Lymph node assessment in colorectal cancer surgery: laparoscopic versus open techniques

Balducci, Genoveffa

doi:10.11138/gchir/2017.38.1.023

Cited by 8 publications

(7 citation statements)

References 9 publications

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“…Curative surgical resection is the backbone of the treatment for colonic carcinoma. 7 Since the first description of LAC procedure, numerous studies [1][2][3][4][5][6][7][8][9][10][11][12] have demonstrated that, as compared to OC, LAC resections are associated with lower levels of pain, quicker recovery, and non-inferior oncological results. Although laparoscopic colorectal surgery has grown in popularity in recent years, numerous international surveys [13][14][15][16][17][18][19] have revealed that it is still mostly underutilised, with significant variations among centres.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

Baz

Orban

Ezzat

2023

Journal of Coloproctology

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Introduction The second most common cause of cancer-related mortality is colorectal cancer, and laparoscopic-assisted colectomy (LAC) has gained popularity among surgeons as an alternative to the conventional approach, which is open colecrtomy (OC). The differences between LAC and OC in terms of short-term outcomes have not been well documented, and the aim of the present work is to compare the short-term outcomes of both procedures. Materials and Methods The present prospective study comprised 164 participants submitted to LAC (n = 82) and OC (n = 82) at the Helwan and Zagazig University hospitals between January 2018 and January 2022. We collected and analyzed demographic data, surgical data, and the short-term outcomes. Results The LAC group had a significantly lower estimated amount of blood loss, shorter hospital stay, lower rates of incisional surgical site infection, and fewer cases of burst abdomen postoperatively, but with a considerably longer operative time (30.3 minutes) than the OC group. Conclusions Our findings show that LAC is favorable option to OC, with superior outcomes.

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Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

Baz

Orban

Ezzat

2023

Journal of Coloproctology

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“…Furthermore, more than half of our patients had chemoradiotherapy before surgery. Several studies have suggested that laparoscopic surgery could achieve the same effectiveness as open surgery concerning LN harvesting (Wu et al, 2012;Lujan et al, 2013;Zhou et al, 2015;Stracci et al, 2016;Balducci et al, 2017). Two studies reported greater LN harvesting using the LR approach compared to the OR approach (González et al, 2009;Boutros et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Propensity Score-Matched Analysis of Laparoscopic versus Open Surgery for Non-Metastatic Rectal Cancer

Sakolprakaikij

Yolsuriyanwong

Wangkulangkul

et al. 2021

Asian Pac J Cancer Prev

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Background: Rectal cancer is a pervasive type of malignancy that accounts for one-third of colorectal cancers worldwide. Several studies have assessed the use of laparoscopic surgery as a treatment option. However, there is an ongoing debate regarding its oncological safety. Methods: This retrospective study included 270 patients with non-metastatic rectal cancer who underwent either laparoscopic resection (LR, n = 93) or open resection (OR, n = 177) in an academic medical center. The primary outcomes were overall survival (OS) and disease-free survival (DFS), whereas the secondary outcome was postoperative complications. We performed propensity score analyses and compared outcomes. Univariate survival analyses using Kaplan-Meier plots and Cox proportional hazard regression models were also conducted. Results: In the propensity score matching analyses, 93 LR-and 93 OR-matched patients were compared. The overall median follow-up time was 3.95 years (range, 1.98-5.55 years). The 3-year OS was similar between the groups (LR 79.1% vs OR 79.2%, p = 0.82). Meanwhile, the DFS rate was also comparable between the groups (LR 77.8% vs OR 73.2%, p = 0.53). No significant differences in operative blood loss or hospital stay between the groups were observed (150 vs 150 mL, p = 0.74; 9 vs 10 days, p = 0.077, respectively). Also, no difference was found in postoperative complications between the groups (p = 0.23). However, LR was associated with a longer operative time than OR (455 vs 356 min, p < 0.001) and the number of lymph nodes harvested in LR was slightly fewer than OR (10 vs 11, p = 0.045). Conclusion: LR of rectal cancer is safe, feasible, and comparable to standard OR in terms of the oncologic outcomes. However, LR required longer operative times. A well-designed prospective study with a large number of participants and long follow-up period is needed to show significant differences between the two groups.

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“…The most common route of CRC metastasis is through lymph nodes. Therefore, complete lymph node dissection and accurate assessment of lymph node metastasis in patients with CRC is crucial for the development of reasonable postoperative chemoradiotherapy regimens and cycles, which can improve the prognosis and the 5-year survival rate (3,4).…”

Section: Introductionmentioning

confidence: 99%

Lymphadenectomy with venation is preferred compared to skeletonization for patients with rectal and sigmoid colon cancer: a retrospective cohort study

Ge¹,

Gong²,

Shao³

et al. 2022

J Gastrointest Oncol

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Background: For patients with rectal and sigmoid colon cancer, dissecting No. 253 lymph nodes and preserving the left colic artery are the essentials of radical surgery. In clinical work, some surgeons prefer to dissect lymph nodes with skeletonization, believing that lymph nodes can be dissected completely by this method, while other surgeons prefer to dissect lymph nodes with venation. They believe that their method can not only dissect lymph nodes completely but also ensure the safety of patients. This study aimed to investigate whether lymphadenectomy with skeletonization is superior to lymphadenectomy with venation for patients with rectal and sigmoid colon cancer.

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Lymph node assessment in colorectal cancer surgery: laparoscopic versus open techniques

Cited by 8 publications

References 9 publications

Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

Short-Term Outcomes of Laparoscopic-Assisted Colectomy versus Open Colectomy in Patients with Colonic Carcinoma: A Prospective Randomized Study

Propensity Score-Matched Analysis of Laparoscopic versus Open Surgery for Non-Metastatic Rectal Cancer

Lymphadenectomy with venation is preferred compared to skeletonization for patients with rectal and sigmoid colon cancer: a retrospective cohort study

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