Laparoscopic Curative Resection for Right-Sided Colonic Tumors: Initial Experience From a Specialized Cancer Hospital of a Developing Country

Naeem, Awais; Shakeel, Osama; Ashraf, Ijaz; Riaz, Shazia; Haq, Ihtisham Ul; Shah, Muzafar; Anwer, Abdul Wahid; Nasir, Irfan Ul Islam; Amjad, Awais; Khattak, Shahid; Syed, Aamir Ali

doi:10.7759/cureus.9465

Cited by 2 publications

(5 citation statements)

References 25 publications

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“…Critical to the success of many complex surgical procedures in oncology is the integration of technological advancements into low‐resource surgical settings. For example, a few studies investigated the feasibility of implementing laparoscopic surgery in lower‐resource settings 22,37 . The ongoing costs involved with laparoscopic equipment is significant due to the need for single use components.…”

Section: Resultsmentioning

confidence: 99%

“…Although desperately important, detailed economic and cost‐effectiveness studies of cancer surgery performed in low‐resource settings are limited 13,57 . A select few of the aforementioned feasibility studies included detailed cost‐effectiveness analyses in their evaluation of specific intervention effectiveness and sustainability, 22,25 and others have asserted the importance of considering cost when developing interventions 23,37,39,40 . Horton and Gauvreau 57 produced the most detailed global summaries by surgical oncology subspecialty, even stratifying different interventions by relative cost‐effectiveness.…”

Section: Resultsmentioning

confidence: 99%

“…For example, a few studies investigated the feasibility of implementing laparoscopic surgery in lowerresource settings. 22,37 The ongoing costs involved with laparoscopic equipment is significant due to the need for single use components.…”

Section: Local Innovations and Feasibility Studiesmentioning

confidence: 99%

“…13,57 A select few of the aforementioned feasibility studies included detailed cost-effectiveness analyses in their evaluation of specific intervention effectiveness and sustainability, 22,25 and others have asserted the importance of considering cost when developing interventions. 23,37,39,40 For example, a study in Mexico City among patients who underwent surgery for colorectal cancer evaluated patient outcomes using modified Cancer Care Ontario quality-of-care indicators for colorectal cancer management, a framework of indicators designed to compare outcome metrics over time. 61 This study found these indicators, which were produced for primary use in a high-income setting, useful for evaluating improvement over time in their lowresource health care setting.…”

Section: Lack Of Economic Analysesmentioning

confidence: 99%

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Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Sadler

Torio

Golby

2023

Cancer

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Global cancer surgery is an essential and complex component of oncologic care. This study aims to describe global cancer surgery literature since the 2015 Lancet Commission on Global Surgery and Cancer Surgery and perform a strengths, weaknesses, opportunities, and threats (SWOT) analysis. A systematic search was performed in PubMed of global cancer surgery articles. Themes were extracted from the included studies based on the following criteria: (1) performed in low‐ or low‐middle–income countries, (2) published during or after 2015, (3) published in peer‐reviewed journals, (4) written in the English language, and (5) accessible to the authors. Themes were further grouped into strengths, weaknesses, opportunities, and threats (SWOT analysis). The search strategy identified 154 articles published from 1992 to 2022. Forty‐six articles were included in the qualitative synthesis and SWOT analysis. Recurring themes included local epidemiologic studies, local innovations and feasibility studies, prioritizing quality of life outcomes, multidisciplinary team approaches, limited resources, health system gaps, lack of economic analyses, diverse cancer management strategies and priorities, inter‐setting collaboration, research expansion, the coronavirus disease 2019 pandemic, and unchecked technological advancements. These strengths, weaknesses, opportunities, and threats were described and related to the themes of research, surgical systems strengthening, economics and financing, and political framing of the 2015 Lancet Commission on Global Cancer Surgery. SWOT analyses of global cancer surgery may be helpful in suggesting future strategies for this expanding field. Plain language summary Cancer surgery is a resource‐intensive yet essential component of cancer care. In the face of projected growth of cancer burden, the present gap in cancer surgery care in low‐resource settings with stressed health care and surgical infrastructure risks further exacerbation. We present a strengths, weaknesses, opportunities, and threats analysis of recent global cancer surgery literature pertaining to low‐resource settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Local Innovations and Feasibility Studiesmentioning

confidence: 99%

Section: Lack Of Economic Analysesmentioning

confidence: 99%

See 2 more Smart Citations

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Sadler

Torio

Golby

2023

Cancer

View full text Add to dashboard Cite

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“…This comparative cross-sectional study was conducted at the Surgical Department of Combined Military Hospital Rawalpindi and Histopathology Department, Armed Forces Institute of Pathology Pakistan, from June 2021 to March 2022. The sample size was calculated by WHO sample size calculator using the population proportion of oncological adequateness in laparoscopic surgery as 88%, 11 and the margin of error as 10%. A consecutive non-probability sampling technique was used to gather the sample.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Oncological Outcomes After Colorectal Cancer Surgery in Patients Undergoing Laparoscopic Versus an Open Procedure

Haq

Ashrat

Ali

et al. 2022

PAFMJ

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Objective: To compare the oncological outcomes after colorectal cancer surgery in patients undergoing laparoscopic versus open procedures for colorectal carcinoma. Study Design: Comparative Cross-sectional Study. Place and Duration of Study: Surgical Department Combined Military Hospital, Rawalpindi and Histopathology Department Armed Forces Institute of Pathology Rawalpindi Pakistan, from June 2021 to March 2022. Methodology: This study was conducted on 60 patients who underwent oncological surgery for colorectal cancer via the open or laparoscopic method. Data were collected for all the patients from the Histopathology Department regarding proximal margin involvement, circumferential margin involvement, distal margin involvement, tumour perforation and lymph nodes resected. These parameters were compared in patients undergoing open or laparoscopic methods. Results: Out of 60 patients included in the final analysis, 41(68.3%) were males, and 19(31.7%) were females. The mean age of patients who underwent open or laparoscopic surgery for colorectal cancer in our study was 44.67±7.537 years. 32(53.3%)patients underwent laparoscopic surgery, while 28(46.7%) underwent an open surgical procedure. Statistical tests revealed that both Groups found that proximal margin involvement, circumferential margin involvement, distal margin involvement,tumour perforation, and the number of lymph nodes resected were not statistically significant (p-value>0.05). Conclusion: Oncological outcomes on histopathology were not different in patients undergoing the open or laparoscopic procedure. Therefore, laparoscopic colonic resection is oncologically equivalent to open resection.

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Laparoscopic Curative Resection for Right-Sided Colonic Tumors: Initial Experience From a Specialized Cancer Hospital of a Developing Country

Abstract: Open Access Original Article

Cited by 2 publications

References 25 publications

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Comparison of Oncological Outcomes After Colorectal Cancer Surgery in Patients Undergoing Laparoscopic Versus an Open Procedure

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