A comparative study on the short-term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer

Kim, H. J.; Lee, I. K.; Lee, Y. S.; Kang, Won Kyung; Park, J. K.; Oh, Seong-Taek; Kim, J. G.; Kim, Y. H.

doi:10.1007/s00464-009-0348-z

Cited by 59 publications

(46 citation statements)

References 17 publications

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“…Our results contrasted with those reported by some laparoscopic experts. [20][21][22] Laparoscopically assisted resection of transverse colon cancer was reported to take significantly longer in terms of operative time than laparoscopically assisted resection of cancer at other sites 20,21 or conventional open surgery 22 for transverse colon cancer; although reports 23,24 from Korea show that no significant difference was found in such comparisons. In addition, 2 study groups 20,21 suggested that laparoscopically assisted resection of transverse colon cancer may have an insignificant higher rate of postoperative complications, which should not be ignored and may be a reflection of the greater complexity associated with the resection of transverse colon, compared with other less challenging segmental colectomies.…”

Section: Discussionmentioning

confidence: 49%

“…In addition, 2 study groups 20,21 suggested that laparoscopically assisted resection of transverse colon cancer may have an insignificant higher rate of postoperative complications, which should not be ignored and may be a reflection of the greater complexity associated with the resection of transverse colon, compared with other less challenging segmental colectomies. When our minilaparotomy series is compared with recently reported series of laparoscopically assisted resection in terms of operative time, blood loss, and postoperative complications, the mean operative time (133.5 minutes) is markedly shorter in our minilaparotomy series than those (203.6-260 minutes) [20][21][22][23][24] of reported laparoscopically assisted series, and the blood loss and the incidence of postoperative complications seem to be compatible to or smaller than those of laparoscopically assisted series. On the basis of our results, we feel that lymph node dissection around the middle colic vessels via the minilaparotomy approach is not difficult compared with conventional open surgery, although there is a knack to exposing the superior mesenteric vessels via minilaparotomy, as described in our surgical procedures.…”

Section: Discussionmentioning

confidence: 85%

“…The safety of laparoscopic lymph node dissection around the middle colic vessels has not been established in general clinical practice, although some laparoscopic experts [24][25][26] have proposed useful techniques to identify middle colic vessels or to perform lymph node dissection around the middle colic vessels laparoscopically. Innovation of laparoscopic instruments and improved skills of laparoscopic surgeons will expand the indication of laparoscopically assisted resection of transverse colon cancer in the future.…”

Section: Discussionmentioning

confidence: 99%

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Curative Resection of Transverse Colon Cancer via Minilaparotomy

Ishida

Ishiguro

Ishibashi

et al. 2011

International Surgery

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Minilaparotomy has been reported to be a minimally invasive alternative to laparoscopically assisted surgery. We retrospectively evaluated the usefulness of minilaparotomy for the resection of transverse colon cancer, which has generally been considered difficult to resect laparoscopically. Patients for whom curative resection was attempted for transverse colon cancer (n = 21) or sigmoid colon cancer (n = 81) via minilaparotomy (skin incision, , _ 7cm) were analyzed. The 2 groups did not significantly differ in terms of success rate of minilaparotomy (90.5% versus 97.5%), age, sex, pathologic stage, body mass index, operative time (mean, 133.5 minutes versus 122.5 minutes), blood loss (119.7 mL versus 92.4 mL), number of lymph nodes harvested, incidence of postoperative complications (9.5% versus 12.3%), postoperative length of stay, and 5-year disease-free survival rate (86.6% versus 79.6%). Minilaparotomy is feasible, safe, and favorable in terms of early oncologic outcome in patients with transverse colon cancer as well as those with sigmoid colon cancer.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Curative Resection of Transverse Colon Cancer via Minilaparotomy

Ishida

Ishiguro

Ishibashi

et al. 2011

International Surgery

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“…Most agreed towards significantly less blood loss with laparoscopy [5,6,10]. One criticism for some initial studies was the high conversion rates, e.g., 21 % in the COST study.…”

Section: Discussionmentioning

confidence: 99%

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

Heroor

Panjwani

Chaskar³

2015

Indian J Surg

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This study aims to document demographic and intraoperative variables and short-term postoperative outcomes in patients being operated by laparoscopy-assisted colorectal surgeries and assessing the magnitude of impact of the learning curve on surgical results. This study included 101 patients with colonic or rectal pathology getting operated for laparoscopy-assisted colorectal surgeries carried out by the same surgeon over 5 years (2008 to 2013). The patient data was retrospectively analyzed for pre-decided variables. Also, comparison was made between the surgeries performed during the learning curve of initial 30 cases with subsequent operations. Laparoscopic colorectal surgeries give satisfactory results in terms of intraoperative parameters like surgical duration, blood loss, and clinico-pathologic parameters like lymph nodal resection and distal and circumferential margins. Patients undergoing laparoscopic colorectal surgeries fare better in short-term postoperative period while early long-term outcomes appear similar as compared to the standard open colorectal surgeries. The surgical outcomes, both intraoperative and early postoperative, improve significantly once the learning curve is negotiated. Laparoscopic Surgery can be safely used as an alternative to conventional open colorectal surgeries without compromising on oncological principles.

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“…There have been three reports of laparoscopic -assisted transverse cancer resection, supporting its feasibility, since 2007 26,27) . Kim et al 27) published a comparative study on the short -term clinico -pathologic outcomes of LAC (n = 37) vs. OC (n = 50) for transverse colon lesions.…”

Section: Transverse Colon Cancermentioning

confidence: 99%

An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer

Otani

Isohata

Kumamoto

et al. 2016

FJMS

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During the 1990s, laparoscopic resection was established as a treatment for gastrointestinal malignant tumors. A number of randomized controlled trials comparing laparoscopic -assisted colorectal surgery with conventional open colorectal surgery for colon cancer have been conducted. These trials have shown short -term benefits, and the vast majority demonstrated no significant difference in long -term outcomes. Laparoscopic -assisted colorectal surgery is widely performed for the treatment of colon cancer, whereas laparoscopic -assisted colorectal surgery for rectal cancer is less commonly performed. In recent years, there have been an increasing number of reports of laparoscopic -assisted colorectal surgery for rectal cancer, where improving short -term outcomes was shown, but no definitive effect on long -term survival has been shown to date. Randomized controlled trials focusing on long -term survival are currently ongoing.

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A comparative study on the short-term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer

Abstract: Laparoscopic and conventional open surgeries were found to have similar clinical outcomes in transverse colon cancer, and the oncologic quality of laparoscopic surgery was found to be acceptable compared with conventional open surgery.

Cited by 59 publications

References 17 publications

Curative Resection of Transverse Colon Cancer via Minilaparotomy

Curative Resection of Transverse Colon Cancer via Minilaparotomy

A Study of 101 Laparoscopic Colorectal Surgeries: a Single Surgeon Experience. How Important Is the Learning Curve?

An evidence-based medicine approach to the laparoscopic treatment of colorectal cancer

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