Preoperative Neodymium-YAG Laser Treatment of Obstructive Colon Cancer

Kiefhaber, P.; Kiefhaber, K.; Huber, F

doi:10.1055/s-2007-1018408

Cited by 38 publications

(9 citation statements)

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“…Recently, laser recanalization and luminal stenting have been used to temporarily relieve bowel obstruction and facilitate bowel preparation, resection, and primary anastomosis. Preoperative recanalization of obstructive colorectal cancers with a neodymium‐YAG laser and subsequent resection and anastomosis was performed with a 3.7 % mortality rate (8). A similar approach with stent placement allows for a one‐stage procedure in 60 % – 92 % of patients (20).…”

Section: Specific Management Issuesmentioning

confidence: 99%

Surgical Management of Sporadic Colon Cancer, Familial Adenomatous Polyposis, and Hereditary Nonpolyposis Colon Cancer

Guillem

2002

European Surg

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Summary: Background: Surgical management is the primary treatment of potentially curable colon cancer. In most cases, this involves resection of the primary tumor and regional lymph nodes. However, treatment options may include endoscopic polypectomy for malignant polyps; laparoscopically assisted colectomy in carefully selected patients; as well as multimodality management for locally advanced cancers. The prevailing objective throughout is to maximize both oncologic and functional results. Methods: An overview of selected aspects of the standard surgical management of primary sporadic colon cancer, familial adenomatous polyposis (FAP), and hereditary nonpolyposis colon cancer (HNPCC) is presented. Results: Results of clinical trials are discussed. Conclusions: Invasive adenocarcinomas require ligation and resection of the lymphovascular pedicle directly draining the intestinal segment containing the tumor. En bloc resections, oophorectomies, extended resections, and prophylactic colectomies are required in selected patients. Large‐scale prospective, randomized trials are currently underway to establish the true risks and benefits of a laparoscopically assisted colectomy. Prophylactic colectomies should be performed for FAP patients and should be considered on a patient‐by‐patient basis in HNPCC mutation carriers depending on clinical features.

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Section: Specific Management Issuesmentioning

confidence: 99%

Surgical Management of Sporadic Colon Cancer, Familial Adenomatous Polyposis, and Hereditary Nonpolyposis Colon Cancer

Guillem

2002

European Surg

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“…The neodymium yttrium aluminum garnet (Nd:YAG) laser has been effective in these cases because it has both vaporizing and coagulating properties. The laser can achieve recanalization of an obstructing rectal tumor to allow preoperative bowel preparation before definitive resection [54,55]. Palliation can be achieved in patients who are not surgical candidates or have widespread metastatic disease, maintaining a patent lumen and avoiding a colostomy.…”

Section: Laser Treatmentmentioning

confidence: 99%

Transanal treatment of rectal cancer: Ablative methods and open resection

Kim

Madoff

1998

Semin. Surg. Oncol.

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“…Kiefhaber et al [48] reported on the results of preoperative recanalization of obstructive cancers by Nd:YAG laser vaporization in 57 patients. The goal of laser recanalization was to permit preoperative orthograde colon lavage and a subsequent primary resection, without a temporary colostomy.…”

Section: Applications In the Lower G-i Tractmentioning

confidence: 99%

Current role of laser and photodynamic therapy in gastrointestinal tumors and analysis of a 10‐year experience

Spinelli¹,

Fante²,

Mancini³

1992

Seminars in Surgical Oncology

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Laser energy can be used for a variety of neoplastic diseases including benign tumors, early stage malignancies, and advanced carcinomas, either with curative intent or for palliation. Nd:YAG laser photocoagulation of 168 colorectal adenomas allowed a complete eradication in 70% of cases, after a mean follow-up of 22 months. Advanced and obstructing tumors were treated with Nd:YAG laser to recanalize the lumen. In the upper gastrointestinal tract the recanalization of the lumen by means of laser photocoagulation improved the quality of life and survival. In fact, in our series of 308 patients treated, 1-year survival was 23% in recanalized patients and 7% in nonrecanalized patients. In the lower gastrointestinal tract, 289 cancer patients were treated and an amelioration of symptoms related to the obstruction was obtained in 93%. The current indication for photodynamic therapy is mainly the treatment of flat or ulcerative early stage tumors in the esophagus and stomach of high risk patients. Out of 17 patients treated, 14 were locally cured.

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Preoperative Neodymium-YAG Laser Treatment of Obstructive Colon Cancer

Cited by 38 publications

References 0 publications

Surgical Management of Sporadic Colon Cancer, Familial Adenomatous Polyposis, and Hereditary Nonpolyposis Colon Cancer

Surgical Management of Sporadic Colon Cancer, Familial Adenomatous Polyposis, and Hereditary Nonpolyposis Colon Cancer

Transanal treatment of rectal cancer: Ablative methods and open resection

Current role of laser and photodynamic therapy in gastrointestinal tumors and analysis of a 10‐year experience

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