Annals of Coloproctology

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Original Article

Short-term Outcomes of Hand-Assisted Laparoscopic Surgery vs. Open Surgery on Right Colon Cancer: A Case-Controlled Study: Jae-Hoon Sim, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang; Ann Coloproctol. 2013;29(2):72-76. Published online April 30, 2013; DOI: https://doi.org/10.3393/ac.2013.29.2.72

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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.

Methods

Sixteen 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.

Results

The 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.

Conclusion

The 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.

Citations

Citations to this article as recorded by

Evaluating the learning curves and surgical outcomes of natural orifice specimen extraction surgery (NOSES) for colorectal cancer: A retrospective analysis from a National Registry
Yunxiao Liu, Xu Guan, Qing Xu, Taiyuan Li, Yangchun Zheng, Chuangang Fu, Sergey Efetov, Xishan Wang, Guiyu Wang
Colorectal Disease.2025;[Epub] CrossRef
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

Case Reports

Oxaliplatin-induced Pulmonary Fibrosis: Two Case Reports: Chun-Geun Ryu, Eun-Joo Jung, Gangmi Kim, Su Ran Kim, Dae-Yong Hwang; J Korean Soc Coloproctol. 2011;27(5):266-269. Published online October 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.5.266

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32 Download
8 Citations

Abstract PDF

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

Citations to this article as recorded by

The intervention of B. longum metabolites in Fnevs' carcinogenic capacity: A potential double-edged sword
Jingyu Xu, Xinyu Wu, Luyi Yang, Xiaoxi Xu
Experimental Cell Research.2025; 445(1): 114407. CrossRef
Oxaliplatin-Induced Pulmonary Fibrosis: A Rare but Fatal Reality
Kinnera Sahithi Urlapu, Dmitry Lvovsky
Cureus.2023;[Epub] CrossRef
Pulmonary Fibrosis Secondary to Oxaliplatin Treatment: From Rarity to Reality: A Case Study and Literature Review
Ana C. Moreira, João Portela, Carlos Couto, José Duarte, Natália Martins, Jorge Soares
Oncology and Therapy.2020; 8(2): 183. CrossRef
A case report of acute pulmonary hypertension after hyperthermic intraperitoneal chemotherapy (HIPEC) and review of the literature
Thomas S. Zajonz, Michael Sander, Winfried Padberg, Andreas Hecker, Ruediger Hörbelt, Christian Koch, Emmanuel Schneck
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
Annick De Weerdt, Amélie Dendooven, Annemie Snoeckx, Jan Pen, Martin Lammens, Philippe G. Jorens
BMC Cancer.2017;[Epub] CrossRef
Oxaliplatin-Induced Pulmonary Toxicity in Gastrointestinal Malignancies: Two Case Reports and Review of the Literature
Mor Moskovitz, Mira Wollner, Nissim Haim
Case Reports in Oncological Medicine.2015; 2015: 1. CrossRef
Pulmonary Fibrosis Secondary to FOLFOX Chemotherapy: A Case Report
Wai Cheong Soon, Kate West, David Gibeon, Elizabeth Frances Bowen
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: Eun-Joo Jung, Chun-Geun Ryu, Gangmi Kim, Dae-Yong Hwang; J Korean Soc Coloproctol. 2010;26(4):298-301. Published online August 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.4.298

7,789 View
54 Download
1 Citations

Abstract PDF

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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