- Clinical Significance of Preoperative Virtual Colonoscopy for Evaluation of the Proximal Colon in Patient With Obstructive Colorectal Cancer
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Jae-Hyuk Heo, Chun-Geun Ryu, Eun-Joo Jung, Jin-Hee Paik, Dae-Yong Hwang
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Ann Coloproctol. 2017;33(4):130-133. Published online August 31, 2017
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DOI: https://doi.org/10.3393/ac.2017.33.4.130
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Virtual colonoscopy is the most recently developed tool for detecting colorectal cancers and polyps, but its effectiveness is limited. In our study, we compared the result of preoperative virtual colonoscopy to result of preoperative and postoperative colonoscopy. We evaluated also the accuracy of preoperative virtual colonoscopy in patients who had obstructive colorectal cancer that did not allow passage of a colonoscope. MethodsA total of 164 patients who had undergone preoperative virtual colonoscopy and curative surgery after the diagnosis of a colorectal adenocarcinoma between November 2008 and August 2013 were pooled. We compared the result of conventional colonoscopy with that of virtual colonoscopy in the nonobstructive group and the results of preoperative virtual colonoscopy with that of postoperative colonoscopy performed at 6 months after surgery in the obstructive group. ResultsOf the 164 patients, 108 were male and 56 were female patients. The mean age was 62.7 years. The average sensitivity, specificity, and accuracy of virtual colonoscopy for all patients were 31.0%, 67.2%, and 43.8%, respectively. In the nonobstructive group, the average sensitivity, specificity, and accuracy were 36.6%, 66.2%, and 48.0%, respectively, whereas in the obstructive group, they were 2%, 72.4%, and 25.4%. Synchronous cancer was detected via virtual colonoscopy in 4 of the 164 patients. ConclusionVirtual colonoscopy may not be an effective method for the detection of proximal colon polyps, but it can be helpful in determining the therapeutic plan when its results are correlated with the results of other studies.
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Citations
Citations to this article as recorded by  - Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment
Hyo Seon Ryu, Hyun Jung Kim, Woong Bae Ji, Byung Chang Kim, Ji Hun Kim, Sung Kyung Moon, Sung Il Kang, Han Deok Kwak, Eun Sun Kim, Chang Hyun Kim, Tae Hyung Kim, Gyoung Tae Noh, Byung-Soo Park, Hyeung-Min Park, Jeong Mo Bae, Jung Hoon Bae, Ni Eun Seo, Cha
Annals of Coloproctology.2024; 40(2): 89. CrossRef - Application of Virtual Endoscopy in Microvascular Decompression of Trigeminal Neuralgia
Wenbin Wei, Zhiyang Liu, Weijie Zhang, Yiwen Wang, Minjie Chen
Journal of Craniofacial Surgery.2021; 32(5): 1696. CrossRef - Performance of CT Colonography in Diagnosis of Synchronous Colonic Lesions in Patients With Occlusive Colorectal Cancer
Nicola Flor, Andrea Pisani Ceretti, Carmelo Luigiano, Pietro Brambillasca, Anna Paola Savoldi, Clemente Verrusio, Daris Ferrari
American Journal of Roentgenology.2020; 214(2): 348. CrossRef - Synchronous colorectal cancer using CT colonography vs. other means: a systematic review and meta-analysis
Nicola Flor, Edoardo Zanchetta, Giovanni Di Leo, Miriam Mezzanzanica, Massimiliano Greco, Gianpaolo Carrafiello, Francesco Sardanelli
Abdominal Radiology.2018; 43(12): 3241. CrossRef - Correlation between microsatellite instability and RAS gene mutation and stage Ⅲ colorectal cancer
Wenbo Niu, Guiying Wang, Jun Feng, Zheng Li, Chenhui Li, Baoen Shan
Oncology Letters.2018;[Epub] CrossRef
- Detection of Polyps After Resection of Colorectal Cancer
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Jin-Hee Paik, Eun-Joo Jung, Chun-Geun Ryu, Dae-Yong Hwang
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Ann Coloproctol. 2015;31(5):182-186. Published online October 31, 2015
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DOI: https://doi.org/10.3393/ac.2015.31.5.182
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5,170
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8
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- Purpose
Because colonoscopy after colorectal cancer surgery is important for detecting synchronous or metachronous colorectal neoplasms, we designed this study to investigate, by using postoperative colonoscopy, the miss rate for and the location of polyps remaining after colorectal cancer surgery. MethodsIn a prospectively-collected patient database, 264 patients were shown to have undergone a colorectal cancer resection between May 2012 and June 2013. Of these, 116 who had received a complete colonoscopy preoperatively and postoperatively were included in this study. ResultsOf these 116 patients, 68 were males and 48 were females; their mean age was 63 years. The mean time after surgery at which postoperative colonoscopy was performed was 7.1 months (range, 3-15 months). On postoperative colonoscopy, a total of 125 polyps were detected. Of these, there were no cancerous lesions; 46 (36.8%) were neoplastic polyps, and 79 (63.2%) were nonneoplastic polyps. Fifty-nine polyps (47.2%) and 15 polyps (12%) were located in the proximal and the distal parts of the anastomosis, respectively. The miss rates for the total numbers of polyps and of neoplastic polyps remaining after surgery were 37.4% and 24.2%, respectively. The incidence of neoplastic polyps increased during postoperative colonoscopy as it had during preoperative colonoscopy (r = 0.164, P = 0.048). ConclusionColonoscopic surveillance after colorectal cancer resection results in the detection of pathologic polyps in one-fourth of the cases. During postoperative colonoscopy, careful examination of the proximal colon is necessary. Patients in whom multiple neoplastic polyps had been detected during preoperative colonoscopy require careful and thorough follow-up.
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Citations
Citations to this article as recorded by - Bile acids as carcinogens in the colon and at other sites in the gastrointestinal system
Harris Bernstein, Carol Bernstein
Experimental Biology and Medicine.2023; 248(1): 79. CrossRef - Current status of water-assisted colonoscopy
Jun-Quan Shen
World Chinese Journal of Digestology.2020; 28(22): 1162. CrossRef - Resting heart rate is an independent predictor of advanced colorectal adenoma recurrence
Jihye Park, Jae Hyun Kim, Yehyun Park, Soo Jung Park, Jae Hee Cheon, Won Ho Kim, Ji Soo Park, Justin Y. Jeon, Tae Il Kim, John Green
PLOS ONE.2018; 13(3): e0193753. CrossRef - A Study of Metachronous Colorectal Neoplasms after Colorectal Cancer Resection Detected by Surveillance Colonoscopy
Seiji Kimura, Masanori Tanaka, Shinsaku Fukuda
Nippon Daicho Komonbyo Gakkai Zasshi.2017; 70(3): 149. CrossRef - Kolon polipleri sayı ve büyüklüğü malignite göstergesi olabilir mi?
Abdurahman ŞAHİN, Nurettin TUNÇ, Salih KILIÇ, Gökhan ARTAŞ, Ulvi DEMİREL, Orhan K. POYRAZOĞLU, İbrahim H. BAHÇECİOĞLU, Mehmet YALNIZ
Endoskopi Gastrointestinal.2017; : 14. CrossRef - The Effects of Physical Activity and Body Fat Mass on Colorectal Polyp Recurrence in Patients with Previous Colorectal Cancer
Jihye Park, Jae Hyun Kim, Hyun Jung Lee, Soo Jung Park, Sung Pil Hong, Jae Hee Cheon, Won Ho Kim, Ji Soo Park, Justin Y. Jeon, Tae Il Kim
Cancer Prevention Research.2017; 10(8): 478. CrossRef - Frequency of colonic adenomatous polyps in a tertiary hospital in Mumbai
Anjali D. Amarapurkar, Prachi Nichat, Nitin Narawane, Deepak Amarapurkar
Indian Journal of Gastroenterology.2016; 35(4): 299. CrossRef - Surveillance Colonoscopy After a Resection of Colorectal Cancer
Byung Chun Kim
Annals of Coloproctology.2015; 31(5): 170. CrossRef
- Insertion of Totally Implantable Central Venous Access Devices by Surgeons
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Hyeonjun An, Chun-Geun Ryu, Eun-Joo Jung, Hyun Jong Kang, Jin Hee Paik, Jung-Hyun Yang, Dae-Yong Hwang
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Ann Coloproctol. 2015;31(2):63-67. Published online April 30, 2015
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DOI: https://doi.org/10.3393/ac.2015.31.2.63
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5,267
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The aim of this study is to evaluate the results for the insertion of totally implantable central venous access devices (TICVADs) by surgeons. MethodsTotal 397 patients, in whom TICVADs had been inserted for intravenous chemotherapy between September 2008 and June 2014, were pooled. This procedure was performed under local anesthesia in an operation room. The insertion site for the TICVAD was mainly in the right-side subclavian vein. In the case of breast cancer patients, the subclavian vein opposite the surgical site was used for insertion. ResultsThe 397 patients included 73 males and 324 females. Primary malignant tumors were mainly colorectal and breast cancer. The mean operation time was 54 minutes (18-276 minutes). Operation-related complications occurred in 33 cases (8.3%). Early complications developed in 15 cases with catheter malposition and puncture failure. Late complications, which developed after 24 hours, included inflammation in 6 cases, skin necrosis in 6 cases, hematoma in 3 cases, port malfunction in 1 case, port migration in 1 case, and intractable pain at the port site in 1 case. Conclusion Insertion of a TICVAD under local anesthesia by a surgeon is a relatively safe procedure. Meticulous undermining of the skin and carefully managing the TICVAD could minimize complications.
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Citations
Citations to this article as recorded by - Implantable catheter chambers: a 14-year descriptive study
Anas Erragh, Salma Bellaftouh, Safia Chaabi, Yassine Hafiani, Afak Nsiri, Rachid Alharrar
memo - Magazine of European Medical Oncology.2025; 18(1): 56. CrossRef - Vascular access device type for systemic anti-cancer therapies in cancer patients: A scoping review
C. Duggan, O. Hernon, R. Dunne, V. McInerney, S.R. Walsh, A. Lowery, M. McCarthy, P.J. Carr
Critical Reviews in Oncology/Hematology.2024; 196: 104277. CrossRef - Machine learning risk prediction model for bloodstream infections related to totally implantable venous access ports in patients with cancer
Fan Wang, Yanyi Zhu, Lijuan Wang, Caiying Huang, Ranran Mei, Li-e Deng, Xiulan Yang, Yan Xu, Lingling Zhang, Min Xu
Asia-Pacific Journal of Oncology Nursing.2024; 11(8): 100546. CrossRef - Catheter malposition analysis of totally implantable venous access port in breast cancer patients
Wenbo Liu, Qingzheng Han, Lin Li, Jiangrui Chi, Xinwei Liu, Yuanting Gu
Frontiers in Surgery.2023;[Epub] CrossRef - Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
ANNA MARIA GARCIA CARDOSO, FERNANDA SANTOS WENGROVER, ALINE WÜRZIUS, MARINA PUERARI PIETA, RAFFAELA NASCIMENTO DE CARLI, CARLOS EDUARDO BASTIAN DA-CUNHA, RICARDO BREIGEIRON
Revista do Colégio Brasileiro de Cirurgiões.2022;[Epub] CrossRef - Sağ Atriumdan Sağ Juguler Vene Yolculuk: Nadir Bir Port Kateter Komplikasyonu
Orhan ÜREYEN, Hüseyin FENERCİOĞLU, Demet ALAY, İlhan DURSUN, Enver İLHAN
Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi.2021; 54(1): 148. CrossRef - Forty years after the first totally implantable venous access device (TIVAD) implant: the pure surgical cut-down technique only avoids immediate complications that can be fatal
Adriana Toro, Elena Schembari, Emanuele Gaspare Fontana, Salomone Di Saverio, Isidoro Di Carlo
Langenbeck's Archives of Surgery.2021; 406(6): 1739. CrossRef - An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
Se-Beom Jeon, Youngbae Jeon, Kyoung-Won Han, Yong-Soon Chun, Jeong-Heum Baek
Korean Journal of Clinical Oncology.2021; 17(1): 15. CrossRef - Totally implantable venous access devices
Swapnil Patel, Preeti Vijayakumaran
Cancer Research, Statistics, and Treatment.2021; 4(3): 536. CrossRef - Long-Term Management of Vascular Access Ports in Nonhuman Primates Used in Preclinical Efficacy and Tolerability Studies
Lucas A. Mutch, Samuel T. Klinker, Jody J. Janecek, Melanie N. Niewinski, Rachael M. Z. Lee, Melanie L. Graham
Journal of Investigative Surgery.2020; 33(6): 493. CrossRef - Validation of a questionnaire of knowledge and attitudes about the subcutaneous venous reservoir in nursing
Roberto Raña-Rocha, Ignacio López-de-Ullibarri, María-Jesús Movilla-Fernández, Carmen Coronado Carvajal
Revista Latino-Americana de Enfermagem.2020;[Epub] CrossRef - Comparison of Care Outcomes Between Two Methods of Drug Injection Through Ports and Peripheral Veins in Patients Undergoing Chemotherapy
Seied Hashem Mosavi, Nasrin Elahi, Marziyeh Asadizaker, Ahmad Ahmadzadeh Deilami
Jundishapur Journal of Chronic Disease Care.2020;[Epub] CrossRef - Supraclavicular versus infraclavicular approach in inserting totally implantable central venous access for cancer therapy: A comparative retrospective study
Amine Souadka, Hajar Essangri, Imad Boualaoui, Abdelilah Ghannam, Amine Benkabbou, Laila Amrani, Raouf Mohsine, Mohammed Anass Majbar, Robert Jeenchen Chen
PLOS ONE.2020; 15(11): e0242727. CrossRef - Ultrasound‐guided totally implantable venous access device through the right innominate vein in older patients is safe and reliable
Xingwei Sun, Yu Zhang, Chuanlai Yang, Yubin Zhou, Xuming Bai, Weiwei Zheng, Yong Jin
Geriatrics & Gerontology International.2019; 19(3): 218. CrossRef - An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein
Ahmet Yüksel, Yusuf Velioğlu, Mustafa Enes Demirel, Erhan Renan Uçaroğlu
Journal of Surgery and Medicine.2019;[Epub] CrossRef - Usefulness of Percutaneous Puncture in Insertion of Totally Implantable Venous Access Devices in Pediatric Patients
Jung Sik Choi, Keun-Myoung Park, Sungteak Jung, Kee Chun Hong, Yong Sun Jeon, Soon Gu Cho, Yun-Mee Choe
Vascular Specialist International.2017; 33(3): 108. CrossRef - Reply on "What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?"
Eun-Joo Jung, Dae-Yong Hwang
Annals of Coloproctology.2015; 31(4): 165. CrossRef - Commentary on "Insertion of Totally Implantable Central Venous Access Devices by Surgeons" - What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?
Adriana Toro, Gaetano Bertino, Annalisa Ardiri, Isidoro Di Carlo
Annals of Coloproctology.2015; 31(4): 163. CrossRef
- Is Microsatellite Instability Really a Good Prognostic Factor of Colorectal Cancer?
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Ui Sup Shin, Sang Sik Cho, Sun Mi Moon, Sun Hoo Park, Sun Hee Jee, Eun-Joo Jung, Dae-Yong Hwang
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Ann Coloproctol. 2014;30(1):28-34. Published online February 28, 2014
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DOI: https://doi.org/10.3393/ac.2014.30.1.28
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4,978
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The aim of this study was to investigate the clinicopathologic features of and the prognosis for colorectal cancers (CRCs) with microsatellite instabilities (MSIs). MethodsBetween 2006 and 2009, genotyping was performed on 245 patients with stage II/III CRCs to establish the MSI status. The clinicopathologic differences and the prognostic value of MSI were analyzed. The median follow-up period was 38 months (range, 7-68 months). ResultsOf the total 245 patients, 20 (8.2%) had MSI-high (H) and 225 (91.8%) had MSI-low (L) or stable (S) CRCs. Adjuvant chemotherapies were performed on 101 stage II (87.8%) and 107 stage III patients (82.3%). Patients with MSI-H CRCs more frequently had a family history of colon cancer (10% vs. 2.7%, P = 0.003), more frequently had a cancer located at the proximal colon (90.0% vs. 19.1%, P < 0.0001), and more often showed a mucinous phenotype or poor differentiation (35.0% vs. 7.1%, P = 0.001). Despite less frequent lymph node metastasis (25% vs. 55.6%, P = 0.01), the number of retrieved lymph nodes was higher (26.3 ± 13.1 vs. 20.7 ± 1.2, P = 0.04) in the MSI-H group. The overall survival and the disease-free survival (DFS) did not differ with respect to MSI status. However, in the stage II subgroup, the DFS for patients with MSI-H CRCs was significantly worse (72.2% vs. 90.7%, P = 0.03). The multivariate analysis performed on this subgroup revealed that MSI-H was an independent poor prognostic factor (adjusted hazard ratio, 4.0; 95% confidence interval, 1.0-15.6, P = 0.046). ConclusionMSI-H CRCs had distinct clinicopathologic features, and MSI-H was an independent poor prognostic factor in stage II CRCs. Considering the majority of stage II patients were administrated adjuvant chemotherapy, the efficacy of adjuvant chemotherapy for treating MSI CRCs might be different from that for treating MSI-L/S tumors.
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Citations
Citations to this article as recorded by
- Short-term Outcomes of Hand-Assisted Laparoscopic Surgery vs. Open Surgery on Right Colon Cancer: A Case-Controlled Study
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Jae-Hoon Sim, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang
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Ann Coloproctol. 2013;29(2):72-76. Published online April 30, 2013
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DOI: https://doi.org/10.3393/ac.2013.29.2.72
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8,554
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41
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13
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Abstract
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- Purpose
This study was designed to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery with open surgery for right colon cancer. MethodsSixteen patients who underwent a hand-assisted laparoscopic right hemicolectomy (HAL-RHC group) and 33 patients who underwent a conventional open right hemicolectomy (open group) during the same period were enrolled in this study with a case-controlled design. ResultsThe operation time was 217 minutes in the HAL-RHC group and 213 minutes in the open group (P = 0.389). The numbers of retrieved lymph nodes were similar between the two groups (31 in the HAL-RHC group and 36 in the open group, P = 0.737). Also, there were no significant difference in the incidence of immediate postoperative leukocytosis, the administration of additional pain killers, and the postoperative recovery parameters. First flatus was shown on postoperative days 3.5 in the HAL-RHC group and 3.4 in the open group (P = 0.486). Drinking water and soft diet were started on postoperative days 4.8 and 5.9, respectively, in the HAL-RHC group and similarly 4.6 and 5.6 in the open group (P = 0.402 and P = 0.551). The duration of hospital stay was shorter in the HAL-RHC group than in the open group (10.3 days vs. 13.5 days, P = 0.048). No significant difference in the complication rates was shown between the two groups, and no postoperative mortality was encountered in either group. ConclusionThe patients with right colon cancer in the HAL-RHC group had similar pathologic and postoperative recovery parameters to those of the patients in the open group. The patients in the HAL-RHC group had shorter hospital stays than those in the open group. Therefore, hand-assisted laparoscopic right hemicolectomy for right-sided colon cancer is feasible.
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Citations
Citations to this article as recorded by - Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim
Annals of Coloproctology.2021; 37(6): 434. CrossRef - A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer
Mohamed Ali Chaouch, Mohamed Wejih Dougaz, Meriem Mesbehi, Hichem Jerraya, Ramzi Nouira, Jim S. Khan, Chadli Dziri
World Journal of Surgical Oncology.2020;[Epub] CrossRef - Laparoscopic right-sided colon resection for colon cancer—has the control group so far been chosen correctly?
Jörg O. W. Pelz, Johanna Wagner, Sven Lichthardt, Johannes Baur, Caroline Kastner, Niels Matthes, Christoph-Thomas Germer, Armin Wiegering
World Journal of Surgical Oncology.2018;[Epub] CrossRef - Hand-assisted Laparoscopy: Expensive but Considerable Step Between Laparoscopic and Open Colectomy
Baris Gulcu, Ozgen Isik, Ersin Ozturk, Tuncay Yilmazlar
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2018; 28(4): 214. CrossRef - Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang
Medicine.2017; 96(33): e7794. CrossRef - Comparison of hand-assisted laparoscopic surgery (HALS) and conventional laparotomy in patients with colorectal cancer: Final results from a single center
Takayuki Tajima, Masaya Mukai, Daiki Yokoyama, Shigeo Higami, Shuji Uda, Sayuri Hasegawa, Eiji Nomura, Sotaro Sadahiro, Seiei Yasuda, Hiroyasu Makuuchi
Oncology Letters.2017; 13(6): 4953. CrossRef - Hand‐assisted laparoscopic colorectal surgery with double‐glove technique
Hernán Vaccarezza, Axel Sahovaler, Víctor Im, Gustavo Rossi, Carlos Vaccaro
Surgical Practice.2016; 20(3): 124. CrossRef - Laparoscopic resection of right colon cancer—a matched pairs analysis
M. Zimmermann, C. Benecke, C. Jung, M. Hoffmann, J. Nolde, E. Schlöricke, H. P. Bruch, T. Keck, T. Laubert
International Journal of Colorectal Disease.2016; 31(7): 1291. CrossRef - Comparative Study on Therapeutic Efficacy Between Hand-Assisted Laparoscopic Surgery and Conventional Laparotomy for Acute Obstructive Right-Sided Colon Cancer
Zhengrong Li, Daojiang Li, Zhigang Jie, Guoyang Zhang, Yi Liu
Journal of Laparoendoscopic & Advanced Surgical Techniques.2015; 25(7): 548. CrossRef - Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for rectal cancer: Interim results from a single center
TAKAYUKI TAJIMA, MASAYA MUKAI, WATARU NOGUCHI, SHIGEO HIGAMI, SHUUJI UDA, SOUICHIROU YAMAMOTO, SAYURI HASEGAWA, EIJI NOMURA, SOTARO SADAHIRO, SEIEI YASUDA, HIROYASU MAKUUCHI
Molecular and Clinical Oncology.2015; 3(3): 533. CrossRef - Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo
Surgical Endoscopy.2014; 28(10): 2998. CrossRef - Comparison of hand-assisted laparoscopic surgery and conventional laparotomy for colorectal cancer: Interim results from a single institution
TAKAYUKI TAJIMA, MASAYA MUKAI, MASASHI YAMAZAKI, SHIGEO HIGAMI, SOUICHIROU YAMAMOTO, SAYURI HASEGAWA, EIJI NOMURA, SOTARO SADAHIRO, SEIEI YASUDA, HIROYASU MAKUUCHI
Oncology Letters.2014; 8(2): 627. CrossRef - Should Hand-Assisted Laparoscopic Surgery Be Placed in the Realm of Minimally Invasive Surgery?
Hungdai Kim
Annals of Coloproctology.2013; 29(2): 42. CrossRef
- Feasibility of Hand-Assisted Laparoscopic Surgery as Compared to Open Surgery for Sigmoid Colon Cancer: A Case-Controlled Study
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Sang Eun Nam, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Dae-Yong Hwang
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Ann Coloproctol. 2013;29(1):17-21. Published online February 28, 2013
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DOI: https://doi.org/10.3393/ac.2013.29.1.17
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4,039
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- Purpose
The aim of this study was to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery (HALS) with open surgery for sigmoid colon cancer. MethodsTwenty-six patients who underwent a hand-assisted laparoscopic anterior resection (HAL-AR group) and 52 patients who underwent a conventional open anterior resection during the same period were enrolled (open group) in this study with a case-controlled design. ResultsPathologic parameters were similar between the two groups. The incidences of immediate postoperative leukocytosis were 38.5% in the HAL-AR group and 69.2% in the open group (P = 0.009). There were no significant differences between the two groups as to leukocyte count, hemoglobin, and hematocrits (P = 0.758, P = 0.383, and P = 0.285, respectively). Of the postoperative recovery indicators, first flatus, sips of water and soft diet started on postoperative days 3, 5, 7 in the HALS group and on days 4, 5, 6 in the open group showed statistical significance (P = 0.021, P = 0.259, and P = 0.174, respectively). Administration of additional pain killers was needed for 1.2 days in the HAL-AR group and 2.4 days in the open group (P = 0.002). No significant differences in the durations of hospital stay and the rates of postoperative complications were noted, and no postoperative mortality was encountered in either group. ConclusionThe patients with sigmoid colon cancer who underwent a HAL-AR had a lower incidence of postoperative leukocytosis, less administration of pain killers, and faster first flatus than those who underwent open surgery. Clinical outcomes for patients' recovery and pathology status were similar between the two groups. Therefore, a HAL-AR for sigmoid colon cancer is feasible and has the same benefit as minimally invasive surgery.
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Citations
Citations to this article as recorded by - Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang
Medicine.2017; 96(33): e7794. CrossRef - Hand-Assisted Laparoscopic Surgery: A Versatile Tool for Colorectal Surgeons
Ju Yong Cheong, Christopher J. Young
Annals of Coloproctology.2017; 33(4): 125. CrossRef - Hand-assisted laparoscopic vs open colectomy: an assessment from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted cohort
Cigdem Benlice, Meagan Costedio, Luca Stocchi, Maher A. Abbas, Emre Gorgun
The American Journal of Surgery.2016; 212(5): 808. CrossRef - Learning curve for hand-assisted laparoscopic D2 radical gastrectomy
Jia-Qing Gong
World Journal of Gastroenterology.2015; 21(5): 1606. CrossRef - Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo
Surgical Endoscopy.2014; 28(10): 2998. CrossRef
- Incidence and Multiplicities of Adenomatous Polyps in TNM Stage I Colorectal Cancer in Korea
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Young-Sang Hong, Eun-Joo Jung, Chun-Geun Ryu, Gang-Mi Kim, Su-Ran Kim, Sung-Noh Hong, Dae-Yong Hwang
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J Korean Soc Coloproctol. 2012;28(4):213-218. Published online August 31, 2012
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DOI: https://doi.org/10.3393/jksc.2012.28.4.213
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In recent years, the incidence of early-stage colorectal cancer (CRC) has markedly increased in the population within the Republic of Korea. The aim of this study was to evaluate the clinicopathologic features of adenomatous polyps in TNM stage I CRC patients and in the general population. MethodsBetween March 2003 and September 2009, 168 patients with stage I CRC were enrolled in this study. In addition, the records of 4,315 members of the general population without CRC, as determined by colonoscopy during a health check-up, were reviewed. ResultsOf the 168 patients with stage I CRC, 68 (40.5%) had coexisting colorectal adenomatous polyps and of the 4,315 members of the general population, 1,112 (26.0%) had coexisting adenomatous polyps (P = 0.006). The prevalences of adenomatous polyp multiplicity in early CRC and in the general population were 32% and 15%, respectively (P = 0.023). Patients with coexisting adenomatous polyps had a higher frequency of tubulovillous or villous adenomas than members of the general population with polyps (7.5% vs. 2.0%, P = 0.037). Furthermore, a subgroup analysis showed that the occurrence (44% vs. 34%, P = 0.006) and the multiplicity (32% vs. 15%, P = 0.023) of adenomatous polyps were greater for T2 than T1 cancer. ConclusionThe prevalence and the multiplicity of adenomatous polyps in TNM stage I CRC is higher than it is in the general population. The findings of this study suggest that depth of invasion of early stage CRC affects the prevalence and the number of adenomatous polyps in the remaining colon and rectum.
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Citations
Citations to this article as recorded by - Risk factors of recurrence in TNM stage I colorectal cancer
Jin-Hee Paik, Chun-Geun Ryu, Dae-Yong Hwang
Annals of Surgical Treatment and Research.2023; 104(5): 281. CrossRef
- Oxaliplatin-induced Pulmonary Fibrosis: Two Case Reports
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Chun-Geun Ryu, Eun-Joo Jung, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang
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J Korean Soc Coloproctol. 2011;27(5):266-269. Published online October 31, 2011
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DOI: https://doi.org/10.3393/jksc.2011.27.5.266
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3,532
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Abstract
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Oxaliplatin with infusional 5-fluorouracil plus leucovorin (FOLFOX regimen) is the one of the standard chemotherapy regimens for treating a colorectal carcinoma. The most common side effects include neutropenia, diarrhea, vomiting and peripheral neuropathy, and these are moderate and manageable. However, pulmonary toxicity is rarely reported to be associated with the FOLFOX regimen. Moreover, there is no established guideline for the management of this side effect. Here, along with a literature review, we report two cases of rapidly developing pulmonary fibrosis related to the use of the FOLFOX regimen in patients with colorectal carcinomas. -
Citations
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Experimental Cell Research.2025; : 114407. CrossRef - Oxaliplatin-Induced Pulmonary Fibrosis: A Rare but Fatal Reality
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Annals of Medicine and Surgery.2018; 27: 26. CrossRef - Prognosis and treatment of FOLFOX therapy related interstitial pneumonia: a plea for multimodal immune modulating therapy in the respiratory insufficient patient
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Case Reports in Oncological Medicine.2015; 2015: 1. CrossRef - Pulmonary Fibrosis Secondary to FOLFOX Chemotherapy: A Case Report
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Case Reports in Oncology.2014; 7(3): 662. CrossRef - Granulomatous Lung Disease Requiring Mechanical Ventilation Induced by a Single Application of Oxaliplatin-Based Chemotherapy for Colorectal Cancer: A Case Report
Dane Wildner, Frank Boxberger, Axel Wein, Kerstin Wolff, Heinz Albrecht, Gudrun Männlein, Rolf Janka, Kerstin Amann, Jürgen Siebler, Werner Hohenberger, Markus F. Neurath, Richard Strauß
Case Reports in Oncological Medicine.2013; 2013: 1. CrossRef
- Impaction of a Foreign Body in the Rectum by Improper Use of a (Electronic) Massager: A Case Report
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Eun-Joo Jung, Chun-Geun Ryu, Gangmi Kim, Dae-Yong Hwang
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J Korean Soc Coloproctol. 2010;26(4):298-301. Published online August 31, 2010
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DOI: https://doi.org/10.3393/jksc.2010.26.4.298
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Abstract
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A male, 67 years old, visited the emergency room because of a foreign body impacted in his rectum. While he was being treated for grade-II hemorrhoids conservatively, he heard that massage of the peri-anal area could be helpful for preventing hemorrhoids. Thus, while using an electronic massager after placing the head of the machine into a short round bar, the head became separated from the machine, and this was inserted into the anus and impacted. The patient had anal discomfort without abdominal pain. His vital signs were stable, and no abnormal physical findings were found for the abdomen. On digital rectal examination, the rim of the foreign body was palpated about 8 cm from the anal verge. Anal bleeding, abnormal discharge, or foul odor was not found. On a simple abdominal X-ray, a radio-opaque foreign body was observed in the pelvic cavity, and mild leukocytosis was noted on the laboratory test. To avoid injury to the anal sphincter, we tried to remove the foreign body under the spinal anesthesia. After anesthesia had been administered, the foreign body was palpated more distally at 5-6 cm from the anal verge by digital examination, and the foreign body was found to have a hole in its center. This was held using a Kelly clamp, and with digital guiding, was removed through the anus. After removal, an anoscopic examination was performed to determine if mucosal injury had occurred in the rectum or anal canal. The patient was discharged without complication after 24 hours of close observation. -
Citations
Citations to this article as recorded by - Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong-Su Chu, Kyoung Sun Park, Dong Jin Choi
Yeungnam University Journal of Medicine.2015; 32(1): 31. CrossRef
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