: A Single Institute Study

Warikoo¹,

Jain²,

Chakraborty³

et al. 2016

jemds

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BACKGROUNDColorectal cancer is a significant leading cause of death from malignancy related deaths. Surgery is the mainstay of the treatment combined with chemotherapy, radiotherapy or both. The oncological outcomes of laparoscopic surgery have been shown to be similar to open surgery with benefits of laparoscopic colorectal surgery seen in terms of fewer complications and shorter hospital stay. MATERIALS AND METHODSFrom August 2011 to August 2016, 304 patients with colorectal malignancy undergoing surgery were included in the study, out of which 104 (34%) underwent laparoscopic procedure and 200 (66%) underwent open surgery. Both types of surgeries were performed by surgeons with similar expertise and experience in a single institute to make comparison and conclusions valid. RESULTSTotal 3044 patients observed during this period divided into 2 groups, Laparoscopic Group (LG) with 104 (34%) and to open colorectal (OG) with 200 (66%) patients. CONCLUSIONLaparoscopic colorectal surgery results have been shown to be similar in safety and oncological adequacy and completeness of the resection compared to open procedure with benefit of reduction in the morbidity, hospital stay, returns to normal daily activities, lesser blood loss and analgesia requirement. These favourable findings of laparoscopic resection for colorectal malignancy warrant further longer follow-up and results of prospectively randomised studies. KEYWORDSLaparoscopy, Colorectal Surgery, Colon, Rectum, Malignancy. Submission 23-09-2016, Peer Review 09-10-2016, Acceptance 11-10-2016, Published 17-10-2016. Corresponding Author: Dr. Amit Chakraborty, GCS Hostel, Chamunda Bridge, Ahmedabad-380004. E-mail: ilovepast@gmail.com DOI: 10.14260/jemds/2016/1403 a wide area, intracorporeal division of major vessels, extraction of specimen and a bowel anastomosis. There is a steep learning curve to achieve advanced laparoscopic skills and specialised equipment is required. There are concerns with oncological outcome and safety of the laparoscopic procedure in colorectal cancer. There are also controversies with potential port site recurrence 4 after curative resection. This study is an attempt to evaluate and compare the role of laparoscopy in colorectal surgery versus open colorectal surgery as role of laparoscopy is rapidly emerging as a standard modality to approach these patients. HOW TO CITE THIS ARTICLE: OBJECTIVETo assess the safety, post-operative short-term morbidity and efficacy of Laparoscopic colorectal surgery for cancer as compared with open surgery. To study adequacy of oncological resection with regard to proximal, distal and circumferential resection margins in both Open and Laparoscopic colorectal surgery. METHODOLOGYIn this study, we wish to compare the outcome of laparoscopic and open colorectal surgery in a contemporary series of patients from a single institute. All procedures were undertaken in an Institute, which has high volume of patients with colorectal cancer. We wish to compare laparoscopic

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“…There are a number of concerns such as the ability of the laparoscopic approach to allow a precise total mesorectal excision, as championed by Heald and Ryall [11]. Such concerns are appropriate; however, studies to date have consistently failed to demonstrate any detriment in terms of disease recurrence and survival consequent to a laparoscopic approach to colorectal cancer [12,13,14,15,16,17]. …”

Section: Indications and Contra-indicationsmentioning

confidence: 99%

Laparoscopy for Colorectal Malignancy

Pillinger

Monson

2005

Dig Surg

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Laparoscopy for colorectal pathology is technically demanding with a steep learning curve. In expert hands, there is no doubt that there is a place for laparoscopy in the operative armamentarium for the treatment of benign disease. The question of its application in the treatment of carcinoma is more difficult to address. The evidence available suggests that laparoscopic resection is a feasible and appropriate option for the treatment of colorectal carcinoma. The skill and technology to perform the procedure are developing apace, and level 1 evidence to support it is tantalizingly close. This paper will outline the development of the technique, the operative approach, and the available evidence for its use in the treatment of carcinoma.

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Port site metastases and recurrence after laparoscopic colectomy

Abstract: The laparoscopic approach has a recurrence rate similar to that for open procedures for colon cancer. However, additional follow-up of these patients is needed before we can determine whether or not the laparoscopic approach influences overall survival.

Cited by 213 publications

References 17 publications

Patterns of Recurrence and Survival After Laparoscopic and Conventional Resections for Colorectal Carcinoma

Patterns of Recurrence and Survival After Laparoscopic and Conventional Resections for Colorectal Carcinoma

Evaluation of Laparoscopic Versus Open Surgery for Colorectal Malignancy: A Single Institute Study

Laparoscopy for Colorectal Malignancy

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