The feasibility and safety of complete laparoscopic extended right hemicolectomy with preservation of the ileocecal junction in right-transverse colon cancer

Su, Hao; Wu, Hui; Mu, Bing; Bao, Mandula; Luo, Shou; Zhao, Chenyang; Liu, Qian; Wang, Xishan; Zhou, Zhixiang; Zhou, Haitao

doi:10.1186/s12957-020-01922-8

Cited by 4 publications

(2 citation statements)

References 24 publications

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“…It is also worth mentioning that ileocecal junction resection surgery might affect bowel movement, enteric bacteria and nutrition state [ 13 ]. According to Su et al [ 16 ], in comparison to conventional extended right hemicolectomy, the incidence of diarrhea was lower in ileocecal junction-preserved surgery ( p = 0.026). In addition to that, the defecation frequency was lower in this group on the 1st, 3rd, and 6th month post-operative ( p < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Optimal surgical approach for mid-transverse colon cancer: a systematic review and meta-analysis

Elkomos,

Alkomos,

Alkomos

et al. 2024

Int J Clin Oncol

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Background and aim The incidence of cancer colon has increased dramatically. In addition, the database lacks a review to analyze the outcomes of surgeries for mid-transverse colon cancer with several recent controversial studies. We aimed to compare the outcomes of extended hemicolectomy versus transverse colectomy for mid-transverse colon cancer. Method PubMed, Scopes, Web of Science and Cochrane Library were searched for eligible studies from inception to 1 December 2022 and a systematic review and meta-analysis were done to detect. Results According to eligibility criteria, 8 studies (2237 patients) were included in our study. The pooled results of the included studies showed no difference in the 5-year OS, 3-year DFS and 5-year DFS between the two types of surgery (5-year OS, RR = 1.15, 95% CI 0.94–1.39, P = 0.17), (3-year OS, RR = 0.96, 95% CI 0.88–1.06, P = 0.42) and (5-year DFS, RR = 1.21, 95% CI 0.91–1.62, P = 0.20). In addition to that, the recurrence rate and the incidence of complications were similar in the two groups (Recurrence rate, RR = 1.08, 95% CI 0.62–1.89, P = 0.79) and (Complications, RR = 1.07, 95% CI 0.74–1.54, P = 0.72). However, the number of LN harvest and the time of the operation were more in case of extended hemicolectomy. Conclusion Despite harvesting less LN, transverse colectomy has similar oncological outcomes to extended hemicolectomy for mid-transverse colon cancer. In addition to that, there was no significant difference in the incidence of complications between the two surgeries.

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Section: Discussionmentioning

confidence: 99%

Optimal surgical approach for mid-transverse colon cancer: a systematic review and meta-analysis

Elkomos,

Alkomos,

Alkomos

et al. 2024

Int J Clin Oncol

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“…This nding suggests that it is not necessary to ligate both the lt-MCA and LCA in SFC [18,19]. In colon cancer, pericolic lymph nodes are present within 10 cm of the tumor, followed by the nodes along the next arterial arcade, centrally towards the SMA or IMA [14,[20][21][22][23]. Hohenberg et al suggested that it is important to ligate feeding arteries that ow within 10 cm of the tumor [10].…”

Section: Discussionmentioning

confidence: 99%

Preoperative simulation using 3D-CT angiography in splenic flexure colon cancer: a retrospective observational study

Kawashima

Yamagishi

Mori

2022

Preprint

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Purpose: This study aimed to evaluate the extent of lymph node dissection (LND) determined using preoperative Three-dimensional computed tomography angiography (3D-CTA), in the management of splenic flexure colon cancer (SFC).Methods: In this retrospective observational study, sixty patients who underwent preoperative 3D-CTA and laparoscopic complete mesocolic excision for SFC between September 2012 and December 2021 were identified at a tertiary care center in Japan. Preoperative 3D-CTA was used to confirm the feeding arteries, following which the extent of LND was determined. Left hemicolectomy (LHC) was performed in cases requiring LND in the domains of the middle colic artery and left colic artery. In other cases, a partial colectomy (PC) that was defined as a segmental resection of the splenic flexure with LND in the domains of the feeding arterie(s) was performed. Surgical and oncological outcomes were compared between PC and LHC.Results: Preoperative 3D-CTA enabled the evaluation of the feeding artery in all patients. PC was performed in 51 patients (85.0%). Patients who underwent PC had a shorter operating time (P=0.04) and lesser blood loss (P=0.02). There was no difference in complications between the two groups. The number of harvested lymph nodes was lower in the PC group (P=0.008); however, the number of metastatic lymph nodes was comparable. There was no significant difference in the 3-year overall survival, as well as the 3-year disease free survival.Conclusions: Preoperative simulation using 3D-CTA has the potential to be useful in the identification of feeding arteries and determination of optimal extent of LND.Trial registration: The trial was registered with the UMIN Clinical Trials Registry, number UMIN000047600.

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Functional outcomes of surgery for colon cancer: A systematic review and meta-analysis

Verkuijl

Jonker

Trzpis

et al. 2021

European Journal of Surgical Oncology

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Introduction: As survival rates of colon cancer increase, knowledge about functional outcomes is becoming ever more important. The primary aim of this systematic review and meta-analysis was to quantify functional outcomes after surgery for colon cancer. Secondly, we aimed to determine the effect of time to follow-up and type of colectomy on postoperative functional outcomes. Materials and methods: A systematic literature search was performed to identify studies reporting bowel function following surgery for colon cancer. Outcome parameters were bowel function scores and/or prevalence of bowel symptoms. Additionally, the effect of time to follow-up and type of resection was analyzed. Results: In total 26 studies were included, describing bowel function between 3 to 178 months following right hemicolectomy (n ¼ 4207), left hemicolectomy/sigmoid colon resection (n ¼ 4211), and subtotal/ total colectomy (n ¼ 161). In 16 studies (61.5%) a bowel function score was used. Pooled prevalence for liquid and solid stool incontinence was 24.1% and 6.9%, respectively. The most prevalent constipationassociated symptoms were incomplete evacuation and obstructive, difficult emptying (33.3% and 31.4%, respectively). Major Low Anterior Resection Syndrome was present in 21.1%. No differences between time to follow-up or type of colectomy were found. Conclusion: Bowel function problems following surgery for colon cancer are common, show no improvement over time and do not depend on the type of colectomy. Apart from fecal incontinence, constipation-associated symptoms are also highly prevalent. Therefore, more attention should be paid to all possible aspects of bowel dysfunction following surgery for colon cancer and targeted treatment should commence promptly.

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The feasibility and safety of complete laparoscopic extended right hemicolectomy with preservation of the ileocecal junction in right-transverse colon cancer

Cited by 4 publications

References 24 publications

Optimal surgical approach for mid-transverse colon cancer: a systematic review and meta-analysis

Optimal surgical approach for mid-transverse colon cancer: a systematic review and meta-analysis

Preoperative simulation using 3D-CT angiography in splenic flexure colon cancer: a retrospective observational study

Functional outcomes of surgery for colon cancer: A systematic review and meta-analysis

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