Manipulation of the small intestine as a cause of the increased inflammatory response after open compared with laparoscopic surgery

Hiki, Naoki; Shimizu, Nobuyuki; Yamaguchi, Hironori; Imamura, Kazuo; Kami, Keiichiro; Kubota, Keiichi; Kaminishi, Michio

doi:10.1002/bjs.5224

Cited by 111 publications

(67 citation statements)

References 28 publications

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“…Based on the results of this study, the LC group had better scores in many aspects. Hiki et al performed one QOL measurement after six weeks on patients that had undergone open and laparoscopic colorectal surgeries and reported a difference in four of eight aspects of the SF-36 including: "pain", "social functioning", "role limitations due to physical health" and "role limitations due to emotional problems" (16). This result was consistent with our study.…”

Section: Discussionsupporting

confidence: 91%

Quality of Life After Surgery in Candidates of Laparoscopic and Open Cholecystectomy: A Comparison Study

Sadati

Pazouki

Tamannaie

et al. 2016

Iran Red Crescent Med J

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Background: Nowadays quality of life (QOL) is an important part of health and measuring health-related QOL after surgery is necessary for decision-making by patients and surgeons. To assess post cholecystectomy QOL, documentation of high quality care has been subjected to extended discussions, and the use of patient-reported outcome satisfaction for quality improvement has been advocated for several years.

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Section: Discussionsupporting

confidence: 91%

Quality of Life After Surgery in Candidates of Laparoscopic and Open Cholecystectomy: A Comparison Study

Sadati

Pazouki

Tamannaie

et al. 2016

Iran Red Crescent Med J

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“…Another potential long-term advantage of LIR over CIR is a reduced formation of intra-abdominal adhesions. Although some studies of which most are experimental have shown a reduction of intra-abdominal adhesion formation after laparoscopic surgery, its clinical relevance remains to be determined[ 42, 43]. Finally, LIR might be associated with a decreased number of incisional hernias.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Outcomes after Laparoscopic Ileocolic Resection for Crohn’s Disease

Polle¹,

Wind²,

Ubbink

et al. 2006

Dig Surg

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Background: No consensus exists whether ileocolic resection for Crohn’s disease (CD) should be carried out by a laparoscopic or open approach. A systematic review was conducted to assess the evidence for short-term advantages of laparoscopic compared to open resection for ileocolic CD. Methods: The literature search was conducted over the period 01/1991 to 02/2006. Only randomized controlled trials (RCTs), clinical controlled trials and comparative studies comparing laparoscopic with open resection for ileocolic CD were included. A quality assessment was performed for all retrieved articles. The main outcome parameters were operating times, conversion rates, major and minor morbidity and hospital stays. Results: 14 publications encompassing 729 patients were included – 2 were RCTs, 12 were non-RCTs of which 2 were case-matched studies. Although pooling data of operating times was statistically not possible, they were longer for the laparoscopic procedure in the individual studies ranging from 75 to 185 min. Conversions varied between 0 and 16.7%. Postoperative complications requiring reoperation or reported overall morbidity were not different (risk difference –0.01 and –0.05, respectively). Hospital stay after the laparoscopic procedure was 1.90 days shorter (95% CI: 0.83–2.97). Conclusion: There is evidence that laparoscopic ileocolic resection for CD is associated with shorter hospital stay compared to open ileocolic resection, while morbidity rates are equal and conversion rates are acceptable

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“…The guidelines also define laparoscopy-assisted surgery as a treatment of clinical stage IB cancer. The quality of laparoscopic surgery is reported not to be worse than conventional open laparotomy surgery, and the surgical invasiveness is reported to be less in laparoscopy-assisted surgery [12, 13]. A new issue in the laparoscopic surgery is the education of younger surgeons.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Surgical Treatment of Early Gastric Cancer

Nomura

Kaminishi²

2007

Dig Surg

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Around half the cases of gastric cancer are found in the early stage in Japan. With an expected good prognosis, many treatment options have been developed to maintain a good quality of life of the patients after the treatment. Gastric cancer is diagnosed with endoscopy, and the depth of invasion is diagnosed with endoscopy and endoscopic ultrasound. One of the new treatments is endoscopic submucosal dissection. Improvements in surgical treatment are minimizing lymph node dissection, reconstruction methods, laparoscopy-assisted surgery, and sentinel node navigation surgery. Minimizing lymph node dissection for early gastric cancer is well described in the Guidelines for Gastric Cancer Treatments. Pylorus-preserving gastrectomy, jejunal interposition, pouch reconstruction, and Roux-en-Y reconstruction after distal gastrectomy are improvements in reconstruction after gastrectomy. More and more surgeons start laparoscopy-assisted gastrectomy with lymph node dissection. Even with these improvements, the 5-year survival of early gastric cancer is more than 90% in Japan. Further improvements would be possible in the future.

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Manipulation of the small intestine as a cause of the increased inflammatory response after open compared with laparoscopic surgery

Abstract: Manual handling of organs during gastrectomy is an important contributor to the molecular and humoral inflammatory response to surgery, supporting the use of minimally invasive techniques in gastrointestinal surgery.

Cited by 111 publications

References 28 publications

Quality of Life After Surgery in Candidates of Laparoscopic and Open Cholecystectomy: A Comparison Study

Quality of Life After Surgery in Candidates of Laparoscopic and Open Cholecystectomy: A Comparison Study

Short-Term Outcomes after Laparoscopic Ileocolic Resection for Crohn’s Disease

Surgical Treatment of Early Gastric Cancer

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