Comparison of laparoscopic and open colectomy for splenic flexure colon cancer: a systematic review and meta-analysis

Wu, Jini; Li, Bo; Tu, Shiliang; Zheng, Bo’an; Chen, Bingchen

doi:10.1007/s00384-022-04127-5

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…Dear Editor, Laparoscopic radical right hemicolectomy is a procedure that involves laparoscopic complete resection of the right hemicolon, its surrounding visceral peritoneum and fascia, clearance of mesenteric root lymph nodes, and high ligation of vascular supply at its origin [1]. Compared to conventional open surgery, laparoscopic colectomy has the advantage of being minimally invasive and safe [2,3]. However, the complex anatomy of the right hemicolon, high vascular variability, and large number of important vessels make laparoscopic radical right hemicolectomy one of the most challenging procedures in gastrointestinal surgery [4,5].…”

Section: Laparoscopic Complete Right Hemicolectomy: Surgical Trunkori...mentioning

confidence: 99%

Laparoscopic complete right hemicolectomy: Surgical trunk‐oriented adjuvant radical surgery for right hemicolonic carcinoma—A video vignette

Zhang,

Ye,

Huang

et al. 2024

Colorectal Disease

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Section: Laparoscopic Complete Right Hemicolectomy: Surgical Trunkori...mentioning

confidence: 99%

Laparoscopic complete right hemicolectomy: Surgical trunk‐oriented adjuvant radical surgery for right hemicolonic carcinoma—A video vignette

Zhang,

Ye,

Huang

et al. 2024

Colorectal Disease

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“…Sin dudas uno de los procedimiento más complejos de realizar por laparoscopía en la cirugía del colon es la colectomía transversa exclusiva. 4,5 Ésta demanda, como en toda cirugía, un conocimiento muy alto de la anatomía de la región, así como un expertise quirúrgico avanzado para realizar el procedimiento con seguridad técnica y oncológica.…”

Section: Introductionunclassified

Resección Segmentaria de Colon transverso, abordaje laparoscópico. Cirugía paso a paso

Barboza,

Brito,

Dominguez

et al. 2024

Rev. Argent. Coloproctol.

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Resumen. Introducción: Los pólipos colónicos son una entidad con una elevada frecuencia en la población general. Su importancia radica en ser potenciales precursores de los cánceres colorrectales. En su estudio y tratamiento el rol de la endoscopía es fundamental, no solo en el diagnóstico sino en muchas oportunidades terapéutico al poder resecarlos. La cirugía se reserva para aquellos pacientes en donde se detecta una lesión maligna invasora que requiere resección en bloque o para situaciones en donde se detecta un pólipo que puede o no presentar elementos de sospecha, y no puede ser resecado con seguridad por vía endoscópica. Las ventajas demostradas de la cirugía laparoscópica colorrectal, hacen que, este abordaje sea elegido como gold estándar tanto para la patología benigna como maligna. Éste ha ido evolucionando a lo largo de las últimas décadas, desde los ´90 hasta nuestros días, pasando por los estudios necesarios para la validación oncológica. No todos los pacientes son candidatos a dicho abordaje, y la elección depende de diversos factores, tales como la experiencia del equipo, la complejidad de la cirugía y el estado del paciente, por lo que la decisión debe ser individualizada. Sin dudas uno de los procedimiento más complejos de realizar por laparoscópica en la cirugía del colon es la colectomía transversa exclusiva. Ésta demanda un conocimiento muy alto de la anatomía de la región, así como un expertise quirúrgico avanzado para realizar el procedimiento con seguridad técnica y oncológica Descripción: Mostramos la experiencia de nuestro centro en el tratamiento de un paciente de sexo masculino de 61 años con una lesión polipoidea de colon con elementos de sospecha de malignidad que no pudo ser resecada por vía endoscópica. Se presenta a continuación un video que muestra el paso a paso de una resección segmentaria de colon transverso por abordaje íntegramente laparoscópico.

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“…With the introduction of minimally invasive surgery (MIS), significant advances have been achieved in the surgical treatment of colorectal carcinoma. Several international multicenter randomized trials have shown that laparoscopic resection of localized colorectal cancer results in equivalent oncologic outcomes compared with open surgical resection, but with shorter hospital stay and other perioperative short-term outcome improvements [ 5 – 11 ]. While tumors at the coecum and in the rectum can be reliably localized during preoperative colonoscopy or rectoscopy, reliable localization in the other areas of the colon is uncertain using preoperative diagnostic colonoscopy alone [ 12 , 13 ].…”

mentioning

confidence: 99%

Near-infrared fluorescence tattooing: a new approach for endoscopic marking of tumors in minimally invasive colorectal surgery using a persistent near-infrared marker

Thomaschewski,

Lipp,

Engelke

et al. 2023

Surg Endosc

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Introduction Intraoperative accurate localization of tumors in the lower gastrointestinal tract is essential to ensure oncologic radicality. In minimally invasive colon surgery, tactile identification of tumors is challenging due to diminished or absent haptics. In clinical practice, preoperative endoscopic application of a blue dye (ink) to the tumor site has become the standard for marking and identification of tumors in the colon. However, this method has the major limitation that accidental intraperitoneal spillage of the dye can significantly complicate the identification of anatomical structures and surgical planes. In this work, we describe a new approach of NIR fluorescent tattooing using a near-infrared (NIR) fluorescent marker instead of a blue dye (ink) for endoscopic tattooing. Methods AFS81x is a newly developed NIR fluorescent marker. In an experimental study with four domestic pigs, the newly developed NIR fluorescent marker (AFS81x) was used for endoscopic tattooing of the colon. 7–12 endoscopic submucosal injections of AFS81x were placed per animal in the colon. On day 0, day 1, and day 10 after endoscopic tattooing with AFS81x, the visualization of the fluorescent markings in the colon was evaluated during laparoscopic surgery by two surgeons and photographically documented. Results The detection rate of the NIR fluorescent tattoos at day 0, day 1, and day 10 after endoscopic tattooing was 100%. Recognizability of anatomical structures during laparoscopy was not affected in any of the markings, as the markings were not visible in the white light channel of the laparoscope, but only in the NIR channel or in the overlay of the white light and the NIR channel of the laparoscope. The brightness, the sharpness, and size of the endoscopic tattoos did not change significantly on day 1 and day 10, but remained almost identical compared to day 0. Conclusion The new approach of endoscopic NIR fluorescence tattooing using the newly developed NIR fluorescence marker AFS81x enables stable marking of colonic sites over a long period of at least 10 days without compromising the recognizability of anatomical structures and surgical planes in any way.

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Comparison of laparoscopic and open colectomy for splenic flexure colon cancer: a systematic review and meta-analysis

Cited by 5 publications

References 35 publications

Laparoscopic complete right hemicolectomy: Surgical trunk‐oriented adjuvant radical surgery for right hemicolonic carcinoma—A video vignette

Laparoscopic complete right hemicolectomy: Surgical trunk‐oriented adjuvant radical surgery for right hemicolonic carcinoma—A video vignette

Resección Segmentaria de Colon transverso, abordaje laparoscópico. Cirugía paso a paso

Near-infrared fluorescence tattooing: a new approach for endoscopic marking of tumors in minimally invasive colorectal surgery using a persistent near-infrared marker

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