Risk of Missing Colorectal Cancer During Laparoscopic Cholecystectomy

Ishida, Hideyuki; Ohsawa, Tomonori; Murata, Nobuo; Fujioka, Masashi; Hashimoto, Daijo

doi:10.1007/s005950200060

Cited by 6 publications

(4 citation statements)

References 15 publications

(19 reference statements)

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“…Although there are limited reports, the incidence of intraabdominal malignancies missed during LC is reported between 0.5% and 1.2%, with a preponderance of colorectal cancers. 5 , 6 – 10 Although we report an incidence of 0.18%, all patients readmitted with advanced disease, in accordance with other reports. 9 , 10 In fact it is an important problem since delay in the diagnosis of a malignancy worsens the prognosis and may affect curability.…”

supporting

confidence: 92%

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Missed intra-abdominal malignancies after laparoscopic cholecystectomy

İçöz

Makay

Dayangaç

et al. 2005

Annals of Saudi Medicine

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supporting

confidence: 92%

“…Reports on missed major intra-abdominal pathologies have raised concerns. 2 , 3 , 4 – 10 In series that report positive findings in 47% to 76% of patients with chronic abdominal pain, routine laparoscopic exploration at the beginning of every procedure and greater mastery in diagnosis have been recommended. 11 , 12 …”

mentioning

confidence: 99%

Missed intra-abdominal malignancies after laparoscopic cholecystectomy

İçöz

Makay

Dayangaç

et al. 2005

Annals of Saudi Medicine

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“…However, it is speculated that the lack of a manual examination may result in certain intra-abdominal pathologies being overlooked (16). Missed diagnoses of a range of digestive cancer types, including CRC, and gastric and pancreatic cancer, have been previously reported in patients with gallstones, leading to delays in the treatment of neoplastic disease (17)(18)(19). One consequence of a delayed diagnosis of CRC is the risk of bowel obstruction, which then requires a Hartmann procedure in a number of cases (20).…”

Section: Introductionmentioning

confidence: 99%

Synchronous biliary gallstones and colorectal cancer: A single center analysis

Zarnescu

Dumitrascu

et al. 2021

Exp Ther Med

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Gallstones and colorectal cancer (CRC) are two common disorders that may develop simultaneously. In such situations, there is a significant chance of missing one of the conditions due to the primary clinical presentation. Late detection, diagnosis and treatment can be especially problematic in the case of unrecognized CRC. In the present study, the medical charts were retrospectively reviewed for all consecutive patients who were treated in the Second Department of Surgery, University Emergency Hospital Bucharest (Romania) between February 2015 and December 2017 following a diagnosis of CRC and/or biliary stones. There were 203 patients with CRC, 433 with biliary gallstones and 19 patients with both conditions. There were 125 men (61.6%) in the CRC group and 138 men (31.9%) in the gallstone group. The average age was 54.1±15.9 years in the gallstone group and 66.1±11.6 years in the CRC group. Obesity was observed in 96 patients (22.2%) with gallstones and in 14 (6.9%) patients in the CRC group. In the CRC group, 80 patients had medical comorbidities (39.4%), while in the gallstone group 126 patients (29.1%) had medical comorbidities. Bivariate analysis comparing gallstone only vs. gallstone and CRC identified age (P=0.001), male sex (P=0.001) and thyroid disease (P=0.001) as significant factors associated with synchronous diagnosis. The multivariable logistic regression of factors predicting CRC in patients with gallstones identified age (OR, 1.06; 95% CI, 1.023-1.105; P=0.002) and thyroid diseases (OR, 11.15; 95% CI, 2.532-49.06; P=0.001) as independent factors. There were significant differences regarding the location of the tumor between the CRC-only group and the gallstone and CRC group (P=0.001): Rectum (39.7 vs. 5.3%), left colon (26.6 vs. 21.1%), transverse colon (13 vs. 26.3%) and right colon (20.7 vs. 47.4%). The study concluded that, in patients with gallstones, age and thyroid conditions were significantly associated with CRC. Patients with a synchronous diagnosis of gallstones and CRC had significantly more right-sided CRC compared with regular CRC.

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“…There is evidence of colorectal, pancreatic, or female reproductive organ tumors missed in LC and operated afterward with delay. [1][2][3][4][5] Lack of tactile contact is often considered a disadvantage of operations done with laparoscopic access. 3 In the present age of preventive medicine and early diagnosis, every possibility of inspecting the abdominal cavity should be given due consideration.…”

mentioning

confidence: 99%

Reversed 5 Pattern of Diagnostic Laparoscopy During Laparoscopic Cholecystectomy and Its Standardization

Majewski

Sulikowski²,

Kamiński³

et al. 2004

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques

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An attempt at standardization of the diagnostic laparoscopy (DL) procedure during laparoscopic cholecystectomy (LC) was undertaken by establishing a simple pattern and checking its applicability in 100 consecutive LCs. DL was performed following the reversed number 5 pattern, starting from the right upper quadrant and moving to the left upper quadrant, left flank, back to the right flank along the transverse colon, down to the pelvis, along the sigmoid to the left flank, and back to the right upper quadrant inspecting small bowel. DL was incomplete in 11 patients. Inspection lasted 6-12 minutes (operation time increase, 14%). Abnormalities were discovered in 38% of patients, diagnosis elucidated in 8%, intervention undertaken in 11%, and control or further treatment proposed in 33%, without morbidity and mortality. The reversed 5 pattern of diagnostic laparoscopy is feasible and safe. It can be routinely done during LC in the general hospital setting. Standardization of diagnostic laparoscopy during laparoscopic cholecystectomy seems necessary for early disclosure of visible disorders and for medicolegal purposes.

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Risk of Missing Colorectal Cancer During Laparoscopic Cholecystectomy

Cited by 6 publications

References 15 publications

Missed intra-abdominal malignancies after laparoscopic cholecystectomy

Missed intra-abdominal malignancies after laparoscopic cholecystectomy

Synchronous biliary gallstones and colorectal cancer: A single center analysis

Reversed 5 Pattern of Diagnostic Laparoscopy During Laparoscopic Cholecystectomy and Its Standardization

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