Laparoscopic surgery for palliative resection of the primary tumor in incurable stage IV colorectal cancer

Nishigori, Hideaki; Ito, Masaaki; Kohyama, Atsushi; Koda, Takamaru; Nishizawa, Yusuke; Kobayashi, Akihiro; Sugito, Masanori; Saitô, Norio

doi:10.1007/s00464-012-2323-3

Cited by 9 publications

(18 citation statements)

References 28 publications

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“…The median age of the patients in all studies was 67.1 (59–80) years and was similar to the open colectomy group reported in five studies of 64 (62–68) years . The male/female ratio reported in 10 studies was similar in both groups (639/419 open; 600/509 laparoscopic). Only three studies reported T‐stage , and three reported ASA grade .…”

Section: Resultssupporting

confidence: 76%

“…The most common procedure was right hemicolectomy and the median duration of follow‐up reported from five studies was 17 (13–72) months . The median age of the patients in all studies was 67.1 (59–80) years and was similar to the open colectomy group reported in five studies of 64 (62–68) years . The male/female ratio reported in 10 studies was similar in both groups (639/419 open; 600/509 laparoscopic).…”

Section: Resultsmentioning

confidence: 53%

“…A total of 6891 patients were included, with 1165 undergoing laparoscopic colectomy. The most common procedure was right hemicolectomy and the median duration of follow‐up reported from five studies was 17 (13–72) months . The median age of the patients in all studies was 67.1 (59–80) years and was similar to the open colectomy group reported in five studies of 64 (62–68) years .…”

Section: Resultsmentioning

confidence: 54%

“…The main characteristics of the 11 studies are shown in Table . Of these, five compared palliative laparoscopic colectomy and open colectomy for Stage IV colorectal cancer , three compared laparoscopic colectomy for Stage IV colorectal cancer with Stage 0 to Stage III , two were single‐arm studies and one compared palliative laparoscopic colectomy for advanced colorectal carcinoma with laparoscopic colectomy for benign disease . Milsom et al .…”

Section: Resultsmentioning

confidence: 99%

“…Postoperative complications were reported in all studies (Table ). There were 35 postoperative deaths in the laparoscopic group, with a median mortality of 0% (0–8.2%) and eight in the open group [0% (0–3.3%)].…”

Section: Resultsmentioning

confidence: 99%

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Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy

et al. 2013

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Section: Resultssupporting

confidence: 76%

Section: Resultsmentioning

confidence: 53%

Section: Resultsmentioning

confidence: 54%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy

et al. 2013

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Scoring Systems May be Effective in Predicting Mortality Associated with Palliative Emergency Gastrointestinal Surgery: A Retrospective Observational Study

et al. 2021

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Background Palliative emergency gastrointestinal surgery is associated with significant morbidity and mortality and weighing up the benefits and harms during the decision-making may be challenging. There are very few studies on surgery in palliative patient population. The aim of this retrospective study was to evaluate morbidity and mortality after palliative emergency gastrointestinal surgery and the usability of scoring systems in predicting the outcome. Methods Consecutive adult patients undergoing palliative emergency surgery at a tertiary hospital during the period 2015 to 2016 were included. Pre- and post-operative functional status, morbidity and mortality of patients were assessed. The predictive value of the American Society of Anesthesiologists (ASA) classification, the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator (ACS NSQIP SRC) and Palliative index (PI) in estimating morbidity and mortality were determined. Results A total of 93 patients (age 69 [28–92] years, 51% female) were included. Typical indications for surgery were bowel obstruction (52%) and securing food intake (30%). Pre-operatively two patients (2.2%) were totally dependent in daily activities, while post-operatively the respective share was 34% at discharge from hospital. The incidence of post-operative complications was 37% and 14% died during the hospital stay. One-, three-month and one-year mortality rates were 41%, 63% and 87%, respectively. While ASA score, PI score and ACS NSQIP did not predict post-operative morbidity, both ASA score and ACS NSQIP SRC predicted post-operative mortality. Conclusions Palliative emergency laparotomy is associated with significant post-operative mortality and morbidity. Scorings, such as ASA score and ACS NSQIP SRC predict mortality in this patient population.

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Clinical safety and outcomes of laparoscopic surgery versus open surgery for palliative resection of primary tumors in patients with stage IV colorectal cancer: a meta-analysis

Zhou

Xiang

et al. 2015

Surg Endosc

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Laparoscopic surgery for palliative resection of the primary tumor in incurable stage IV colorectal cancer

Abstract: A laparoscopic procedure should be considered for palliative resection of the primary tumor for incurable stage IV colorectal cancer, because the results of this study indicate that the procedure is safe and effective.

Cited by 9 publications

References 28 publications

Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy

Palliative resection of the primary tumour in patients with Stage IV colorectal cancer: systematic review and meta‐analysis of the early outcome after laparoscopic and open colectomy

Scoring Systems May be Effective in Predicting Mortality Associated with Palliative Emergency Gastrointestinal Surgery: A Retrospective Observational Study

Clinical safety and outcomes of laparoscopic surgery versus open surgery for palliative resection of primary tumors in patients with stage IV colorectal cancer: a meta-analysis

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