Meta-analysis of medial-to-lateral versus lateral-to-medial colorectal mobilisation during laparoscopic colorectal surgery

Hajibandeh, Shahin; Hajibandeh, Shahab; Navid, Ahmad; Sarma, Diwakar Ryali; Eltair, Mokhtar; Mankotia, Rajnish; Thompson, Christopher; Torrance, Andrew W.; Peravali, Rajeev

doi:10.1007/s00384-019-03281-7

Cited by 12 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anastomotic leak in this meta-analysis was 2.5%, and 4.5% in our case. In this meta-analysis conversion to open surgery was 3.5%, the mean procedure time was 160.4 min, the mean length of hospital stay was 9.3 days, and the mean number of lymph nodes removed was n=17.2 (22). In our study, the conversion rate was 9.1%, median procedure time was 150 min, mean value of days of hospitalization was 6.89, and the number of removed lymph nodes was 16.95.…”

Section: Discussionmentioning

confidence: 74%

See 1 more Smart Citation

A single institutional experience in laparoscopic colorectal surgery: Clinical and oncological outcomes over 10 years

et al. 2021

View full text Add to dashboard Cite

Introduction: The development of laparoscopic colorectal surgery began in 1991. Today, laparoscopic surgery presents standard approach in the surgical treatment of malignant colon and rectal diseases. Aim: Surgical and oncological outcomes and survival rates of laparoscopic colorectal surgery at the Oncology Institute of Vojvodina. Methods: Data were collected prospectively from 66 patients undergoing laparoscopic colorectal surgery between December 2009 and December 2019. Registered data included sex, age, surgical indication and type for the procedure, indication and reason for conversion to open surgery, operative time, performing temporary or permanent stoma, intraoperative bowel perforation, pathologic TNM grade, number of harvested lymph nodes, inclusion of positive resection margin, number of postoperative days at the hospital, postoperative complications, postoperative mortality, presence of distant metastases and survival rates. Results: Laparoscopic procedures were right hemicolectomy in 11/66 (16.7%), left hemicolectomy in 1/66 (1.5%), sigmoid colectomy in 19/66 (28.8%), high anterior rectal resection in 13/66 (19.7%), low anterior rectal resection in 12/66 (18.2%), abdominoperineal amputation of the rectum in 7/66 (10.6%), colectomy in 2/66 (3%) and proctocolectomy in 1/66 (1.5%) patient. The median follow-up was 37.5 months (range 6 to 128). The total number of surviving patients was 60 (90.9%). Conclusion: This study showed that laparoscopic colorectal surgery has good clinical and oncological outcomes.

show abstract

Section: Discussionmentioning

confidence: 74%

“…In the meta-analysis of Hajibandeh et al eight comparative studies were evaluated with a total of 1477 patients (626 with medial-to-lateral and 851 lateral-to-medial approach in laparoscopic colorectal surgery) (22).…”

Section: Discussionmentioning

confidence: 99%

A single institutional experience in laparoscopic colorectal surgery: Clinical and oncological outcomes over 10 years

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Furthermore, in a typical laparoscopic surgery for colorectal cancer, considering the safeness and oncological aspects, lymphadenectomy and division of vessels were often performed prior to mesenteric dissection with the no-touch isolation technique using conventional medial-to-lateral approach [7]. But the impact of conventional medial approach on overall survival is still controversial [11][12][13]. These data support the extracorporeal mesocolon dissection-first approach as a safer and more applicable approach than the conventional one.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sigmoidectomy for Sigmoid Cancer With Persistent Descending Mesocolon: Anatomical Characteristics and Technical Tips

Fujiwara¹,

Kaino²

2022

Cureus

View full text Add to dashboard Cite

Although rare, persistent descending mesocolon (PDM) is an anatomical anomaly that carries potential risks for laparoscopic colorectal surgery. Impaired blood circulation of the reconstructed colon is especially risky during surgery. We report a case of sigmoid cancer with PDM, in which the patient underwent laparoscopic sigmoidectomy. A 52-year-old man diagnosed with sigmoid cancer was referred to our hospital. PDM was identified with preoperative enhanced-contrast computed tomography, which revealed the sigmoid colon located in the right lower quadrant and a bear-claw inferior mesenteric artery (IMA). Preoperative examination showed cT1N0M0 stage I (Union for International Cancer Control {UICC} eighth). We were not able to identify the branches of IMA after the medial-to-lateral approach. We divided the mesentery and marginal artery and the main branches from IMA extracorporeally prior to lymphadenectomy. Each oral and anal side was dissected without touching the tumor. Then, we marked the line for lymphadenectomy using the dissected line of mesentery as an intracorporeal landmark. Pathological findings showed pT1N0M0 stage I (UICC eighth edition). The patient was discharged without complications. Using this approach and the preoperative recognition of PDM, we performed laparoscopic sigmoidectomy with lymphadenectomy for early-stage PDM case successfully and safely. Our mesocolon dissection-first approach could be a feasible and safer approach for early-stage sigmoid cancer.

show abstract

“…One meta-analysis showed that the lateral-to-medial approach during laparoscopic colorectal resection might increase procedure time, length of hospital stays, and conversion rate. 29 Some surgeons introduced different surgical techniques of splenic flexure mobilization with the medial-to-lateral method, 23 , 30 , 31 but the sample size was limited. In advance, we are the first to show an efficient and safe way to identify the hotspot, entering the lesser sac, and preserving the pancreas from mesocolon securely by the FACT method.…”

Section: Discussionmentioning

confidence: 99%

Efficient and Safe Method for Splenic Flexure Mobilization in Laparoscopic Left Hemicolectomy: A Propensity Score–weighted Cohort Study

Hsu

Chern

Jhuang

et al. 2020

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

Meta-analysis of medial-to-lateral versus lateral-to-medial colorectal mobilisation during laparoscopic colorectal surgery

Cited by 12 publications

References 23 publications

A single institutional experience in laparoscopic colorectal surgery: Clinical and oncological outcomes over 10 years

A single institutional experience in laparoscopic colorectal surgery: Clinical and oncological outcomes over 10 years

Laparoscopic Sigmoidectomy for Sigmoid Cancer With Persistent Descending Mesocolon: Anatomical Characteristics and Technical Tips

Efficient and Safe Method for Splenic Flexure Mobilization in Laparoscopic Left Hemicolectomy: A Propensity Score–weighted Cohort Study

Contact Info

Product

Resources

About