Totally laparoscopic versus laparoscopic-assisted left colectomy for cancer: a retrospective review

Swaid, Forat; Sroka, Gideon; Madi, H.; Shteinberg, Dan; Somri, Mostafa; Matter, Ibrahim

doi:10.1007/s00464-015-4502-5

Cited by 38 publications

(35 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, IA requires less mobilization than EA, and therefore facilitates the achievement of tension-free anastomosis. Recent studies have demonstrated that compared to EA, IA is not associated with a greater incidence of anastomotic leakage (37–39). NOSE has a significant advantage in that it reduces anastomotic leakage in ultra-low rectal anus-preserving surgery (40).…”

Section: Discussionmentioning

confidence: 99%

Safety and Oncological Outcomes of Laparoscopic NOSE Surgery Compared With Conventional Laparoscopic Surgery for Colorectal Diseases: A Meta-Analysis

et al. 2019

View full text Add to dashboard Cite

Objective: To evaluate the safety and oncological outcomes of laparoscopic colorectal surgery using natural orifice specimen extraction (NOSE) compared with conventional laparoscopic (CL) colorectal surgery in patients with colorectal diseases. Methods: We conducted a systematic search of PubMed, EMBASE, and Cochrane databases for randomized controlled trials (RCTs), prospective non-randomized trials and retrospective trials up to September 1, 2018, and used 5-year disease-free survival (DFS), lymph node harvest, surgical site infection (SSI), anastomotic leakage, and intra-abdominal abscess as the main endpoints. Subgroup analyses were conducted according to the different study types [RCT and NRCT (non-randomized controlled trial)]. A sensitivity analysis was carried out to evaluate the reliability of the outcomes. RevMan5.3 software was used for statistical analysis. Results: Fourteen studies were included (two RCTs, seven retrospective trials and five prospective non-randomized trials) involving a total of 1,435 patients. Compared with CL surgery, the NOSE technique resulted in a shorter hospital stay, shorter time to first flatus, less post-operative pain, and fewer SSIs and total perioperative complications. Anastomotic leakage, blood loss, and intra-abdominal abscess did not differ between the two groups, while operation time was longer in the NOSE group. Oncological outcomes such as proximal margin [weighted mean difference [WMD] = 0.47; 95% confidence interval [CI] −0.49 to 1.42; P = 0.34], distal margin (WMD= −0.11; 95% CI −0.66 to 0.45; P = 0.70), lymph node harvest (WMD = −0.97; 95% CI −1.97 to 0.03; P = 0.06) and 5-year DFS (hazard ratio = 0.84; 95% CI 0.54–1.31; P = 0.45) were not different between the NOSE and CL surgery groups. Conclusions: Compared with CL surgery, NOSE may be a safe procedure, and can achieve similar oncological outcomes. Large multicenter RCTs are needed to provide high-level, evidence-based results in NOSE-treated patients and to determine the risk of local recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

Safety and Oncological Outcomes of Laparoscopic NOSE Surgery Compared With Conventional Laparoscopic Surgery for Colorectal Diseases: A Meta-Analysis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…approach in certain fields of gastrointestinal surgery should be definitively assessed [24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35].…”

Section: Discussionmentioning

confidence: 99%

Barbed suture and gastrointestinal surgery. A retrospective analysis

Manigrasso¹,

Velotti²,

Calculli

et al. 2019

Open Medicine

View full text Add to dashboard Cite

AbstractAlthough minimally invasive surgery is recognized as the gold standard of many surgical procedures, laparoscopic suturing is still considered as the most difficult skill in laparoscopic surgery.The introduction of barbed sutures facilitates laparoscopic suturing because it is not necessary to tie a knot. The efficacy of this method has been evaluated in different types of surgery; however, less is known about general surgery.We retrospectively analysed data from 378 patients who had undergone bariatric or surgical treatment for colic or gastric malignancy requiring a closure of gastroentero, entero-entero or enterocolotomy from January 2014 to January 2019, admitted to the General Surgery Unit and Operative Unit of Surgical Endoscopy of the University Federico II (Naples, Italy).We registered 12 anastomotic leaks (3.1%), 16 anastomotic intraluminal bleedings (4.2%) and 7 extraluminal bleedings. Other complications included 23 cases of postoperative nausea and vomit (6%), 14 cases of postoperative ileus (3.7%) and 3 cases of intra-abdominal abscess (0.8%). Overall complications rate was 19.8% (75/378). No postoperative death was registered.Thus, by pooling together 378 patients, we can assess that barbed suture could be considered safe and effective for closure of holes used for the introduction of a branch of mechanical stapler to perform intracorporeal anastomosis.

show abstract

“…As a consequence, laparoscopic surgery has become incredibly popular over the last three decades and several new laparoscopic techniques, including robotic-assisted colectomy, single incision laparoscopic surgery, natural orifice specimen extraction surgery, and natural orifice transluminal endoscopic surgery, have also been reported[ 3 , 13 - 17 ]. Although, totally laparoscopic surgery has been carried out by experienced surgeons[ 7 - 8 ], IA technique still represents a significant difficulty during TLC. Therefore, an easy and feasible anastomosis technique is very important.…”

Section: Discussionmentioning

confidence: 99%

“…With the advances in surgical devices and the improvements in surgical performance, totally laparoscopic colectomy (TLC) has gradually been adopted by experienced surgeons[ 7 - 8 ]. In theory, the TLC procedure conforms more to the concept of minimally invasive surgery and the principle of the tumor-free technique, while the intracorporeal anastomosis (IA) technique still represents one of the biggest difficulties for surgeons during TLC.…”

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

View full text Add to dashboard Cite

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.

show abstract

Totally laparoscopic versus laparoscopic-assisted left colectomy for cancer: a retrospective review

Cited by 38 publications

References 37 publications

Safety and Oncological Outcomes of Laparoscopic NOSE Surgery Compared With Conventional Laparoscopic Surgery for Colorectal Diseases: A Meta-Analysis

Safety and Oncological Outcomes of Laparoscopic NOSE Surgery Compared With Conventional Laparoscopic Surgery for Colorectal Diseases: A Meta-Analysis

Barbed suture and gastrointestinal surgery. A retrospective analysis

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

Contact Info

Product

Resources

About