Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial

Leung, Ka Lau; Kwok, S.P.Y.; Lam, Steve Ching Wa; Lee, Janet F. Y.; Yiu, Raymond Y. C.; Ng, Simon; Lai, Paul B.S.; Lau, Wan Yee

doi:10.1016/s0140-6736(04)15947-3

Cited by 841 publications

(757 citation statements)

References 10 publications

Supporting

Mentioning

644

Contrasting

Unclassified

Order By: Relevance

“…This is reflected by the fact that many large multicenter trials except MRC-CLASSIC have not included patients with rectal cancer [9]. However, there are 5 randomized trials published till date and that have demonstrated comparable short term outcome of laparoscopic and open surgery [4,6,[9][10][11][12][13][14][15]. Our study also shows comparable short term outcome of the LAC group with relatively early recovery following surgery.…”

Section: Resultsmentioning

confidence: 62%

“…This could be probably due to less tissue trauma in laparoscopic surgery [5]. Dissection through small incisions, precise dissection aided by magnification, lack of manual handling of viscera and forceful retraction in laparoscopy helps in early recovery of gut function [10,11,16]. However the ability to tolerate semisolid diet was not different between the LAC and OR group.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

View full text Add to dashboard Cite

Laparoscopic approach for treatment of colorectal malignancy is gaining acceptance gradually; however the benefits of laparoscopic surgery in colonic and rectal tumours is still open to debate. This study aims at a retrospective analysis of operative and short term outcome of patients with rectosigmoid tumours. A retrospective analysis of operative, postoperative and short-term outcome of 62 patients who underwent laparoscopic colorectal resection for cancer of rectosigmoid region were compared with a same number of parameters-matched patients who underwent open colorectal resection. Blood transfusion requirement was significantly more in the open group compared to the laparoscopy group (38.7% versus 6.4%, p=0.001). ICU stay was less in the laparoscopy group (p=<0.05) and they were started on oral liquid diet earlier (p=0.013). The number of the lymph nodes retrieved, positive distal margin and radial involvement were similar in both groups. The hospital stay was significantly shorter in laparoscopy group (8.4 versus 13.8 days, p < 0.05). Radical operation for rectosigmoid tumors is technically feasible with laparoscopic surgery. Laparoscopic approach is associated with less blood loss, transfusion and significantly less ICU stay. Laparoscopic group recovers early and needs less hospital stay

show abstract

Section: Resultsmentioning

confidence: 62%

Section: Resultsmentioning

confidence: 99%

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

et al. 2010

View full text Add to dashboard Cite

show abstract

“…It may also reduce the prevalence of postoperative immunosuppression [111] while providing equivalence in cancer outcomes [112][113][114][115][116]. The debate during the last 5 years has centred around whether open surgery undertaken within an ERAS programme can match laparoscopic resection which is similarly optimised.…”

Section: Laparoscopy and Modifications Of Surgical Accessmentioning

confidence: 99%

Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

et al. 2012

View full text Add to dashboard Cite

Background This review aims to present a consensus for optimal perioperative care in colonic surgery and to provide graded recommendations for items for an evidencedbased enhanced perioperative protocol. Methods Studies were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group. Results For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of goodquality trials (quality of evidence and recommendations according to the GRADE system). Conclusions Based on the evidence available for each item of the multimodal perioperative care pathway, the Enhanced

show abstract

“…A large number of controlled studies and meta‐analyses have shown that laparoscopic surgery is associated with less pain, early recovery of bowel transit and shorter hospital stay compared to open surgery 8, 9, 10, 11, 12. Furthermore, a subset analysis of a randomized trial showed a lower recurrence rate and better survival in patients with stage III colon cancer undergoing laparoscopic surgery compared with open surgery 13, 14, 15, 16, 17.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgical challenge for T4a colon cancer

Seishi

Kawahara

Ogawa

et al. 2017

Annals of Gastroent Surgery

View full text Add to dashboard Cite

For patients with T4a colon cancer, the risk of peritoneal dissemination after surgery remains unclear. Seven hundred and eleven patients with T3 or T4a colon cancer, 80 years of age or younger, underwent curative resection (open surgery in 512 and laparoscopic surgery in 199) at the four Jikei University hospitals between 2006 and 2012. Their risk factors for peritoneal dissemination after surgery were evaluated retrospectively. Number of lymph node metastases, postoperative liver metastases and postoperative peritoneal dissemination events in the T4a group were significantly greater than the number in the T3 group. Peritoneal dissemination after surgery developed in four patients (0.7%) in the T3 group and in six patients (5%) in the T4a group. Risk factors for peritoneal dissemination consisted of macroscopic type (P = 0.016), serosal invasion (P = 0.017) and number of lymph node metastases (P = 0.009) according to the Cox proportional hazards regression model. However, tumor diameter and surgical approach (laparoscopic vs open) were not significant factors for peritoneal dissemination. There were no significant differences between the postoperative relapse‐free survival rates for each surgical approach within the T3 or T4a group. Because of comparable postoperative peritoneal dissemination in T3 and T4a colon cancer by the surgical approach (laparoscopic or open), laparoscopic surgery for patients with T4a colon cancer seems justified.

show abstract

Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial

Cited by 841 publications

References 10 publications

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations

Laparoscopic surgical challenge for T4a colon cancer

Contact Info

Product

Resources

About

Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial

Cited by 841 publications

References 10 publications

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Laparoscopic Colonic Resection for Rectosigmoid Colonic Tumours: A Retrospective Analysis and Comparison with Open Resection

Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations

Laparoscopic surgical challenge for T4a colon cancer

Contact Info

Product

Resources

About

Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS^®) Society Recommendations