Laparoscopic colorectal surgery using low-pressure pneumoperitoneum combined with abdominal wall lift by placement of anchoring sutures around the camera port

Park, I. J.; Kim, S. H.; Joh, Yong Geul; Hahn, Koo Yong

doi:10.1007/s00464-005-0459-0

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…The number of lymph nodes retrieved, the completeness of TME, the circumferential and mean distance to the distal margin were comparable with those reported in studies using SPP[ 20 - 23 ]. Another LPP (8 mmHg) and AWL technique was designed by Park et al[ 19 ] and proved feasible in laparoscopic colorectal surgery. In their study, anchoring sutures were placed around the camera port and lifted up by an assistant to retract the abdominal wall for additional exposure.…”

Section: Discussionmentioning

confidence: 99%

“…A better operative field was obtained, but surgery was more difficult due to frequent collisions of the laparoscopic instruments with the scaffold and lifting arms. We also used the method reported by Park et al[ 19 ], which was feasible, and exposure was improved when the camera port was lifted up. However, the operative field provided by the assistant was unstable.…”

Section: Discussionmentioning

confidence: 99%

“…This was abandoned due to frequent collisions of the instruments with the scaffold and lifting arms. We then tried the method reported by Park et al[ 19 ], where anchoring sutures were placed around the camera port and lifted up by an assistant to retract the abdominal wall for additional exposure. This method was successful and the workspace was improved.…”

Section: Methodsmentioning

confidence: 99%

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Low-pressure pneumoperitoneum with abdominal wall lift in laparoscopic total mesorectal excision for rectal cancer: Initial experience

Xia

Yusofu

Han

et al. 2018

WJG

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AIMTo evaluate the safety and feasibility of a new technology combining low-pressure pneumoperitoneum (LPP) and abdominal wall lift (AWL) in laparoscopic total mesorectal excision (TME) for rectal cancer.METHODSFrom November 2015 to July 2017, 26 patients underwent laparoscopic TME for rectal cancer using LPP (6-8 mmHg) with subcutaneous AWL in Qilu Hospital of Shandong University, Jinan, China. Clinical data regarding patients’ demographics, intraoperative monitoring indices, operation-related indices and pathological outcomes were prospectively collected.RESULTSLaparoscopic TME was performed in 26 cases (14 anterior resection and 12 abdominoperineal resection) successfully, without conversion to open or laparoscopic surgery with standard-pressure pneumoperitoneum. Intraoperative monitoring showed stable heart rate, blood pressure and paw airway pressure. The mean operative time was 194.29 ± 41.27 min (range: 125-270 min) and 200.41 ± 20.56 min (range: 170-230 min) for anterior resection and abdominoperineal resection, respectively. The mean number of lymph nodes harvested was 16.71 ± 5.06 (range: 7-27). There was no positive circumferential or distal resection margin. No local recurrence was observed during a median follow-up period of 11.96 ± 5.55 mo (range: 5-23 mo).CONCLUSIONLPP combined with AWL is safe and feasible for laparoscopic TME. The technique can provide satisfactory exposure of the operative field and stable operative monitoring indices.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Low-pressure pneumoperitoneum with abdominal wall lift in laparoscopic total mesorectal excision for rectal cancer: Initial experience

Xia

Yusofu

Han

et al. 2018

WJG

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“…One of the solutions to overcome the possible negative consequences of CO 2 could be to use low-pressure pneumoperitoneum combined with an abdominal wall lift [ 45 ]. Moreover, as mentioned previously, performing vaginal colpotomy instead of intracorporeal colpotomy could minimize the potential deleterious effect of CO 2 in addition to decreasing tumor manipulation and tumor cell contact with peritoneal surfaces.…”

Section: The Impact Of Co 2 Pneumoperitoneummentioning

confidence: 99%

Minimally Invasive Surgery for Cervical Cancer in Light of the LACC Trial: What Have We Learned?

Touhami

Plante

2022

Current Oncology

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Cervical cancer is the most common gynecologic malignancy and the fourth most common cancer in women worldwide. Over the last two decades, minimally invasive surgery (MIS) emerged as the mainstay in the surgical management of cervical cancer, bringing advantages such as lower operative morbidity and shorter hospital stay compared to open surgery while maintaining comparable oncologic outcomes in numerous retrospective studies. However, in 2018, a prospective phase III randomized controlled trial, “Laparoscopic Approach to Carcinoma of the Cervix (LACC)”, unexpectedly reported that MIS was associated with a statistically significant poorer overall survival and disease-free survival compared to open surgery in patients with early-stage cervical cancer. Various hypotheses have been raised by the authors to try to explain these results, but the LACC trial was not powered to answer those questions. In this study, through an exhaustive literature review, we wish to explore some of the potential causes that may explain the poorer oncologic outcomes associated with MIS, including the type of MIS surgery, the size of the lesion, the impact of CO2 pneumoperitoneum, prior conization, the use of uterine manipulator, the use of protective measures, and the effect of surgical expertise/learning curve.

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Anastomotic Leakage after Laparoscopic Protectomy can be Managed by a Minimally Invasive Approach

Joh¹,

Kim²,

Hahn³

et al. 2009

Diseases of the Colon &Amp; Rectum

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Laparoscopic colorectal surgery using low-pressure pneumoperitoneum combined with abdominal wall lift by placement of anchoring sutures around the camera port

Abstract: Abdominal wall lifting by anchoring sutures around the camera port in addition to low-pressure pneumoperitoneum is a simple, safe, and effective method for laparoscopic colorectal procedure.

Cited by 6 publications

References 18 publications

Low-pressure pneumoperitoneum with abdominal wall lift in laparoscopic total mesorectal excision for rectal cancer: Initial experience

Low-pressure pneumoperitoneum with abdominal wall lift in laparoscopic total mesorectal excision for rectal cancer: Initial experience

Minimally Invasive Surgery for Cervical Cancer in Light of the LACC Trial: What Have We Learned?

Anastomotic Leakage after Laparoscopic Protectomy can be Managed by a Minimally Invasive Approach

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