Short-term outcomes of laparoscopic versus open total colectomy with ileorectal anastomosis: a case-matched analysis from a nationwide database

Önder, Akın; Benlice, Çiğdem; Church, James M.; Keßler, Hermann; Görgün, Emre

doi:10.1007/s10151-016-1539-y

Cited by 10 publications

(8 citation statements)

References 18 publications

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“…Post-operative complications, including intra-abdominal abscesses, post-operative ileus, wound infection and respiratory failure, occur more often following open procedures. Post-operative chronic pain is less likely to occur in patients who undergo laparoscopic resection vs. those who undergo open laparotomy (16,17). In the present case, the patient underwent a laparoscopic procedure and had an uneventful post-operative hospitalization.…”

Section: Discussionmentioning

confidence: 62%

“…With regards to open surgery, it is less likely that the surgeon may encounter intraoperative complications compared with laparoscopic techniques (16). However, there is an increase in the duration of intraoperative surgery and post-operative hospitalization time, and therefore, daily hospital charges are greater.…”

Section: Discussionmentioning

confidence: 99%

“…Colonoscopy and laparoscopy are considered as the best options for diagnosis and treatment, respectively, for patients with lipomas (15)(16)(17). The surgical excision of a sigmoid colon lipoma is a great challenge for surgeons.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

et al. 2017

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Abstract. Lipomas of the sigmoid colon are rare entities. The present case describes a 27-year-old Caucasian woman who underwent a laparoscopic sigmoidectomy following the detection of a giant lipoma. The young patient was referred to the Emergency Department of the University Hospital of Heraklion (Crete, Greece) in May 2013 after experiencing intermittent abdominal cramping during defecation, and altering episodes of diarrhea and constipation. In addition, the patient described the protrusion of a solid tissue mass shaped like a 'champagne bottle cork' from the anus following defecation. These symptoms had been present for 1 month prior to referral. Physical examination was unremarkable. An urgent colonoscopy revealed a polypoid lesion measuring 2.5 cm in diameter in the sigmoid colon, which was located ~12 cm above the anal ring, with a smooth surface and tissue fragility. Tissue samples were obtained and sent for histopathological analysis. Preoperative contrast-enhanced computed tomography was performed urgently and confirmed the presence of a solid mass in the sigmoid colon without enlargement of regional lymph nodes. Following adequate preparation, the patient underwent a laparoscopic sigmoidectomy with intracorporeal termino-terminal colorectal anastomosis, with the use of a circular stapler. The patient had a positive post-operative outcome without complications and was discharged on day 4 post-surgery in an optimal condition. Histopathological examination of the surgical specimen demonstrated a pedunculated lipoma shaped like a 'champagne bottle cork'. The tumor consisted of mature adipose cells. The overlying colonic mucosa showed hyperplastic crypts with regenerative changes. In the lamina propria mild inflammatory infiltration was observed. At 2 years post-surgery, the patient remains asymptomatic without any clinical evidence of recurrence.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

et al. 2017

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“…Endoscopic intervention is considered a safe approach for pedunculated lipomas with a diameter of <2 cm [4]. Open surgery carries a lower complication risk compared with laparoscopic techniques [11]. For rectal lipomas located in the mid and upper rectum, trans-anal excision is the most favorable and feasible assessment.…”

Section: Discussionmentioning

confidence: 99%

Rectal Lipoma in an Elderly Male: A Case Report

Anyfantakis¹,

Karona²,

Kastanakis³

2020

Cureus

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Lipomas of the gastrointestinal tract are uncommon, benign non-epithelial tumors detected incidentally during surgery or endoscopy. Rectal lipomas are extremely rare. Patients may be asymptomatic or present with rectal bleeding, constipation, tenesmus and signs of intestinal obstruction. Preoperative diagnosis is challenging. Management consists of simple observation, endoscopic or laparoscopic removal, and open surgery. We present a case of an elderly male admitted to the Department of Surgery of a general hospital in Crete, complaining of a protruding rectal mass during defecation. CT raised the diagnostic suspicion. The mass was removed by trans-anal excision. Histopathology of the resected specimen confirmed the diagnosis. The patient had an uneventful postoperative course and was discharged home at the second postoperative day.

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“…It is well known that laparoscopic surgery reduces both general complications and wound-related complications when compared to open surgery [ 9 ]. Despite the advantages of laparoscopic surgery, wound-related complications after laparoscopic colorectal surgery still have significant rates.…”

Section: Discussionmentioning

confidence: 99%

Two cases of laparoscopic total colectomy with natural orifice specimen extraction and review of the literature.

Gündoğan¹,

Aktaş²,

Kayaalp³

et al. 2017

Videosurgery and Other Miniinvasive Techniques

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We present two cases of natural orifice specimen extraction (NOSE) after laparoscopic total colectomy and ileorectal anastomosis (TC-IRA), and we also review all of the previously reported cases. Our aim was to focus on patient selection for NOSE after TC-IRA. The PubMed and Google Scholar databases were scanned. Demographic features, surgical indications, and techniques were analyzed. Basic calculations were used for statistical analysis. A total of 13 cases were detected in addition to our 2 cases. All of the specimens were removed through the natural orifices successfully. No case required a diverting ileostomy. No patients were converted to open surgery or to conventional laparoscopy. Complications were reported in three patients. Transanal extractions were performed in 12 cases (10 colonic inertia, 2 polyposis), and transvaginal extractions were performed in 3 cases (2 malignancy, 1 colonic inertia). Both transanal and transvaginal specimen extractions after laparoscopic TC-IRA can be preferred. However, transanal extraction seems to be feasible in cases of TC for benign disease with a limited mesenteric-omental resection. If the indication is a malignancy requiring a mesenteric-omental resection, a transvaginal route should be preferred for a voluminous specimen.

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Short-term outcomes of laparoscopic versus open total colectomy with ileorectal anastomosis: a case-matched analysis from a nationwide database

Abstract: Laparoscopic approach for total colectomy with ileorectal anastomosis is associated with a shorter hospital stay but longer operative time compared with an open approach.

Cited by 10 publications

References 18 publications

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

Laparoscopic resection of a sigmoid colon lipoma in a young female patient: A case report and review of the literature

Rectal Lipoma in an Elderly Male: A Case Report

Two cases of laparoscopic total colectomy with natural orifice specimen extraction and review of the literature.

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