Laparoscopic-Assisted Resection of Rectosigmoid Carcinoma

Leung, Ka Lau; Kwok, S. P. Y.; Lau, Wan Yee; Meng, Weiliang; Lam, Thomas Y.; Kwong, Karen L.; Chung, C. C.; Li, Arthur K.C.

doi:10.1001/archsurg.1997.01430310075015

Cited by 88 publications

(68 citation statements)

References 14 publications

(1 reference statement)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1; log rank = 0.8112). Comparable short-term (3-5 years) survival rates were also reported by Fleshman et al [33], Schwandner et al [14] as well as Leung et al [34]. Long-term results of prospective randomized trials are not available despite these promising findings.…”

Section: Oncological Safetymentioning

confidence: 81%

“…These authors therefore concluded that laparoscopic colectomy should only be performed within prospective trials to evaluate the oncological safety of this surgical approach [8] as it has also been suggested by the American Society of Colon and Rectal Surgeons [9]. The data published so far, nonetheless, indicate that the oncological results of laparoscopic surgery compare well with the results of the conventional open approach [10][11][12][13][14][15]. Until now, the available trials assessing the value of laparoscopy in colorectal cancer, however, lacked sufficient statistical power due to small numbers of patients or had short follow-up periods which did not allow proper evaluation of the oncological safety [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Recent Advances in Minimally Invasive Colorectal Cancer Surgery

et al. 2002

View full text Add to dashboard Cite

SummaryLaparoscopy has improved surgical treatment of various diseases due to its limited surgical trauma and has developed as an interesting therapeutic alternative for the resection of colorectal cancer. Despite numerous clinical advantages (faster recovery, less pain, fewer wound and systemic complications, faster return to work) the laparoscopic approach to colorectal cancer therapy has also resulted in unusual complications, i.e. ureteral and bladder injury which are rarely observed with open laparotomy. Moreover, pneumothorax, cardiac arrhythmia, impaired venous return, venous thrombosis as well as peripheral nerve injury have been associated with the increased intraabdominal pressure as well as patient's positioning during surgery. Furthermore, undetected small bowel injury caused by the grasping or cauterizing instruments may occur with laparoscopic surgery. In contrast to procedures performed for nonmalignant conditions, the benefits of laparoscopic resection of colorectal cancer must be weighed against the potential for poorer long-term outcomes of cancer patients that still has not been completely ruled out. In laparoscopic colorectal cancer surgery, several important cancer control issues still are being evaluated, i.e. the extent of lymph node dissection, tumor implantation at port sites, adequacy of intraperitoneal staging as well as the distance between tumor site and resection margins. For the time being it can be assumed that there is no significant difference in lymph node harvest between laparoscopic and open colorectal cancer surgery if oncological principles of resection are followed. As far as the issue of port site recurrence is concerned, it appears to be less prevalent than first thought (range 0-2.5%), and the incidence apparently corresponds with wound recurrence rates observed after open procedures. Short-term (3-5 years) survival rates have been published by a number of investigators, and survival rates after laparoscopic surgery appears to compare well with data collected after conventional surgery for colorectal cancer. However, long-term results of prospective randomized trials are not available. The data published so far indicate that the oncological results of laparoscopic surgery compare well with the results of the conventional open approach. Nonetheless, the limited information available from prospective studies leads us to propose that minimally invasive surgery for colorectal cancer surgery should only be performed within prospective trials. Vorteile der laparoskopischen Chirurgie bei malignen Erkrankungen gegen die potentiell schlechteren onkologischen Langzeitergebnisse abgewogen werden, welche bislang noch nicht endgültig ausgeschlossen werden konnten. Diesbezüglich gibt es wesentliche onkologische Kriterien, die sich bei der laparoskopischen Chirurgie noch in der Evaluation befinden. Hierzu zählen unter anderem das Ausmaß der Lymphknotendissektion, die Frage der Tumorzellimplantation im Bereich der Trokarinzisionen, die Qualität des intraoperativen Tumor-Stagings sowie ...

show abstract

Section: Oncological Safetymentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Recent Advances in Minimally Invasive Colorectal Cancer Surgery

et al. 2002

View full text Add to dashboard Cite

show abstract

“…It is important is to preserve the parasympathetic sacral nerve roots from S2 to S4. Dissection proceeds down to the pelvic floor [75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: (100% [Strong Consensus]; Gor C: 100% [Strong Consensus])mentioning

confidence: 99%

“…The rectum is transected at the level of the pelvic floor by means of a roticulating endostapler device [75][76][77][78][79][80][81][82][83][84][85][86][87][88], using as few cartridges as possible. Use of more than two cartridges has been reported to result in a higher anastomotic leakage rate [89,90].…”

Section: (100% [Strong Consensus]; Gorb: 100% [Strong Consensus])mentioning

confidence: 99%

“…After visualization of the left ureter, the IMA is dissected free and is divided between clips, endostapler or sealing device at high or low tie level. Low tie level will permit preservation of the left colonic artery and better protection of the hypogastric plexus on the aorta [71,[75][76][77][78][79][80][81][82][83][84][85][86][87][88].…”

Section: 7% [Consensus]; Gor A: 857% [Consensus])mentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

et al. 2011

View full text Add to dashboard Cite

Background The laparoscopic approach is increasingly applied in colorectal surgery. Although laparoscopic surgery in colon cancer has been proved to be safe and feasible with equivalent long-term oncological outcome compared to open surgery, safety and long-term oncological outcome of laparoscopic surgery for rectal cancer remain controversial. Laparoscopic rectal cancer surgery might be efficacious, but indications and limitations are not clearly defined. Therefore, the European Association for Endoscopic Surgery (EAES) has developed this clinical practice guideline. Methods An international expert panel was invited to appraise the current literature and to develop evidence-based recommendations. The expert panel constituted for a consensus development conference in May 2010. Thereafter, the recommendations were presented at the annual congress of the EAES in Geneva in June 2010 in a plenary session. A second consensus process (Delphi process) of the recommendations with the explanatory text was necessary due to the changes after the consensus conference. Results Laparoscopic surgery for extraperitoneal (midand low-) rectal cancer is feasible and widely accepted. The laparoscopic approach must offer the same quality of surgical specimen as in open surgery. Short-term outcomes such as bowel function, surgical-site infections, pain and hospital stay are slightly improved with the laparoscopic approach. Laparoscopic resection of rectal cancer is not

show abstract

Laparoscopic colectomy for colon cancer: Trial update

1998

View full text Add to dashboard Cite

Laparoscopic colon surgery is gaining acceptance for benign conditions, but cannot yet be considered an established procedure for malignancy. The main reported benefit of the technique is the reduction in length of hospital stay. Other potential benefits such as cosmesis, improvement in quality of life, physiologic and immunologic advantages, as well as reduced complication rates have not been clearly demonstrated. Concerns about laparoscopic colon surgery for cancer including the possibility of inadequate resection, tumor staging, and altered tumor spread due to pneumoperitoneum have only been partially addressed by retrospective and experimental studies and require a prospective randomized trial for definitive resolution. Details of the trial currently underway sponsored by the National Institutes of Health are described. Although innovations in clinical practice and increased familiarity account for the expanding popularity of laparoscopic colon surgery, results from this and similar worldwide trials are needed before this approach can be recommended for cancer. J. Surg. Oncol. 68:255–267, 1998. © 1998 Wiley‐Liss, Inc.

show abstract

Laparoscopic-Assisted Resection of Rectosigmoid Carcinoma

Abstract: The immediate and medium-term results of laparoscopic-assisted resection of rectosigmoid carcinoma are promising.

Cited by 88 publications

References 14 publications

Recent Advances in Minimally Invasive Colorectal Cancer Surgery

Recent Advances in Minimally Invasive Colorectal Cancer Surgery

Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)

Laparoscopic colectomy for colon cancer: Trial update

Contact Info

Product

Resources

About