Colon cancer: laparoscopic resection
|
|
- Frederick Simmons
- 6 years ago
- Views:
Transcription
1 Annals of Oncology 16 (Supplement 2): ii88 ii92, 2005 doi: /annonc/mdi733 Colon cancer: laparoscopic resection A. Lacy Gastrointestinal Surgery Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain Introduction Since the first description by Jacobs [1], laparoscopic colorectal surgery has gained popularity over the past years. The acceptance of this approach has not been as fast as it was for laparoscopic cholecystectomy and other laparoscopic operations, owing to several differences: a steep learning curve of procedures that requires working in multiple abdominal quadrants, control of vascular structures, creation of intestinal anastomoses and sometimes retrieving large specimens [2, 3]. Other concerns have focused on the compliance of oncologic principles of radicality and the presumed increased incidence of port-site metastases described in early series [4]. Several advantages of laparoscopic colorectal surgery have been reported, including reduction of postoperative pain, shortened postoperative ileus and hospital stay, and recently a potential benefit in immune response and oncologic results [5 7]. The objective of this review is to describe the technical issues of laparoscopic-assisted colectomy (LAC) for malignancies, making special reference to the data available on the achievement of oncological principles and the comparison of results with open techniques [8]. Indications Indications for LAC for colorectal malignancies do not differ from those for open technique. Careful patient evaluation must be done in candidates for LAC. There are important differences in hemodynamic and pulmonary consequences from other laparoscopic procedures. Lloyd-Davis position and prolonged periods of Trendelenburg can particularly affect patients with chronic pulmonary disease [9]. Other patient-related co-morbid conditions must be assessed in the preoperative period. Access problems such as morbid obesity or previous abdominal surgery can offer some difficulties, but do not contraindicate this approach. Several reports have confirmed that previous surgery can extend surgical time, but this has not been related to increased conversion rate [10, 11] Preoperative tumor evaluation is critical when considering a laparoscopic approach to colorectal cancer. Bulky, large tumors or evidence of adjacent organ infiltration should be carefully analyzed to decide whether laparoscopy is feasible. In our experience, a conversion rate of up to 60% can be expected when there is evidence of adjacent infiltration [10]. The decision to operate on any patient with a malignancy should be based on the surgeon s expertise in laparoscopic surgery, and conversion should never be viewed as a failure when patients safety has to be assured. Several reports have focused on the steep learning curve of LAC. Some authors have defined absolute numbers to achieve surgical competence as being between 20 and 50 cases [12 15]. However, this definition is biased by the experience of the surgical unit reporting the series. There are critical factors that can affect the learning curve, including the number of cases performed by each surgeon, the time taken to achieve that number and the previous experience in laparoscopic surgery. It has been evident that large series of LAC have come either from high volume colorectal units or high volume endoscopic surgical departments. High volume surgeons do experience less complications and conversion to open approach [3, 10, 15]. A recent study carried out at our unit demonstrated surgical experience, low anterior resection and ASA classification III as independent predictors of conversion. Variables related to malignant disease such as tumor size, preoperative radiotherapy and the need for adjacent organ resection were also significant predictors. As confirmed in other studies, previous abdominal surgery has not influenced conversion in large single-center series. Technique Adequate preoperative mechanical bowel preparation and antibiotics are essential. A clear informed consent has to be obtained from each patient that includes information on risk, possible complications and costs. Patients should be advised that long-term benefits of LAC are under study and inclusion in prospective trials is recommended. Preoperative investigations should include complete blood count, blood chemistry, coagulation status and carcinoembryonic antigen (CEA) level. With the loss of tactile sensation, special attention should be placed on the tumor location. Small lesions and polyps could present difficulties in a laparoscopic approach so the exact location should be determined with colonosopy, barium enema or ink tattoo. Several reports have described the need for conversion or resections of normal colon segments owing to the impossibility of locating the lesion [16]. Barium enema can be especially useful to determine the need to descend q 2005 European Society for Medical Oncology
2 ii89 the splenic flexure. However, in some cases it is necessary to use intraoperative colonoscopy as laparoscopic assistance and the use of a bowel clamp proximal to the lesion can facilitate the maneuver [17]. An initial laparoscopy should rule out the presence of carcinomatosis and adjacent organ infiltration. Liver assessment can be difficult and laparoscopic ultrasonography is sometimes necessary. In case of right hemicolectomy, the patient is placed in a supine position with the surgeon standing on the left. When performing a sigmoid or rectal resection, the patient is placed in Lloyd-Davis position and the surgeon stands on the right (Figures 1 and 2). Laparoscopic-assisted colon resections must comply with all the principles of open surgery. Minimum manipulation of Figure 1. Right colectomy: operative approach. The assistant elevates the right colon to create tension over the mesentery while the surgeon identifies the duodenum and dissect the ileocolic vessels and lymph nodes. Figure 2. Sigmoidectomy: operative approach. The assistant elevates the sigmoid colon while the surgeon identifies and dissects the inferior mesenteric vessels with the corresponding lymph nodes. the tumor should follow the principles of no-touch technique. Wiggers et al. [18] compared 117 patients undergoing notouch technique with 119 resections in a conventional way. No-touch technique patients had a significantly lower distant metastases rate in the follow-up. Another relevant point is the early and proximal ligation of the lympho-vascular pedicle. Left colectomy, sigmoidectomy, low anterior resection or abdominoperineal resections require ligation of inferior mesenteric artery and veins. This can be done with clips or stapling devices after a complete dissection of the perivascular lymph nodes. In the case of a right colectomy the initial approach should identify the duodenum and dissection of the ileocolic artery pedicle. Tumors located in the transverse colon should be carefully evaluated to determine the operative approach. It is important to decide whether a transverse colectomy is necessary with proximal ligation of the middle colic artery, or an extended right hemicolectomy if the tumor is located towards hepatic flexure, or a left extended hemicolectomy if the tumor islocated towards the splenic flexure. An interesting field of research would be to determine sentinel lymph nodes in tumors with no clear vascular dependency. Incisions for assistance vary between different authors. Location and size should be large enough to prevent the bowel to be forced out, increasing the possibility of injury of the tumor and spreading of malignant cells. Special attention has to be placed on the wound protection and prevention of port-site metastases. Adequate plastic devices can protect the incision for assistance and the absence of leaks from the pneumoperitoneum through the trocars incisions can prevent port-site metastases. Results of LAC in cancer Short-term results Early series in LAC showed no advantage in short-term results of this approach for colorectal malignancies. Bokey et al. [5] reported a series of 61 patients undergoing open or laparoscopic-assisted right hemicolectomy. No difference was observed between groups in outcome, but LAC took longer and was more expensive. Most of these studies were prospective, non-randomized trials from centers with limited experience. More recent studies have reported less need of analgesic use. Hewitt et al. [19] found a significant decrease in morphine requirements between open (62 mg) and LAC (27 mg) in the first 48 h. Early results of the Clinical Outcome of Surgical Therapy study in 449 patients showed LAC requiring less use of both parenteral (mean 3.2 versus 4 days) and oral (mean 1.9 versus 2.2 days) analgesics, and a shorter hospital stay for LAC group (5.6 versus 6.4 days) [20]. Operative time has been consistently longer for LAC in reported series, with most studies showing a mean or median difference of 1 h or more. However, operative time has significantly reduced with the increasing experience [21]. Time to food intake and length of hospital stay have been reported in several studies. A randomized controlled study
3 ii90 showed a mean time of initiation of oral intake of 54 ± 42 h after LAC compared with 85 ± 67 h after open colectomy (P <0.001) [22]. Recent studies reported a decreased hospital stay. Senagore et al. [23] reported a reduced hospital stay and reduced direct costs in older patients (over 70 years) after LAC compared with traditional open colectomy. A recent meta-analysis that included 12 randomized clinical trials comparing the short-term outcomes of LAC versus open approach in 2512 procedures confirmed lower morbidity and better early results in the laparoscopic approach (less wound infection and need of analgesia, shorter hospital stay). No difference was observed in mortality nor cancer-related variables such as number of lymph nodes and length of the specimen [24]. Oncologic factors. One of the greatest concerns about LAC is the compliance with the oncologic principles of radicality. These requirements include suitable margins, adequate lymph node dissection and the prevention of spillage of cancer cells to either the peritoneal cavity or adjacent lumen of the bowel [25]. Lymph node dissection has been addressed in several reports. None of the studies have found differences in terms of number of lymph nodes recovered. Table 1 show the number of lymph nodes resected in LAC compared with open surgery. Port-site metastases have been an important issue in the development of LAC. Since Berends report in 1994 of the unacceptable rate of 21% of port-site metastases, much research has been carried out in this field identifying factors involved in this kind of recurrence [4]. Technical factors appear to be very important, especially the manipulation of tumor and protection of incision for assistance, instrument contamination, the influence of pneumoperitoneum and aerosolization of malignant cells to the subcutaneous tissue [26]. A dramatic drop in port-site metastases has been reported in recent studies (Table 2), to a rate similar expected as for an open technique ( %) [27, 28], confirming a safe approach. Recently, a large, prospective, randomized trial showed a wound recurrence rate of <1% in patients undergoing LAC [29]. Prevention of port-site recurrence starts with a standard technique avoiding any injury to the colon and minimizing manipulation of the tumor [26, 30]. Pulling large specimens through a small incision should be avoided and the routine protection of the wound with a plastic device can prevent tumor inoculation [31 33]. Table 1. Lymph node harvest after open and laparoscopic colectomy Author Year Open (n) Laparoscopic (%) Bleday [52] Tate [53] Franklin [54] Lacy [55] Goh [56] Milsom [57] Scheidbach [42] Table 2. Port-site metastases and wound recurrence after colon surgery for cancer Author Year Patients (n) Incidence (%) Open colectomy Hughes [27] Reilly [28] Laparoscopic-assisted colectomy Berends [4] Boulez [58] Hoffman [59] Franklin [54] Fielding [60] Balli [31] Hartley [49] Lacy [22] Lumley [41] Scheidbach [42] Patankar [40] Long-term results Early reports of port-site metastases questioned LAC as a recommended approach. Historical open approach series have reported a 5-year survival of 60% [34]. The most recent data from the National Cancer Institute of the USA report 5-year overall survival rates ranging from 60% to 62% [35]. Medium- to long-term survival results of LAC have been reported recently [36 40]. With a median follow-up of 71 months, 181 patients undergoing LAC for cancer showed a 6% recurrence, with two port-site metastases and a 1% perioperative mortality [41]. Notably, survival rates for the Australian Clinico- Pathological Staging stage C were 74%. Scheidbach et al. [42] published results on 292 patients undergoing laparoscopicassisted sigmoid resection with a mean follow-up of 2.1 years and a follow-up rate of 73.3%, with a stage-related survival of 88.8%, 90.9% and 64.1% for stages I, II and III respectively. However, it is important to note that laparoscopic-assisted series usually have selected patients, which biases the outcome. Our unit has published the first randomized trial comparing 106 LAC with 102 open colectomies, with cancer-related survival as the main end point [22]. The mean long-term follow-up was 43 months. Cancer-related mortality was better in the LAC group (9%) compared with the open group (21%) (P <0.02). However, the most interesting result was that LAC seemed to improve the long-term outcome of patients with colon cancer. This difference was due to improvement in survival of stage III tumors. The large, prospective, multicenter study conducted in 48 institutions in USA included 872 patients randomly assigned to undergo open or laparoscopic-assisted colectomy. At 3 years, the rates of recurrence were similar in the two groups
4 ii91 (16% for laparoscopic-assisted and 18% for the open technique) [29]. No long-term data has been published yet from the European multicentre study (COLOR) [43]. Immune response There has been increasing interest in the study of immune response after LAC [44]. Some studies have reported better short-term outcomes of LAC, with different complication rates [7, 23, 45, 46]. Delgado et al. [7] found, in a prospective randomized trial, significant differences in acute phase response between LAC group versus open, expressed as higher levels of interleukin-6 at 4, 12 and 24 h after surgery. In a recent study in 35 patients, Itano et al. [47] found that patients undergoing open colorectal resections had significant suppression of cell-mediated immune response measured by delayedtype hypersensitivity [48]. The clinical significance of this difference could explain lower complication rates and even more, be responsible of a benefit in survival in a selected group of patients undergoing LAC for cancer [22, 49]. Several experimental animal models have demonstrated higher tumor establishment and growth rates after laparotomy than after laparoscopy. Kirman et al. [50] showed in a series of LAC versus open surgery patients a significant decrease in CD31+ T cells in the open group. These T cells are responsible of efficient killing of tumor cells by migrating from the circulation to the peripheral tissues. In a murine model, Carter et al. [51] showed a higher rate of lung metastases after injection of intravenous tumor cells in animals undergoing open cecectomy compared with laparoscopic cecectomy. A prospective randomized trial performed in our unit showed better oncologic results in stage III patients undergoing LAC, suggesting that the non-suppressed immune function observed in this group could decrease the chances of tumor metastases [22, 41]. Summary LAC for colon cancer continues to be a topic of debate. However, since its first description more than a decade ago, evidence has clarified topics such as feasibility, safety and recurrence. Port-site metastases have been addressed in recent reports and specific precautions can lower their incidence. It is clear that LAC is associated with shorter hospital stay, less use of analgesia and better cosmesis. A recent large, prospective, randomized trial confirmed that LAC is equivalent to open surgery in terms of oncologic results. There could be an even better result in stage III patients, as described in a recent report [22]. Intense research is underway to study the impact of laparoscopy on cancer biology and immune response that could explain differences in outcome. References 1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1991; 1: Fazio VW, Lopez-Kostner F. Role of laparoscopic surgery for treatment of early colorectal carcinoma. World J Surg 2000; 24: Bennett CL, Stryker SJ, Ferreira MR et al. The learning curve for laparoscopic colorectal surgery. Preliminary results from a prospective analysis of 1194 laparoscopic-assisted colectomies. Arch Surg 1997; 132: Berends FJ, Kazemier G, Bonjer HJ, Lange JF. Subcutaneous metastases after laparoscopic colectomy. Lancet 1994; 344: Bokey EL, Moore JW, Chapuis PH, Newland RC. Morbidity and mortality following laparoscopic-assisted right hemicolectomy for cancer. Dis Colon Rectum 1996; 39 (10 Suppl): S24 S Leung KL, Yiu RY, Lai PB et al. Laparoscopic-assisted resection of colorectal carcinoma: five-year audit. Dis Colon Rectum 1999; 42: Delgado S, Lacy AM, Filella X et al. Acute phase response in laparoscopic and open colectomy in colon cancer: randomized study. Dis Colon Rectum 2001; 44: Chapman AE, Levitt MD, Hewett P et al. Laparoscopic-assisted resection of colorectal malignancies: a systematic review. Ann Surg 2001; 234: Safran DB, Orlando R 3rd. Physiologic effects of pneumoperitoneum. Am J Surg 1994; 167: Delgado S, Momblan D, Boza C et al. How can we predict conversion in laparoscopic colorectal surgery? Experience in 951 consecutive cases. Cancun, Mexico: 9th World Congress of Endoscopic Surgery 2004; February Gervaz P, Pikarsky A, Utech M et al. Converted laparoscopic colorectal surgery. Surg Endosc 2001; 15: Agachan F, Joo JS, Sher M et al. Laparoscopic colorectal surgery. Do we get faster? Surg Endosc 1997; 11: Senagore AJ, Luchtefeld MA, Mackeigan JM. What is the learning curve for laparoscopic colectomy? Am Surg 1995; 61: Simons AJ, Anthone GJ, Ortega AE et al. Laparoscopic-assisted colectomy learning curve. Dis Colon Rectum 1995; 38: Senagore AJ, Duepree HJ, Delaney CP et al. Results of a standardized technique and postoperative care plan for laparoscopic sigmoid colectomy: a 30-month experience. Dis Colon Rectum 2003; 46: Wexner SD, Cohen SM, Ulrich A, Reissman P. Laparoscopic colorectal surgery are we being honest with our patients? Dis Colon Rectum 1995; 38: Reissman P, Teoh TA, Piccirillo M et al. Colonoscopic-assisted laparoscopic colectomy. Surg Endosc 1994; 8: Wiggers T, Jeekel J, Arends JW et al. No-touch isolation technique in colon cancer: a controlled prospective trial. Br J Surg 1988; 75: Hewitt PM, Ip SM, Kwok SP et al. Laparoscopic-assisted vs. open surgery for colorectal cancer: comparative study of immune effects. Dis Colon Rectum 1998; 41: Weeks JC, Nelson H, Gelber S et al. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial. JAMA 2002; 287: Lezoche E, Feliciotti F, Paganini AM et al. Laparoscopic vs open hemicolectomy for colon cancer. Surg Endosc 2002; 16: Lacy AM, Garcia-Valdecasas JC, Delgado S et al. Laparoscopyassisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet 2002; 359: Senagore AJ, Madbouly KM, Fazio VW et al. Advantages of laparoscopic colectomy in older patients. Arch Surg 2003; 138: Abraham NS, Young JM, Solomon MJ. Meta-analysis of short-term outcomes after laparoscopic resection for colorectal cancer. Br J Surg 2004; 91:
5 ii Bessa X, Castells A, Lacy AM et al. Laparoscopic-assisted vs. open colectomy for colorectal cancer: influence on neoplastic cell mobilization. J Gastrointest Surg 2001; 5: Brundell SM, Tucker K, Texler M et al. Variables in the spread of tumor cells to trocars and port sites during operative laparoscopy. Surg Endosc 2002; 16: Hughes ES, McDermott FT, Polglase AL, Johnson WR. Tumor recurrence in the abdominal wall scar tissue after large-bowel cancer surgery. Dis Colon Rectum 1983; 26: Reilly WT, Nelson H, Schroeder G et al. Wound recurrence following conventional treatment of colorectal cancer. A rare but perhaps underestimated problem. Dis Colon Rectum 1996; 39: A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004; 350: Brundell S, Ellis T, Dodd T et al. Hematogenous spread as a mechanism for the generation of abdominal wound metastases following laparoscopy. Surg Endosc 2002; 16: Balli JE, Franklin ME, Almeida JA et al. How to prevent port-site metastases in laparoscopic colorectal surgery. Surg Endosc 2000; 14: Lacy AM, Delgado S, Garcia-Valdecasas JC et al. Port site metastases and recurrence after laparoscopic colectomy. A randomized trial. Surg Endosc 1998; 12: Hackert T, Uhl W, Buchler MW. Specimen retrieval in laparoscopic colon surgery. Dig Surg 2002; 19: Newland RC, Chapuis PH, Pheils MT, MacPherson JG. The relationship of survival to staging and grading of colorectal carcinoma: a prospective study of 503 cases. Cancer 1981; 47: Wingo PA, Cardinez CJ, Landis SH et al. Long-term trends in cancer mortality in the United States, Cancer 2003; 97 (12 Suppl): Franklin ME, Kazantsev GB, Abrego D et al. Laparoscopic surgery for stage III colon cancer: long-term follow-up. Surg Endosc 2000; 14: Lechaux D, Trebuchet G, Le Calve JL. Five-year results of 206 laparoscopic left colectomies for cancer. Surg Endosc 2002; 16: Hildebrandt U, Plusczyk T, Kessler K, Menger MD. Single-surgeon surgery in laparoscopic colonic resection. Dis Colon Rectum 2003; 46: Poulin EC, Mamazza J, Schlachta CM et al. Laparoscopic resection does not adversely affect early survival curves in patients undergoing surgery for colorectal adenocarcinoma. Ann Surg 1999; 229: Patankar SK, Larach SW, Ferrara A et al. Prospective comparison of laparoscopic vs. open resections for colorectal adenocarcinoma over a ten-year period. Dis Colon Rectum 2003; 46: Lumley J, Stitz R, Stevenson A et al. Laparoscopic colorectal surgery for cancer: intermediate to long-term outcomes. Dis Colon Rectum 2002; 45: Scheidbach H, Schneider C, Huegel O et al. Laparoscopic sigmoid resection for cancer: curative resection and preliminary medium-term results. Dis Colon Rectum 2002; 45: Hazebroek EJ. COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Surg Endosc 2002; 16: Hartley JE, Mehigan BJ, Monson JR. Alterations in the immune system and tumor growth in laparoscopy. Surg Endosc 2001; 15: Delgado F, Bolufer JM, Grau E et al. Laparoscopic colorectal cancer resection: initial follow-up results. Surg Laparosc Endosc Percutan Tech 1999; 9: Delaney CP, Kiran RP, Senagore AJ et al. Case-matched comparison of clinical and financial outcome after laparoscopic or open colorectal surgery. Ann Surg 2003; 238: Itano O, Watanabe T, Jinno H et al. Port site metastasis of sigmoid colon cancer after a laparoscopic sigmoidectomy: report of a case. Surg Today 2003; 33: Hildebrandt U, Kessler K, Plusczyk T et al. Comparison of surgical stress between laparoscopic and open colonic resections. Surg Endosc 2003; 17: Hartley JE, Mehigan BJ, MacDonald AW et al. Patterns of recurrence and survival after laparoscopic and conventional resections for colorectal carcinoma. Ann Surg 2000; 232: Kirman I, Cekic V, Poltaratskaia N et al. The percentage of CD31+ T cells decreases after open but not laparoscopic surgery. Surg Endosc 2003; 17: Carter JJ, Feingold DL, Kirman I et al. Laparoscopic-assisted cecectomy is associated with decreased formation of postoperative pulmonary metastases compared with open cecectomy in a murine model. Surgery 2003; 134: Bleday R, Babineau T, Forse RA. Laparoscopic surgery for colon and rectal cancer. Semin Surg Oncol 1993; 9: Tate JJ, Kwok S, Dawson JW et al. Prospective comparison of laparoscopic and conventional anterior resection. Br J Surg 1993; 80: Franklin ME Jr, Rosenthal D, Abrego-Medina D et al. Prospective comparison of open vs. laparoscopic colon surgery for carcinoma. Five-year results. Dis Colon Rectum 1996; 39 (10 Suppl): S35 S Lacy AM, Garcia-Valdecasas JC, Pique JM et al. Short-term outcome analysis of a randomized study comparing laparoscopic vs open colectomy for colon cancer. Surg Endosc 1995; 9: Goh YC, Eu KW, Seow-Choen F. Early postoperative results of a prospective series of laparoscopic vs. open anterior resections for rectosigmoid cancers. Dis Colon Rectum 1997; 40: Milsom JW, Bohm B, Hammerhofer KA et al. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg 1998; 187: Boulez J. Surgery of colorectal cancer by laparoscopic approach. Ann Chir 1996; 50: Hoffman GC, Baker JW, Doxey JB et al. Minimally invasive surgery for colorectal cancer. Initial follow-up. Ann Surg 1996; 223: Fielding GA, Lumley J, Nathanson L et al. Laparoscopic colectomy. Surg Endosc 1997; 11:
Kurumboor Prakash, N P Kamalesh, K Pramil, I S Vipin, A Sylesh, Manoj Jacob
Original Article Does case selection and outcome following laparoscopic colorectal resection change after initial learning curve? Analysis of 235 consecutive elective laparoscopic colorectal resections
More informationLaparoscopic Resection Of Colon & Rectal Cancers. R Sim Centre for Advanced Laparoscopic Surgery, TTSH
Laparoscopic Resection Of Colon & Rectal Cancers R Sim Centre for Advanced Laparoscopic Surgery, TTSH Feasibility and safety Adequacy - same radical surgery as open op. Efficacy short term benefits and
More informationSCIENTIFIC PAPER ABSTRACT INTRODUCTION METHODS
SCIENTIFIC PAPER The Influence of Prior Abdominal Operations on Conversion and Complication Rates in Laparoscopic Colorectal Surgery Jan Franko, MD, PhD, Brendan G. O Connell, MD, John R. Mehall, MD, Steven
More informationHow much colon should be resected?
Colon Cancer Surgical Standard of Care and Operative Techniques Madhulika G. Varma MD Professor and Chief Section of Colorectal Surgery University of California, San Francisco How much colon should be
More informationA study evaluating the safety of laparoscopic radical operation for colorectal cancer
Original Article A study evaluating the safety of laparoscopic radical operation for colorectal cancer Min-Hua Zheng, Ai-Guo Lu, Bo Feng, Yan-Yan Hu, Jian-Wen Li, Ming-Liang Wang, Feng Dong, Jing-Li Cai,
More informationClinical outcome of laparoscopic and open colectomy for right colonic carcinoma
GENERAL SURGERY doi 10.1308/147870811X13137608455299 Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma JS Khan, AK Hemandas, KG Flashman, A Senapati, D O Leary, A Parvaiz
More informationIs the number of lymph nodes retrieved in laparoscopic colorectal cancer resections related to the learning curve of the surgeon?
ORIGINAL ARTICLE Is the number of lymph nodes retrieved in laparoscopic colorectal cancer resections related to the learning curve of the surgeon? O. Aly 1, E MacDonald 2, C Watkins 2, G I Murray 3, E
More informationWJOLS /jp-journals
10.5005/jp-journals-10007-1203 REVIEW ARTICLE Sachin Shashikant Ingle ABSTRACT Background: Worldwide about 782,000 people are diagnosed with colorectal cancer each year. Colorectal cancer is the third
More informationWhat is the next. Can we? Should we? What s the issue? Speakers Disclosures. Laparoscopic Colorectal Surgery After 80.
Laparoscopic Colorectal Surgery After 80 MDSection of Colon and Rectal Surgery Lankenau Hospital, Wynnewood PA John Marks MD John Marks MD Chief: Section of Colorectal Surgery Main Line Health System Professor:
More informationGuidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer
SAGES Society of American Gastrointestinal and Endoscopic Surgeons http://www.sages.org Guidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer Author : SAGES Webmaster PREAMBLE The following
More informationKaren Lok Man Tung, Michael Ka Wah Li. Introduction
Original Article Page 1 of 5 Hybrid natural orifice transluminal endoscopic surgery colectomy versus conventional laparoscopic colectomy for left-sided colonic tumors: intermediate follow up of a randomized
More informationLaparoscopic Surgery for Rectal Carcinoma An Experience of 20 Cases in a Government
Laparoscopic Sugery World for Rectal Journal Carcinoma An of Laparoscopic Experience Surgery, of September-December 20 Cases in a Government 2008;1(3):53-57 Sector Hospital Laparoscopic Surgery for Rectal
More informationExtracorporeal Versus Intracorporeal Anastomosis for Laparoscopic Right Hemicolectomy
SCIENTIFIC PAPER Extracorporeal Versus Intracorporeal Anastomosis for Laparoscopic Right Hemicolectomy Minia Hellan, MD, Casandra Anderson, MD, Alessio Pigazzi, MD, PhD ABSTRACT Background: During laparoscopic
More informationLaparoscopic-assisted Colon and Rectal Surgery Lessons Learnt from Early Experience
Original Article 223 Laparoscopic-assisted Colon and Rectal Surgery Lessons Learnt from Early Experience DCS Koh, 1 MBBS, FRCS (Edin) (Gen Surg), FAMS, KS Wong, 2 MBBS, FRCS (Edin), FAMS, R Sim, 1 MBBS,
More informationLONG TERM OUTCOME OF ELECTIVE SURGERY
LONG TERM OUTCOME OF ELECTIVE SURGERY Roberto Persiani Associate Professor Mini-invasive Oncological Surgery Unit Institute of Surgical Pathology (Dir. prof. D. D Ugo) Dis Colon Rectum, March 2000 Dis
More informationClinical Study Three Ports Laparoscopic Resection for Colorectal Cancer: A Step on Refining of Reduced Port Surgery
ISRN Surgery, Article ID 781549, 5 pages http://dx.doi.org/10.1155/2014/781549 Clinical Study Three Ports Laparoscopic Resection for Colorectal Cancer: A Step on Refining of Reduced Port Surgery Anwar
More informationGrand Rounds Laparoscopic Colectomy. 3/12/2007 UCHSC, R.Durbin
Grand Rounds Laparoscopic Colectomy 3/12/2007 UCHSC, R.Durbin DR 60 yo male with hx of Crohn s s for approx 15 yrs. Referred due to uncontrolled dz despite steroids with approx 10 bowel movements/day,
More informationPAPER. Sonal Pandya, MD; John J. Murray, MD; John A. Coller, MD; Lawrence C. Rusin, MD
Laparoscopic Colectomy PAPER s for Conversion to Laparotomy Sonal Pandya, MD; John J. Murray, MD; John A. Coller, MD; Lawrence C. Rusin, MD Hypothesis: Although experience with laparoscopic colectomy continues
More informationLaparoscopy assisted versus open surgery for multiple colorectal cancers with two anastomoses: a cohort study
DOI 10.1186/s40064-016-1948-4 RESEARCH Open Access Laparoscopy assisted versus open surgery for multiple colorectal cancers with two anastomoses: a cohort study Hiroaki Nozawa *, Soichiro Ishihara, Koji
More informationTumor Localization for Laparoscopic Colorectal Surgery
World J Surg (2007) 31:1491 1495 DOI 10.1007/s00268-007-9082-7 Tumor Localization for Laparoscopic Colorectal Surgery Yong Beom Cho Æ Woo Yong Lee Æ Hae Ran Yun Æ Won Suk Lee Æ Seong Hyeon Yun Æ Ho-Kyung
More informationNational trends in the uptake of laparoscopic resection for colorectal cancer,
National trends in the uptake of laparoscopic resection for colorectal cancer, 2000 2008 Bridie S Thompson, Michael D Coory and John W Lumley ABSTRACT Objective: To examine the trends in the uptake of
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Adenocarcinoma, pancreatic ductal, laparoscopic distal pancreatectomy for, 61 Adrenal cortical carcinoma, laparoscopic adrenalectomy for, 114
More informationSingle incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study
The American Journal of Surgery (2013) 206, 320-325 Clinical Science Single incision vs conventional laparoscopic anterior resection for sigmoid colon cancer: a case-matched study Seung-Jin Kwag, M.D.,
More informationShort-term Outcomes of a Laparoscopic Left Hemicolectomy for Descending Colon Cancer: Retrospective Comparison with an Open Left Hemicolectomy
Original Article Journal of the Korean Society of DOI: 10.3393/jksc.2010.26.5.347 pissn 2093-7822 eissn 2093-7830 Short-term Outcomes of a Laparoscopic Left Hemicolectomy for Descending Colon Cancer: Retrospective
More informationOutcome of laparoscopic colorectal resection
Surg Endosc (2004) 18: 427 432 DOI: 10.1007/s00464-002-9267-y Ó Springer-Verlag New York Inc. 2004 Outcome of laparoscopic colorectal resection M. Degiuli, 1 M. Mineccia, 1 A. Bertone, 2 A. Arrigoni, 2
More informationLaparoscopic vs Robotic Rectal Cancer Surgery: Making it better!
Laparoscopic vs Robotic Rectal Cancer Surgery: Making it better! Francis Seow- Choen Medical Director Seow-Choen Colorectal Centre Singapore In all situations: We have to use the right tool for the job
More informationClinical Study Laparoscopic versus Open Surgery for Colorectal Cancer: A Retrospective Analysis of 163 Patients in a Single Institution
Minimally Invasive Surgery, Article ID 530314, 6 pages http://dx.doi.org/10.1155/2014/530314 Clinical Study Laparoscopic versus Open Surgery for Colorectal Cancer: A Retrospective Analysis of 163 Patients
More informationComparative study of oncologic outcomes for laparo scopic vs. open surgery in transverse colon cancer
ORIGINAL ARTICLE pissn 2288-6575 eissn 2288-6796 http://dx.doi.org/10.4174/astr.2014.86.1.28 Annals of Surgical Treatment and Research Comparative study of oncologic outcomes for laparo scopic vs. open
More informationWe are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors
We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists 3,800 116,000 120M Open access books available International authors and editors Downloads Our
More informationLaparoscopic vs Open Total Mesorectal Excision for Rectal Cancer: A Clinical Comparative Study in a Government Sector Hospital
10.5005/jp-journals-10007-1197 ORIGINAL ARTICLE Laparoscopic vs Open Total Mesorectal Excision for Rectal Cancer: A Clinical Comparative Study in a Government Sector Hospital Manash Ranjan Sahoo, T Anil
More informationWORLD JOURNAL OF SURGICAL ONCOLOGY
Sawada et al. World Journal of Surgical Oncology (2015) 13:103 DOI 10.1186/s12957-015-0517-6 WORLD JOURNAL OF SURGICAL ONCOLOGY TECHNICAL INNOVATIONS Open Access Initial experiences of robotic versus conventional
More informationDIVERTICULAR DISEASE. Dr. Irina Murray Casanova PGY IV
DIVERTICULAR DISEASE Dr. Irina Murray Casanova PGY IV Diverticular Disease Colonoscopy Abdpelvic CT Scan Surgical Indications Overall, approximately 20% of patients with diverticulitis require surgical
More informationIndex. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abdominoperineal excision, of rectal cancer, 93 111 current controversies in, 106 109 extent of perineal dissection and removal of pelvic floor,
More informationFast Track Surgery and Surgical Carepath in Optimising Colorectal Surgery. R Sim Centre for Advanced Laparoscopic Surgery, TTSH
Fast Track Surgery and Surgical Carepath in Optimising Colorectal Surgery R Sim Centre for Advanced Laparoscopic Surgery, TTSH Conventional Surgery Postop care Nasogastric tube Enteral feeds when ileus
More informationThe Feasibility of Laparoscopic Surgery Compared to Open Surgery in Patients with T4 Colorectal Cancer Staged by Preoperative Computed Tomography
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 216;19(1):32-38 Journal of Minimally Invasive Surgery The Feasibility of Laparoscopic Surgery Compared to Open Surgery in Patients
More informationCOLORECTAL CANCER FAISALGHANISIDDIQUI MBBS; FCPS; PGDIP-BIOETHICS; MCPS-HPE
COLORECTAL CANCER FAISALGHANISIDDIQUI MBBS; FCPS; PGDIP-BIOETHICS; MCPS-HPE PROFESSOR OF SURGERY & DIRECTOR, PROFESSIONAL DEVELOPMENT CENTRE J I N N A H S I N D H M E D I C A L U N I V E R S I T Y faisal.siddiqui@jsmu.edu.pk
More informationEnhanced Recovery after Surgery - A Colorectal Perspective. R Sim Centre for Advanced Laparoscopic Surgery, TTSH
Enhanced Recovery after Surgery - A Colorectal Perspective R Sim Centre for Advanced Laparoscopic Surgery, TTSH Conventional Surgery Postop care Nasogastric tube Enteral feeds when ileus resolves Opioid
More informationRepeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(1):38-42 Journal of Minimally Invasive Surgery Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic
More informationAraújo et al. Bras. J. Video-Sur., July/September 2008 of Videoendoscopic Surgery
Original Article Brazilian 122 Journal Araújo et al. Bras. J. Video-Sur., July/September 2008 of Videoendoscopic Surgery Surgical Outcomes After Preceptores Colorectal Surgery: A Case-Controlled Trial
More information11/21/13 CEA: 1.7 WNL
Case Scenario 1 A 70 year-old white male presented to his primary care physician with a recent history of rectal bleeding. He was referred for imaging and a colonoscopy and was found to have adenocarcinoma.
More informationSurvival following laparoscopic versus open resection for colorectal cancer. Citation International Journal of Colorectal Disease, 2012, p.
Title Survival following laparoscopic versus open resection for colorectal cancer Author(s) Law, WL; Poon, JTC; Fan, JKM; Lo, OSH Citation International Journal of Colorectal Disease, 2012, p. 1-9 Issued
More informationLaparoscopic Right Colectomy
Laparoscopic Right Colectomy Shawnee Mission Medical Center February 22, 2011 Hi, and welcome to the program. My name is Dr. Sanjay Thekkeurumbil, and I m a colorectal surgeon at Shawnee Mission Medical
More informationOncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer: Results of a 3-Year Follow-up
Original Article Journal of the Korean Society of http://dx.doi.org/10.3393/jksc.2012.28.1.42 pissn 2093-7822 eissn 2093-7830 Oncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer:
More informationLaparoscopic surgery for colorectal cancer: clinical practice guidelines of the Italian Society of Colorectal Surgery
Tech Coloproctol (2007) DOI 10.1007/s10151-007-0345-y PRACTICE PARAMETERS C.A. Sartori A. D Annibale G. Cutini C. Senargiotto D. D Antonio A. Dal Pozzo M. Fiorino G. Gagliardi B. Franzato G. Romano Laparoscopic
More informationLaparoscopic Splenectomy versus Conventional Splenectomy
Bahrain Medical Bulletin, Vol.24, No.2, June 2002 Laparoscopic versus Conventional Jaffar Al-Khuzaie*, Khalifa Bin Dayna**, AWM Abdul Wahab*** Objective: Our aim was to compare laparoscopic with conventional
More informationDepartment of Surgery, Aizu Central Hospital, Fukushima
Case Reports Resection of Asynchronous Quadruple Advanced Colonic Carcinomas Followed by Reconstruction with Ileal Interposition between the Transverse Colon and Rectum Sho Mineta 1, Kimiyoshi Shimanuki
More informationDo prior abdominal operations alter the outcome of laparoscopically assisted right hemicolectomy?
Surg Endosc (2000) 14: 853 857 DOI: 10.1007/s004640000218 Springer-Verlag New York Inc. 2000 Do prior abdominal operations alter the outcome of laparoscopically assisted right hemicolectomy? C. T. Hamel,
More informationFeasibility of Emergency Laparoscopic Reoperations for Complications after Laparoscopic Surgery for Colorectal Cancer
ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(2):70-74 Journal of Minimally Invasive Surgery Feasibility of Emergency Laparoscopic Reoperations for Complications after
More informationInnovations in rectal cancer surgery TAMIS and transanal TME
Innovations in rectal cancer surgery TAMIS and transanal TME A.D Hoore MD PhD, EBSQ CR Chair Departement of Abdominal Surgery University Hospitals Leuven, Belgium Actual treatment in rectal Early rectal
More informationShort and longterm outcomes after endoscopic resection of malignant polyps.
Short and longterm outcomes after endoscopic resection of malignant polyps. Short and longterm outcomes High risk features Lymph node metastasis Lymph node metastases sm1 sm2 sm3 Son 2008 3.1 % 14.9% 25.0
More informationORIGINAL ARTICLE. Advantages of Laparoscopic Colectomy in Older Patients
ORIGINAL ARTICLE Advantages of Laparoscopic Colectomy in Older Patients Anthony J. Senagore, MD, MS, MBA; Khaled M. Madbouly, MD; Victor W. Fazio, MD; Hans J. Duepree, MD; Karen M. Brady, BSN, RN,C; Conor
More informationLongterm Complications of Hand-Assisted Versus Laparoscopic Colectomy
Longterm Complications of Hand-Assisted Versus Laparoscopic Colectomy Toyooki Sonoda, MD, Sushil Pandey, MD, Koiana Trencheva, BSN, Sang Lee, MD, Jeffrey Milsom, MD, FACS BACKGROUND: STUDY DESIGN: Hand-assisted
More informationIncreasing evidence exists for the safety, efficacy, and
ORIGINAL CONTRIBUTION A Three-Arm (Laparoscopic, Hand-Assisted, and Robotic) Matched-Case Analysis of Intraoperative and Postoperative Outcomes in Minimally Invasive Colorectal Surgery Chirag B. Patel,
More informationWorld Journal of Colorectal Surgery
World Journal of Colorectal Surgery Volume 3, Issue 4 2013 Article 3 Sigmoidorectal Intussusception Presenting as Prolapse Per Anus in an Adult Venugopal Hg Hasmukh B. Vora Mahendra S. Bhavsar SMT.NHL
More informationUse of laparoscopy in general surgical operations at academic centers
Surgery for Obesity and Related Diseases 9 (2013) 15 20 Original article Use of laparoscopy in general surgical operations at academic centers Ninh T. Nguyen, M.D. a, *, Brian Nguyen, B.S. a, Anderson
More informationSingle port laparoscopic colectomy for colonic cancer
Single port laparoscopic colectomy for colonic cancer Trung Vy Pham, Nhu Hiep Pham *, Huu Thien Ho, Anh Vu Pham, Hai Thanh Phan, Thanh Xuan Nguyen, Nghiem Trung Tran, Xuan Dong Pham, Tien Nhan Van, Trung
More informationOutcomes Following Surgery for Distal Rectal Cancers: A Comparison between Laparoscopic and Open Abdomino- Perineal Resection
ORIGINAL ARTICLE Outcomes Following Surgery for Distal Rectal Cancers: A Comparison between Laparoscopic and Open Abdomino- Perineal Resection K K Tan, FRCS (Edin), C S Chong, MRCS (Edin), C B Tsang, FRCS
More informationSupplementary Online Content
Supplementary Online Content 1 Fleshman J, Branda M, Sargent DJ, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051
More informationLaparoscopy-assisted D2 radical distal subtotal gastrectomy
Masters of Gastrointestinal Surgery Laparoscopy-assisted D2 radical distal subtotal gastrectomy Xiaogeng Chen, Weihua Li, Jinsi Wang, Changshun Yang Department of Tumor Surgery, Fujian Provincial Hospital,
More informationMinimally Invasive Esophagectomy- Valuable. Jayer Chung, MD University of Colorado Health Sciences Center December 11, 2006
Minimally Invasive Esophagectomy- Valuable Jayer Chung, MD University of Colorado Health Sciences Center December 11, 2006 Overview Esophageal carcinoma What is minimally invasive esophagectomy (MIE)?
More informationHand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis
Wang et al. World Journal of Surgical Oncology (2017) 15:215 DOI 10.1186/s12957-017-1277-2 REVIEW Open Access Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis Guosen
More informationPre-operative assessment of patients for cytoreduction and HIPEC
Pre-operative assessment of patients for cytoreduction and HIPEC Washington Hospital Center Washington, DC, USA Ovarian Cancer Surgery New Strategies Bergamo, Italy May 5, 2011 Background Cytoreductive
More informationCitation for published version (APA): Bartels, S. A. L. (2013). Laparoscopic colorectal surgery: beyond the short-term effects
UvA-DARE (Digital Academic Repository) Laparoscopic colorectal surgery: beyond the short-term effects Bartels, S.A.L. Link to publication Citation for published version (APA): Bartels, S. A. L. (2013).
More informationIMAGING GUIDELINES - COLORECTAL CANCER
IMAGING GUIDELINES - COLORECTAL CANCER DIAGNOSIS The majority of colorectal cancers are diagnosed on colonoscopy, with some being diagnosed on Ba enema, ultrasound or CT. STAGING CT chest, abdomen and
More informationCitation Acta medica Nagasakiensia. 2001, 46
NAOSITE: Nagasaki University's Ac Title Author(s) Retrospective Comparison of Minilap and Laparoscopic-assisted Approache Nakagoe, Tohru; Sawai, Terumitsu; T Nanashima, Atsushi; Yamaguchi, Hiro Hiroyoshi;
More informationLi Yang, Diancai Zhang, Fengyuan Li, Xiang Ma. Introduction
Original Article on Gastrointestinal Surgery Simultaneous laparoscopic distal gastrectomy (uncut Roux-en-Y anastomosis), right hemi-colectomy and radical rectectomy (Dixon) in a synchronous triple primary
More informationManagement of Perforated Colon Cancers
Management of Perforated Colon Cancers Introduction Colon and rectal cancers are the most common gastrointestinal cancers. They are 3 rd most common and 2 nd most common causes of cancer deaths among men
More informationAcute Care Surgery: Diverticulitis
Acute Care Surgery: Diverticulitis Madhulika G. Varma, MD Associate Professor and Chief Section of Colorectal Surgery University of California, San Francisco Modern Treatment of Diverticular Disease Increasing
More informationPatient Presentation. 32 y.o. female complains of lower abdominal mass CEA = 433, CA125 = 201
Patient Presentation 32 y.o. female complains of lower abdominal mass CEA = 433, CA125 = 201 CT shows: Thickening of the right hemidiaphragm CT shows: Fluid in the right paracolic sulcus CT shows: Large
More informationFast-Track Colonic Surgery: Status and Perspectives
Fast-Track Colonic Surgery: Status and Perspectives Henrik Kehlet H. Kehlet ( ) Section for Surgical Pathophysiology, Rigshospitalet, Section 4074, Blegdamsvej 9, 2100 Copenhagen, Denmark e-mail: henrik.kehlet@rh.dk
More informationA meta-analysis of laparoscopy compared with open colorectal resection for colorectal cancer
DOI 10.1007/s12032-010-9549-5 ORIGINAL PAPER A meta-analysis of laparoscopy compared with open colorectal resection for colorectal cancer Yanlei Ma Zhe Yang Huanlong Qin Yu Wang Received: 3 March 2010
More informationHow To Reduce the Laparoscopic Colorectal Learning Curve
SCIENTIFIC PAPER How To Reduce the Laparoscopic Colorectal Learning Curve Miguel Toledano Trincado, PhD, Javier Sánchez Gonzalez, PhD, Francisco Blanco Antona, PhD, Dr, Maria Luz Martín Esteban, Dr, Laura
More informationLaparoscopic right-sided colon resection for colon cancer has the control group so far been chosen correctly?
Pelz et al. World Journal of Surgical Oncology (2018) 16:117 https://doi.org/10.1186/s12957-018-1417-3 RESEARCH Open Access Laparoscopic right-sided colon resection for colon cancer has the control group
More informationCOLON AND RECTAL CANCER
No disclosures COLON AND RECTAL CANCER Mark Sun, MD Clinical Assistant Professor of Surgery University of Minnesota Colon and Rectal Cancer Statistics Overall Incidence 2016 134,490 new cases 8.0% of all
More informationSINGLE INCISION LAPAROSCOPIC SURGERY
SINGLE INCISION LAPAROSCOPIC SURGERY DR ADEWALE ADISA CONSULTANT MINIMAL ACCESS SURGEON & SENIOR LECTURER DEPARTMENT OF SURGERY, OBAFEMI AWOLOWO UNIVERSITY, & OBAFEMI AWOLOWO UNIVERSITY TEACHING HOSPITALS
More informationOutcomes of Conversion of Laparoscopic Colorectal Surgery to Open Surgery
SCIENTIFIC PAPER Outcomes of Conversion of Laparoscopic Colorectal Surgery to Open Surgery Zhobin Moghadamyeghaneh, MD, Hossein Masoomi, MD, Steven D. Mills, MD, Joseph C. Carmichael, MD, Alessio Pigazzi,
More informationLong-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer
Original article Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer B. L. Green 1, H. C. Marshall 1, F. Collinson
More informationIncidence and risk factors of anastomotic leaks. By: khaled Said Assistant professor of colorectal surgery Alexandria
Incidence and risk factors of anastomotic leaks By: khaled Said Assistant professor of colorectal surgery Alexandria Anastomotic leakage after colorectal surgery is a major and potentially life-threatening
More informationInitial experience of reduced port surgery using a two-surgeon technique for colorectal cancer
Tashiro et al. BMC Surgery (2015) 15:91 DOI 10.1186/s12893-015-0078-1 TECHNICAL ADVANCE Open Access Initial experience of reduced port surgery using a two-surgeon technique for colorectal cancer Jo Tashiro
More informationCurrent Use and Surgical Efficacy of Laparoscopic Colectomy in Colon Cancer
Current Use and Surgical Efficacy of Laparoscopic Colectomy in Colon Cancer Robert P Sticca, MD, FACS, Steven R Alberts, MD, Michelle R Mahoney, MS, Daniel J Sargent, PhD, Lisa M Finstuen, Garth D Nelson,
More informationClinical Outcomes of 103 Hand-Assisted Laparoscopic Surgeries for Left-Sided Colon and Rectal Cancer: Single Institutional Review
Original Article Annals of Ann Coloproctol 2013;29(6):225-230 http://dx.doi.org/10.3393/ac.2013.29.6.225 pissn 2287-9714 eissn 2287-9722 Clinical Outcomes of 103 Hand-Assisted Laparoscopic Surgeries for
More informationCOLON AND RECTAL CANCER
COLON AND RECTAL CANCER Mark Sun, MD Clinical Associate Professor of Surgery University of Minnesota No disclosures Objectives 1) Understand the epidemiology, management, and prognosis of colon and rectal
More informationLaparoscopic colorectal surgery: current status and implementation of the latest technological innovations
Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 10.3748/wjg.v22.i2.704 World J Gastroenterol 2016 January 14; 22(2): 704-717 ISSN 1007-9327 (print)
More informationMinimal Access Cancer Management
Minimal Access Cancer Management Frederick L. Greene, MD; Kent W. Kercher, MD; Heidi Nelson, MD; Chris M. Teigland, MD; Anne-Marie Boller, MD Dr. Greene is Chairman, Department of General Surgery, Carolinas
More informationStage III Colon Cancer Susquehanna Cancer Center Warren L Robinson, MD, FACP May 9, 2007
Stage III Colon Cancer Susquehanna Cancer Center 1997-21 Warren L Robinson, MD, FACP May 9, 27 Stage III Colon Cancer Susquehanna Cancer Center 1997-21 Colorectal cancer is the third most common cancer
More informationROBOTIC VS OPEN RADICAL CYSTECTOMY
ROBOTIC VS OPEN RADICAL CYSTECTOMY A REVIEW Colin Lundeen December 14, 2016 Objectives Review the history of radical cystectomy Critically analyze recent RCTs comparing open radical cystectomy (ORC) to
More informationWorld Journal of Colorectal Surgery
World Journal of Colorectal Surgery Volume 3, Issue 1 2013 Article 8 ISSUE 1 Single Incision Laparoscopic Colectomy: A Series of Five Patients, Lessons Learned Elyssa Feinberg David O Connor Diego Camacho
More information8. The polyp in the illustration can be described as (circle all that apply) a. Exophytic b. Pedunculated c. Sessile d. Frank
Quiz 1 Overview 1. Beginning with the cecum, which is the correct sequence of colon subsites? a. Cecum, ascending, splenic flexure, transverse, hepatic flexure, descending, sigmoid. b. Cecum, ascending,
More informationComparison of survival of patients receiving laparoscopic and open radical resection for stage II colon cancer
research article 273 Comparison of survival of patients receiving laparoscopic and open radical resection for stage II colon cancer Cui-Zhen Fan 1, Yu-Ping Chu 1, Ping Wei 2, Hong Dai 2, Wenming Chen 3
More informationOFCCR CLINICAL DIAGNOSIS AND TREATMENT FORM
OFCCR CLINICAL DIAGNOSIS AND TREATMENT FORM Name: _, OFCCR # _ OCGN # _ OCR Group # _ HIN# Sex: MALE FEMALE UNKNOWN Date of Birth: DD MMM YYYY BASELINE DIAGNOSIS & TREATMENT 1. Place of Diagnosis: Name
More informationCurrent innovations in colorectal surgery
Current innovations in colorectal surgery KS Chapple Consultant Colorectal Surgeon Sheffield Teaching Hospitals NHS Trust Do we need more innovations? What innovations are there and are they worthwhile?
More informationOriginal Article A preliminary comparison of clinical efficacy between laparoscopic and open surgery for the treatment of colorectal cancer
Int J Clin Exp Med 2016;9(1):341-345 www.ijcem.com /ISSN:1940-5901/IJCEM0015805 Original Article A preliminary comparison of clinical efficacy between laparoscopic and open surgery for the treatment of
More informationSafety and Feasibility of a Laparoscopic Colorectal Cancer Resection in Elderly Patients
Original Article http://dx.doi.org/10.3393/ac.2013.29.1.22 pissn 2287-9714 eissn 2287-9722 Safety and Feasibility of a Laparoscopic Colorectal Cancer Resection in Elderly Patients Duck Hyoun Jeong, Hyuk
More informationRight Kocher s incision: a feasible and effective incision for right hemicolectomy: a retrospective study
Theodosopoulos et al. World Journal of Surgical Oncology 2012, 10:101 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Right Kocher s incision: a feasible and effective incision for right hemicolectomy:
More informationLaparoscopic surgery for colon cancer
INVITED REVIEW Annals of Gastroenterology (2013) 26, 1-6 Laparoscopic surgery for colon cancer Paolo Millo a, Corrado Rispoli b, Nicola Rocco c, Riccardo Brachet Contul a, Massimiliano Fabozzi a, Manuela
More informationRadical lymph node resection of the retroperitoneal area for left-sided colon cancer
Langenbecks Arch Surg (2007) 392:155 160 DOI 10.1007/s00423-006-0143-4 ORIGINAL ARTICLE Radical lymph node resection of the retroperitoneal area for left-sided colon cancer Antonios-Apostolos K. Tentes
More informationChapter I 5. BMC Surgery 2007, 7: 16
Chapter I 5 The Sigma-trial protocol: a prospective double-blind multi- center comparison of laparoscopic versus open elective sigmoid resection in patients with symptomatic diverticulitis Bastiaan R.
More informationMinimally Invasive Esophagectomy
Minimally Invasive Esophagectomy M A R K B E R R Y, M D A S S O C I AT E P R O F E S S O R D E PA R T M E N T OF C A R D I O T H O R A C I C S U R G E R Y S TA N F O R D U N I V E R S I T Y S E P T E M
More informationReview articles. Laparoscopic resection of colon cancer. Consensus of the European Association of Endoscopic Surgery (E.A.E.S.)
Review articles Surg Endosc (2004) 18: 116 1185 DOI: 10.1007/s00464-00-825- Ó Springer-Verlag New York, LLC 2004 Laparoscopic resection of colon cancer Consensus of the European Association of Endoscopic
More information