Complete mesocolic excision with D3 lymph node dissection in laparoscopic colectomy for stages II and III colon cancer: long-term oncologic outcomes in 168 patients

Shin, Jae Won; Amar, A. H. Y.; Kim, S. H.; Kwak, Jungwon; Baek, Se Jin; Cho, J. S.; Kim, J.

doi:10.1007/s10151-014-1134-z

Cited by 50 publications

(28 citation statements)

References 31 publications

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“…As expected, the operation time was significantly longer in the LAC group. There were 3 patients in the LAC group and 13 patients in the Open group who had postoperative complications, but there were no severe cardiovascular and pulmonary disorders in both groups, which suggests that LAC is a safe technique for oldest-old patients, as previously reported [15,16]. …”

Section: Discussionsupporting

confidence: 56%

Short-Term Outcomes of Laparoscopic Surgery for Colorectal Cancer in Oldest-Old Patients

Tominaga¹,

Takeshita²,

Arai³

et al. 2015

Dig Surg

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Background/Aims: Oldest-old patients generally have several comorbidities, and laparoscopic-assisted colectomy (LAC) has not been performed on these patients. However, the surgical technique of LAC has improved, and its indications have been extended. The aim of this study was to evaluate the safety and effectiveness of LAC for patients over 85 years old. Methods: Fifty-eight patients over 85 years old who underwent colectomy were retrospectively analyzed. The patients were divided into two groups (LAC group n = 15; open surgery group (Open group) n = 43), and clinicopathological features, surgical characteristics, and outcomes were compared. Results: There were no significant differences in clinical background characteristics between the groups. The LAC group had longer operation time and greater lymph node dissection (both p < 0.01). Postoperatively, the use of analgesics (p = 0.01) was less and the start of oral liquid intake (p = 0.03) was faster in the LAC group. Postoperative complications occurred in 3 patients (20%) in the LAC group and 13 patients (30%) in the Open group (p = 0.66); delirium (n = 6) and sub-ileus (n = 4) developed only in the Open group. Conclusion: After LAC, elderly patients tended to have less postoperative pain and started oral liquid intake earlier. LAC can be safe and effective, preventing postoperative complications that occur specifically in oldest-old patients.

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Section: Discussionsupporting

confidence: 56%

Short-Term Outcomes of Laparoscopic Surgery for Colorectal Cancer in Oldest-Old Patients

Tominaga¹,

Takeshita²,

Arai³

et al. 2015

Dig Surg

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“…Для сравнения: в исследовании J. W. Shin и соавт. общая частота ослож-нений была ниже -17,8 %, однако у 5,9 % пациентов была отмечена несостоятельность межкишечных ана-стомозов [21]. Данное осложнение в нашей исследуе-мой группе не встречалось.…”

Section: Discussionunclassified

Short-term and long-term outcomes of laparoscopic right hemicolectomy with d3 lymph node dissection: experience of one clinic

Rakhimov¹,

Гордеев²,

Алиев³

et al. 2018

Onkol. koloproktol.

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Objective: to assess short-term and long-term outcomes of right hemicolectomy with extensive lymph node dissection using the experience of one clinic.Materials and methods. This retrospective study analyzed data from a prospectively collected database containing information on all patients with right-sided colon cancer that underwent laparoscopic right hemicolectomy with D3 lymph node dissection between 2013 and 2018. We estimated intraoperative blood loss, surgery duration (taken from anesthetic records), frequency of postoperative complications, length of in-hospital stay, duration of lymphorrhea, time to gastrointestinal recovery, integrity of the mesocolon, number and location of removed lymph nodes.Results. A total of 50 underwent laparoscopic right hemicolectomy with D3 lymph node dissection. No cases of surgical conversion were registered. Median surgery duration was 185 min; median blood loss was 30 mL. No postoperative mortality was observed in the study cohort. Twelve (24 %) patients had postoperative complications; 2 (4 %) patients underwent repeated surgery. Median number of lymph nodes examined was 26; high-quality specimens (G ) were obtained in 48 (96 %) patients. At a median follow-up of 19.5 months, 2 (4 %) patients had disease progression (developed liver metastases).Conclusion. Our results confirm safety of laparoscopic approach for right colon resection with D3 lymph node dissection

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“…Moreover, the feasibility and technical value of laparoscopic complete mesocolic excision with central vascular ligation via a medial approach is now established [9,10,11,12]. …”

Section: Discussionmentioning

confidence: 99%

“…The procedure is also oncologically safe for treating patients with colon cancer [3,4]. Complete mesocolic excision with central vascular ligation has been found to standardize colon cancer surgery, reduce local recurrence, and improve long-term survival [5,6], and the feasibility and safety of complete mesocolic excision in open and laparoscopic surgery have been demonstrated [7,8,9,10,11,12]. …”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Complete Mesocolic Excision via Reduced Port Surgery for Treatment of Colon Cancer

Mori

Kita²,

Baba³

et al. 2015

Dig Surg

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Background: Laparoscopic colectomy has become accepted for resection of colon cancer, and laparoscopic complete mesocolic excision (CME) has proved feasible and safe. We have evaluated the safety, efficacy, and feasibility of laparoscopic CME via reduced port surgery (RPS) in patients with colon cancer. Methods: We prospectively assessed 17 consecutive patients with colon cancer undergoing laparoscopic CME via RPS between February 2012 and January 2014. Video recordings were used to assess the quality of the surgery, including CME completion. We also assessed operative data, complications, pathological findings, visual analog scale (VAS), cosmesis, and the hospital length of stay. Results: All patients underwent en bloc resection of mesocolon with CME completion. The median surgical duration and blood loss were 298 min and 41 ml, respectively. No intraoperative complications occurred in any patient. The median number of lymph nodes retrieved was 20, with lymph node metastasis identified in eight patients. The mean VAS scores for postoperative days 1, 3, and 7 were 3.2, 1.5, and 0, respectively. All patients were satisfied with their cosmesis. The median postoperative hospital stay was 11 days. Conclusions: Laparoscopic CME via RPS for colon cancer is a safe and feasible surgical procedure with cosmetic advantages.

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Complete mesocolic excision with D3 lymph node dissection in laparoscopic colectomy for stages II and III colon cancer: long-term oncologic outcomes in 168 patients

Cited by 50 publications

References 31 publications

Short-Term Outcomes of Laparoscopic Surgery for Colorectal Cancer in Oldest-Old Patients

Short-Term Outcomes of Laparoscopic Surgery for Colorectal Cancer in Oldest-Old Patients

Short-term and long-term outcomes of laparoscopic right hemicolectomy with d3 lymph node dissection: experience of one clinic

Laparoscopic Complete Mesocolic Excision via Reduced Port Surgery for Treatment of Colon Cancer

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