Annals of Coloproctology

Reviews

Colorectal cancer

The role of lateral pelvic lymph node dissection in advanced rectal cancer: a review of current evidence and outcomes: Gyu-Seog Choi, Hye Jin Kim; Ann Coloproctol. 2024;40(4):363-374. Published online August 30, 2024; DOI: https://doi.org/10.3393/ac.2024.00521.0074

2,369 View
308 Download
1 Web of Science
1 Citations

Metastatic lateral pelvic lymph nodes (LPNs) in rectal cancer significantly impact the prognosis and treatment strategies. Western practices emphasize neoadjuvant chemoradiotherapy (CRT), whereas Eastern approaches often rely on LPN dissection (LPND). This review examines the evolving role of LPND in the context of modern treatments, including total neoadjuvant therapy (TNT), and the impact of CRT on the management of clinically suspicious LPNs. We comprehensively reviewed the key literature comparing the outcomes of LPND versus preoperative CRT for rectal cancer, focusing on recent advancements and ongoing debates. Key studies, including the JCOG0212 trial and recent multicenter trials, were analyzed to assess the efficacy of LPND, particularly in conjunction with preoperative CRT or TNT. Current evidence indicates that LPND can reduce local recurrence rates compared to total mesorectal excision alone in patients not receiving radiation therapy. However, the benefit of LPND in the context of neoadjuvant CRT is influenced by the size and pretreatment characteristics of LPNs. While CRT can effectively control smaller metastatic LPNs, larger or clinically suspicious LPNs may require LPND for optimal outcomes. Advances in surgical techniques, such as robotic-assisted LPND, offer potential benefits but also present challenges and complications. The role of TNT in controlling metastatic LPNs and improving patient outcomes is emerging but remains underexplored. The decision to perform LPND should be individualized based on patient-specific factors, including LPN size, response to neoadjuvant treatment, and surgeon expertise. Future research should focus on optimizing treatment protocols and further evaluating the role of TNT in managing metastatic LPNs.

Citations

Citations to this article as recorded by

From the Editor: Uniting expertise, a new era of global collaboration in coloproctology
In Ja Park
Annals of Coloproctology.2024; 40(4): 285. CrossRef

Clinical Implications of Lymph Node Metastasis in Colorectal Cancer: Current Status and Future Perspectives: Hye Jin Kim, Gyu–Seog Choi; Ann Coloproctol. 2019;35(3):109-117. Published online June 30, 2019; DOI: https://doi.org/10.3393/ac.2019.06.12

16,053 View
354 Download
44 Web of Science
44 Citations

Abstract PDF

Lymph node metastasis is regarded as an indubitable prognostic factor for predicting disease recurrence and survival in patients with colorectal cancer. Lymph node status based on examination of a resected specimen is a key element of the current staging system and is also a crucial factor to determine use of adjuvant chemotherapy after surgical resection. However, the current tumor-node-metastasis (TNM) staging system only incorporates the number of metastatic lymph nodes in the N category. Numerous attempts have been made to supplement this simplified N staging including lymph node ratio, distribution of metastatic lymph nodes, tumor deposits, or extracapsular invasion. In addition, several attempts have been made to identify more specific prognostic factors in resected colorectal specimens than lymph node status. In this review, we will discuss controversies in lymph node staging and factors that may influence survival beyond lymph node status.

Citations

Citations to this article as recorded by

TRAIL‐conjugated liposomes that bind natural killer cells to induce colorectal cancer cell apoptosis
Joshua D. Greenlee, Zhenjiang Zhang, Tejas Subramanian, Kevin Liu, Michael R. King
Journal of Biomedical Materials Research Part A.2024; 112(1): 110. CrossRef
Lymph Node Ratio as a Predictor of Survival for Colon Cancer: A Systematic Review and Meta-Analysis
Simarpreet Ichhpuniani, Tyler McKechnie, Jay Lee, Jeremy Biro, Yung Lee, Lily Park, Aristithes Doumouras, Dennis Hong, Cagla Eskicioglu
The American Surgeon™.2024; 90(4): 840. CrossRef
Acetone compression improves lymph node yield and metastasis detection in colorectal cancer
Christina Schnoz, Katrin Schmid, Guacimara Ortega Sanchez, Sabina Schacher-Kaufmann, Michel Adamina, Georgios Peros, Dieter Erdin, Peter Karl Bode
Clinical & Experimental Metastasis.2024; 41(1): 45. CrossRef
Computational methods for metastasis detection in lymph nodes and characterization of the metastasis-free lymph node microarchitecture: A systematic-narrative hybrid review
Elzbieta Budginaite, Derek R. Magee, Maximilian Kloft, Henry C. Woodruff, Heike I. Grabsch
Journal of Pathology Informatics.2024; 15: 100367. CrossRef
The Evolving Role of Artificial Intelligence in Gastrointestinal Histopathology: An Update
D. Chamil Codipilly, Shahriar Faghani, Catherine Hagan, Jason Lewis, Bradley J. Erickson, Prasad G. Iyer
Clinical Gastroenterology and Hepatology.2024; 22(6): 1170. CrossRef
INFLUENCE OF NEOADJUVANT THERAPY ON THE RATIO OF LYMPH NODES
Laura CREDIDIO, Carlos Augusto Real MARTINEZ, Daniéla Oliveira MAGRO, Rita Barbosa de CARVALHO, Maria de Lourdes Setsuko AYRIZONO, Cláudio Saddy Rodrigues COY
Arquivos de Gastroenterologia.2024;[Epub] CrossRef
National screening for colorectal cancer is associated with stage shift to earlier diagnosis
Mina Sarofim, Amir Ashrafizadeh, Anthony J. Gill, Keshani de Silva, Justin Evans, Stephen Clarke, Nick Pavlakis, Ian Norton, Alexander Engel
ANZ Journal of Surgery.2024; 94(7-8): 1279. CrossRef
Competing‐risks model for predicting the prognosis of patients with regressive melanoma based on the SEER database
Chaodi Huang, Liying Huang, Jianguo Huang, Xinkai Zheng, Congjun Jiang, Kong Ching Tom, U. Tim Wu, WenHsien Ethan Huang, Yunfei Gao, Fangmin Situ, Hai Yu, Liehua Deng, Jun Lyu
Malignancy Spectrum.2024; 1(2): 123. CrossRef
The Relationship between Tumor Budding and Tumor Deposits in Patients with Stage III Colorectal Carcinoma
Zdenko Bilić, Mario Zovak, Goran Glavčić, Dubravka Mužina, Amir Ibukić, Andro Košec, Davor Tomas, Alma Demirović
Journal of Clinical Medicine.2024; 13(9): 2583. CrossRef
Standardizing data collection in adjuvant colon cancer trials: A consensus project from the IDEA and ACCENT international consortia and national experts
Julien Taieb, Debora Basile, Jenny Seligmann, Guillem Argiles, Thierry André, Claire Gallois, Richard M. Goldberg, Greg Yothers, Alberto Sobrero, Jeffrey A. Meyerhardt, John Souglakos, Roberto Labianca, Tim Iveson, David N. Church, Dirk Arnold, Jeanne Tie
European Journal of Cancer.2024; 206: 114118. CrossRef
GLI1 and PTTG1 expression in colorectal carcinoma patients undergoing radical surgery and their correlation with lymph node metastasis
Feng Cao, Yang-Yan Chen, Hong-Cheng Wang
World Journal of Gastrointestinal Surgery.2024; 16(5): 1328. CrossRef
Application of radiomics for preoperative prediction of lymph node metastasis in colorectal cancer: A systematic review and Meta-analysis
Elahe Abbaspour, Sahand Karimzadhagh, Abbas Monsef, Farahnaz Joukar, Fariborz Mansour-Ghanaei, Soheil Hassanipour
International Journal of Surgery.2024;[Epub] CrossRef
A pathologist–AI collaboration framework for enhancing diagnostic accuracies and efficiencies
Zhi Huang, Eric Yang, Jeanne Shen, Dita Gratzinger, Frederick Eyerer, Brooke Liang, Jeffrey Nirschl, David Bingham, Alex M. Dussaq, Christian Kunder, Rebecca Rojansky, Aubre Gilbert, Alexandra L. Chang-Graham, Brooke E. Howitt, Ying Liu, Emily E. Ryan, Tr
Nature Biomedical Engineering.2024;[Epub] CrossRef
OPTIMIZATION OF THE DIAGNOSIS OF LYMPH NODE METASTASIS IN PATIENTS WITH COLORECTAL CANCER USING RADIOLOGICAL IMAGING METHODS
S.V. Maliborska, V.V. Holotiuk
Art of Medicine.2024; : 63. CrossRef
Low muscle mass-to-fat ratio is an independent factor that predicts worse overall survival and complications in patients with colon cancer: a retrospective single-center cohort study
Jiabao Tang, Jingwen Xu, Xiaohua Li, Chun Cao
Annals of Surgical Treatment and Research.2024; 107(2): 68. CrossRef
Biomarkers of lymph node metastasis in colorectal cancer: update
Xiao Zhu, Shui-quan Lin, Jun Xie, Li-hui Wang, Li-juan Zhang, Ling-ling Xu, Jian-guang Xu, Yang-bo Lv
Frontiers in Oncology.2024;[Epub] CrossRef
SURGICAL TREATMENT OF RECTAL CANCER WITH PRESERVATION OF THE LEFT COLIC ARTERY AND ICG NAVIGATION
S.V. Maliborska
Art of Medicine.2024; : 86. CrossRef
Role of Adjuvant Chemotherapy After Surgical Resection of Paraaortic Lymph Node Metastasis from Colorectal Cancer—A Multicenter Retrospective Study
Hiroaki Nozawa, Sono Ito, Kazuhito Sasaki, Koji Murono, Shigenobu Emoto, Yuichiro Yokoyama, Shinichi Yamauchi, Yusuke Kinugasa, Yoichi Ajioka, Soichiro Ishihara
Annals of Surgical Oncology.2024;[Epub] CrossRef
Survival outcomes after synchronous para‐aortic lymph node metastasis in colorectal cancer: A systematic review
Conor Aylward, Jawed Noori, Jack Tyrrell, Niall O'sullivan, Dara O. Kavanagh, John O. Larkin, Brian J. Mehigan, Paul H. McCormick, Michael E. Kelly
Journal of Surgical Oncology.2023; 127(4): 645. CrossRef
National assessment of lymph node status indicators & predictors in pediatric head and neck rhabdomyosarcomas in the US
David J. Fei-Zhang, Asher C. Park, Joseph M. Berry, Rebecca S. Arch, Daniel C. Chelius, Anthony M. Sheyn, Jeffrey C. Rastatter
International Journal of Pediatric Otorhinolaryngology.2023; 164: 111419. CrossRef
Increased Kremen2 predicts worse prognosis in colon cancer
Junxian Long, Fengyun Cong, Yousheng Wei, Jungang Liu, Weizhong Tang
Pathology and Oncology Research.2023;[Epub] CrossRef
Predictors and survival outcomes of having less than 12 harvested lymph nodes in proctectomy for rectal cancer
Sameh Hany Emile, Nir Horesh, Zoe Garoufalia, Rachel Gefen, Peige Zhou, Steven D. Wexner
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Lymph node metastasis in cancer progression: molecular mechanisms, clinical significance and therapeutic interventions
Haoran Ji, Chuang Hu, Xuhui Yang, Yuanhao Liu, Guangyu Ji, Shengfang Ge, Xiansong Wang, Mingsong Wang
Signal Transduction and Targeted Therapy.2023;[Epub] CrossRef
The Role of Nonmetastatic Lymph Nodes in the Survival of Colorectal Cancer: A Systematic Review
Alexander J. Pennings, Brecht A. van der Velden, Maximilian Kloft, Loes F. S. Kooreman, Jos M. P. Kleijnen, Stephanie O. Breukink, Geerard L. Beets, Heike I. Grabsch, Jarno Melenhorst
Annals of Surgery Open.2023; 4(4): e336. CrossRef
Multicenter study of prognostic factors in paraaortic lymph node dissection for metastatic colorectal cancer
Jun Woo Bong, Sanghee Kang, Pyoungjae Park
Annals of Surgical Treatment and Research.2023; 105(5): 271. CrossRef
Sequential Lateral Lymphatic Metastasis Shows Similar Oncologic Outcomes to Upward Spread in Advanced Rectal Cancer After Preoperative Chemoradiotherapy
Hye Jin Kim, Gyu-Seog Choi, Seung Hyun Cho, Min Kyu Kang, Jun Seok Park, Soo Yeun Park, Byung Woog Kang, Jong Gwang Kim
Diseases of the Colon & Rectum.2023;[Epub] CrossRef
Long-Term Outcomes of Surgical Resection of Pathologically Confirmed Isolated Para-Aortic Lymph Node Metastases in Colorectal Cancer: A Systematic Review
Maurizio Zizzo, Maria Pia Federica Dorma, Magda Zanelli, Francesca Sanguedolce, Maria Chiara Bassi, Andrea Palicelli, Stefano Ascani, Alessandro Giunta
Cancers.2022; 14(3): 661. CrossRef
Risk factors for long-term survival in patients with ypN+ M0 rectal cancer after radical anterior resection
Marcin Zeman, Władysław Skałba, Piotr Szymański, Grzegorz Hadasik, Dmytro Żaworonkow, Dominik A. Walczak, Agnieszka Czarniecka
BMC Gastroenterology.2022;[Epub] CrossRef
Watch and wait strategies for rectal cancer: A systematic review
In Ja Park
Precision and Future Medicine.2022; 6(2): 91. CrossRef
An unusual case of right-sided colon cancer with isolated lateral pelvic side wall lymph node metastases
Rishaan Pawaskar, James Wei Tatt Toh
Laparoscopic, Endoscopic and Robotic Surgery.2022; 5(3): 121. CrossRef
High-resolution MRI-based radiomics analysis to predict lymph node metastasis and tumor deposits respectively in rectal cancer
Yan-song Yang, Feng Feng, Yong-juan Qiu, Gui-hua Zheng, Ya-qiong Ge, Yue-tao Wang
Abdominal Radiology.2021; 46(3): 873. CrossRef
Extricating the Association Between the Prognostic Factors of Colorectal Cancer
Younis Mohd, Balamuralikrishnan Balasubramanian, Arun Meyyazhagan, Haripriya Kuchi Bhotla, Suresh Kumar Shanmugam, Mithun Kumar Ramesh Kumar, Manikantan Pappusamy, Karthick Kumar Alagamuthu, Sasikala Keshavarao, Vijaya Anand Arumugam
Journal of Gastrointestinal Cancer.2021; 52(3): 1022. CrossRef
Retrospective survival analysis of stage II–III rectal cancer: tumour regression grade, grading and lymphovascular invasion are the only predictors
Andrea Morini, Alfredo Annicchiarico, Andrea Romboli, Matteo Ricco', Pellegrino Crafa, Filippo Montali, Paolo Dell'Abate, Renato Costi
ANZ Journal of Surgery.2021;[Epub] CrossRef
Competitive Risk Analysis of Prognosis in Patients With Cecum Cancer: A Population-Based Study
Wentao Wu, Jin Yang, Daning Li, Qiao Huang, Fanfan Zhao, Xiaojie Feng, Hong Yan, Jun Lyu
Cancer Control.2021;[Epub] CrossRef
Increased Expression of VANGL1 is Predictive of Lymph Node Metastasis in Colorectal Cancer: Results from a 20-Gene Expression Signature
Noshad Peyravian, Stefania Nobili, Zahra Pezeshkian, Meysam Olfatifar, Afshin Moradi, Kaveh Baghaei, Fakhrosadat Anaraki, Kimia Nazari, Hamid Asadzadeh Aghdaei, Mohammad Reza Zali, Enrico Mini, Ehsan Nazemalhosseini Mojarad
Journal of Personalized Medicine.2021; 11(2): 126. CrossRef
Management of indeterminate hepatic nodules and evaluation of factors predicting their malignant potential in patients with colorectal cancer
Mizelle D’Silva, Jai Young Cho, Ho-Seong Han, Taupyk Yerlan, Yoo-Seok Yoon, Hae Won Lee, Jun Suh Lee, Boram Lee, Moonhwan Kim
Scientific Reports.2021;[Epub] CrossRef
Optimal Postoperative Surveillance Strategies for Colorectal Cancer: A Retrospective Observational Study
Min-Young Park, In-Ja Park, Hyo-Seon Ryu, Jay Jung, Min-Sung Kim, Seok-Byung Lim, Chang-Sik Yu, Jin-Cheon Kim
Cancers.2021; 13(14): 3502. CrossRef
Outcomes of Level of Ligation of Inferior Mesenteric Artery in Colorectal Cancer: a Systematic Review and Meta-Analysis
Pavan Kumar Jonnada, Monish Karunakaran, Dayakar Rao
Future Oncology.2021; 17(27): 3645. CrossRef
Gastrointestinal cancer classification and prognostication from histology using deep learning: Systematic review
Sara Kuntz, Eva Krieghoff-Henning, Jakob N. Kather, Tanja Jutzi, Julia Höhn, Lennard Kiehl, Achim Hekler, Elizabeth Alwers, Christof von Kalle, Stefan Fröhling, Jochen S. Utikal, Hermann Brenner, Michael Hoffmeister, Titus J. Brinker
European Journal of Cancer.2021; 155: 200. CrossRef
One-Step Nucleic Acid Amplification (OSNA) of Sentinel Lymph Node in Early-Stage Endometrial Cancer: Spanish Multicenter Study (ENDO-OSNA)
María Diestro, Alberto Berjón, Ignacio Zapardiel, Laura Yébenes, Irune Ruiz, Arantza Lekuona, Marta Rezola, Ibon Jaunarena, Jaime Siegrist, Margarita Sánchez-Pastor, María Cuadra, Amaia Sagasta, Isabel Guerra, Luis Lete, Fernando Roldán, Carlo Marta, Marí
Cancers.2021; 13(17): 4465. CrossRef
Deep learning can predict lymph node status directly from histology in colorectal cancer
Lennard Kiehl, Sara Kuntz, Julia Höhn, Tanja Jutzi, Eva Krieghoff-Henning, Jakob N. Kather, Tim Holland-Letz, Annette Kopp-Schneider, Jenny Chang-Claude, Alexander Brobeil, Christof von Kalle, Stefan Fröhling, Elizabeth Alwers, Hermann Brenner, Michael Ho
European Journal of Cancer.2021; 157: 464. CrossRef
Pathological Features and Prognostication in Colorectal Cancer
Kabytto Chen, Geoffrey Collins, Henry Wang, James Wei Tatt Toh
Current Oncology.2021; 28(6): 5356. CrossRef
Distant Metastasis in Colorectal Cancer Patients—Do We Have New Predicting Clinicopathological and Molecular Biomarkers? A Comprehensive Review
Stanislav Filip, Veronika Vymetalkova, Jiri Petera, Ludmila Vodickova, Ondrej Kubecek, Stanislav John, Filip Cecka, Marketa Krupova, Monika Manethova, Klara Cervena, Pavel Vodicka
International Journal of Molecular Sciences.2020; 21(15): 5255. CrossRef
Small Molecules for Multi-Wavelength Near-Infrared Fluorescent Mapping of Regional and Sentinel Lymph Nodes in Colorectal Cancer Staging
Victor M. Baart, Marion M. Deken, Mark W. Bordo, Shadhvi S. Bhairosingh, Daniela C. F. Salvatori, Hoon Hyun, Maged Henary, Hak Soo Choi, Cornelis F. M. Sier, Peter J. K. Kuppen, Anton G. T. Terwisscha van Scheltinga, Taryn L. March, Adrianus R. P. M. Vale
Frontiers in Oncology.2020;[Epub] CrossRef

Original Articles

Clinical Outcomes of a Redo for a Failed Colorectal or Coloanal Anastomosis: In Teak Woo, Jun Seok Park, Gyu-Seog Choi, Soo Yeun Park, Hye Jin Kim, In Kyu Park; Ann Coloproctol. 2018;34(5):259-265. Published online October 31, 2018; DOI: https://doi.org/10.3393/ac.2018.05.04

4,745 View
131 Download
12 Web of Science
13 Citations

Abstract PDF

Purpose
Redo surgery in patients with a persistent anastomotic failure (PAF) is a rare procedure, and data about this procedure are lacking. This study aimed to evaluate the surgical outcomes of redo surgery in such patients.
Methods
Patients who underwent a redo anastomosis for PAF from January 2004 to November 2016 were retrospectively evaluated. Data from a prospective colorectal database were analyzed. Success was defined as the combined absence of any anastomosis-related complications and a stoma at the last follow-up.
Results
A total of 1,964 patients who underwent curative surgery for rectal cancer during this study period were included. Among them, 32 consecutive patients underwent a redo anastomosis for PAF. Thirteen patients of those 32 had major anastomotic dehiscence with a pelvic sinus, 12 had a recto-vaginal fistula, and 7 had anastomosis stenosis. There were no postoperative deaths. The median operation time was 255 minutes (range, 80–480 minutes), and the median blood loss was 80 mL (range, 30–1,000 mL). The overall success rate was 78.1%, and the morbidity rate was 40.6%. Multivariable analyses showed that the primary tumor height at the lower level was the only statistically significant risk factor for redo surgery (P = 0.042; hazard ratio, 2.444).
Conclusion
In our experience, a redo anastomosis is a feasible surgical option that allows closure of a stoma in nearly 80% of patients. Lower tumor height (<5 cm from the anal verge) is the only independent risk factor for nonclosure of defunctioning stomas after primary rectal surgery.

Citations

Citations to this article as recorded by

Long-term Complications of Laparoscopic or Robotic Lateral Pelvic Node Dissection After Preoperative Chemoradiotherapy for Locally Advanced Rectal Cancer
Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park, Seung Ho Song, Sung Min Lee, Min Hye Jeong, Seung Hyun Cho
Diseases of the Colon & Rectum.2024;[Epub] CrossRef
Outcomes of redo for failed colorectal or coloanal anastomoses: a systematic review and meta-analysis
Ricardo Purchio Galletti, Gabriel Andrade Agareno, Lucas de Abreu Sesconetto, Rafael Benjamim Rosa da Silva, Rafael Vaz Pandini, Lucas Soares Gerbasi, Victor Edmond Seid, Sérgio Eduardo Alonso Araujo, Francisco Tustumi
Annals of Coloproctology.2023; 39(5): 375. CrossRef
Turnbull-Cutait Pull-Through Procedure Is an Alternative to Permanent Ostomy in Patients with Complex Pelvic Fistulas
Olga A. Lavryk, Carla F. Justiniano, Bethany Bandi1, Crinuta Floruta, Scott R. Steele, Tracy L. Hull
Diseases of the Colon & Rectum.2023;[Epub] CrossRef
Dealing with Complications of Colorectal Surgery Using the Transanal Approach—When and How?
K. Talboom, P. J. Tanis, W. A. Bemelman, R. Hompes
Clinics in Colon and Rectal Surgery.2022; 35(02): 155. CrossRef
Multimodal treatment of colorectal postsurgical leaks: long-term results of the over-the-scope clip (OTSC) application
Damiano CHIARI, Carlotta LA RAJA, Benedetto MANGIAVILLANO, Paolo VERONESI, Marco PLATTO, Walter ZULIANI
Minerva Surgery.2022;[Epub] CrossRef
Re-do laparoscopic esophagojejunostomy for anastomotic stenosis after laparoscopic total gastrectomy in gastric cancer
Dai Manaka, Sayuri Konishi, Hideo An, Kiyotaka Kawaguchi, Machi Yoneda, Masashi Fushitani, Takano Ota, Michina Morioka, Yusuke Okamura, Atsushi Ikeda, Naoya Sasaki, Shinya Hamasu, Ryuta Nishitai
Langenbeck's Archives of Surgery.2022; 407(7): 3133. CrossRef
Redo-laparoscopy in the management of complications after laparoscopic colorectal surgery: a systematic review and meta-analysis of surgical outcomes
P. Fransvea, G. Costa, L. D’Agostino, G. Sganga, A. Serao
Techniques in Coloproctology.2021; 25(4): 371. CrossRef
Transanal Minimally Invasive Surgery: An Effective Approach for Patients Who Require Redo Pelvic Surgery for Anastomotic Failure
Susanna S. Hill, Cristina R. Harnsberger, Sue J. Hahn, Paul R. Sturrock, Jennifer S. Davids, Karim Alavi, Justin A. Maykel
Diseases of the Colon & Rectum.2021; 64(3): 349. CrossRef
Re-Operative Laparoscopic Colorectal Surgery: A Systematic Review
Constantine Halkias, Athanasios Zoikas, Zoe Garoufalia, Michalis K. Konstantinidis, Argyrios Ioannidis, Steven Wexner
Journal of Clinical Medicine.2021; 10(7): 1447. CrossRef
Second redo surgery after two consecutive failures of a colorectal or coloanal anastomosis: is it reasonable?
Camélia Labiad, Marie Monsinjon, Massimo Giacca, Yves Panis
International Journal of Colorectal Disease.2021; 36(9): 2057. CrossRef
Treatment Modalities for Anastomotic Leakage in Rectal Cancer Surgery
Deborah S. Keller, K. Talboom, C.P.M van Helsdingen, Roel Hompes
Clinics in Colon and Rectal Surgery.2021; 34(06): 431. CrossRef
Optimal strategies of rectovaginal fistula after rectal cancer surgery
In Teak Woo, Jun Seok Park, Gyu-Seog Choi, Soo Yeun Park, Hye Jin Kim, Hee Jae Lee
Annals of Surgical Treatment and Research.2019; 97(3): 142. CrossRef
Safety of coloanal/ileoanal anastomosis during cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis: results of 20 consecutive patients
Ozgul Duzgun, Murat Kalin
Journal of International Medical Research.2019; 47(10): 4911. CrossRef

Comparison of Surgical Skills in Laparoscopic and Robotic Tasks Between Experienced Surgeons and Novices in Laparoscopic Surgery: An Experimental Study: Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park; Ann Coloproctol. 2014;30(2):71-76. Published online April 25, 2014; DOI: https://doi.org/10.3393/ac.2014.30.2.71

3,576 View
50 Download
39 Web of Science
35 Citations

Abstract PDF

Purpose

Robotic surgery is known to provide an improved technical ability as compared to laparoscopic surgery. We aimed to compare the efficiency of surgical skills by performing the same experimental tasks using both laparoscopic and robotic systems in an attempt to determine if a robotic system has an advantage over laparoscopic system.

Methods

Twenty participants without any robotic experience, 10 laparoscopic novices (LN: medical students) and 10 laparoscopically-experienced surgeons (LE: surgical trainees and fellows), performed 3 laparoscopic and robotic training-box-based tasks. This entire set of tasks was performed twice.

Results

Compared with LN, LEs showed significantly better performances in all laparoscopic tasks and in robotic task 3 during the 2 trials. Within the LN group, better performances were shown in all robotic tasks compared with the same laparoscopic tasks. However, in the LE group, compared with the same laparoscopic tasks, significantly better performance was seen only in robotic task 1. When we compared the 2 sets of trials, in the second trial, LN showed better performances in laparoscopic task 2 and robotic task 3; LE showed significantly better performance only in robotic task 3.

Conclusion

Robotic surgery had better performance than laparoscopic surgery in all tasks during the two trials. However, these results were more noticeable for LN. These results suggest that robotic surgery can be easily learned without laparoscopic experience because of its technical advantages. However, further experimental trials are needed to investigate the advantages of robotic surgery in more detail.

Citations

Citations to this article as recorded by

Laparoscopic but not open surgical skills can be transferred to robot‐assisted surgery: A systematic review and meta‐analysis
Mona W. Schmidt, Carolyn Fan, Karl F. Köppinger, Leon P. Schmidt, Anna Brechter, Eldrige F. Limen, Johannes A. Vey, Matthes Metz, Beat P. Müller‐Stich, Felix Nickel, Karl‐Friedrich Kowalewski
World Journal of Surgery.2024; 48(1): 14. CrossRef
Transferring laparoscopic skills to robotic-assisted surgery: a systematic review
Karishma Behera, Matthew McKenna, Laurie Smith, Gerard McKnight, James Horwood, Michael M. Davies, Jared Torkington, James Ansell
Journal of Robotic Surgery.2024;[Epub] CrossRef
Looking to the Future; Veterinary Robotic Surgery
Nicole J. Buote
Veterinary Clinics of North America: Small Animal Practice.2024; 54(4): 735. CrossRef
Gastrointestinal Stromal Tumors of the Stomach: Is There Any Advantage of Robotic Resections? A Systematic Review and Meta-Analysis
Carlo Alberto Schena, Andrea-Pierre Luzzi, Vito Laterza, Belinda De Simone, Filippo Aisoni, Paschalis Gavriilidis, Fausto Catena, Federico Coccolini, Francesca Morciano, Fausto Rosa, Francesco Marchegiani, Nicola de’Angelis
Journal of Laparoendoscopic & Advanced Surgical Techniques.2024; 34(7): 603. CrossRef
Robot-assisted versus laparoscopic short- and long-term outcomes in complete mesocolic excision for right-sided colonic cancer: a systematic review and meta-analysis
Pedja Cuk, Mohamad Jawhara, Issam Al-Najami, Per Helligsø, Andreas Kristian Pedersen, Mark Bremholm Ellebæk
Techniques in Coloproctology.2023; 27(3): 171. CrossRef
Force-based assessment of tissue handling skills in simulation training for robot-assisted surgery
A. Masie Rahimi, Sem F. Hardon, E. Willuth, F. Lang, Caelan M. Haney, Eleni A. Felinska, Karl-Friedrich Kowalewski, Beat P. Müller-Stich, Tim Horeman, F. Nickel, Freek Daams
Surgical Endoscopy.2023; 37(6): 4414. CrossRef
The future of robotics in the treatment of abdominal wall hernias: A narrative review
Estella Y Huang, Daniel Chung, Bryan J Sandler, Garth R Jacobsen, Santiago Horgan, Ryan C Broderick
International Journal of Abdominal Wall and Hernia Surgery.2023; 6(2): 81. CrossRef
Transfer of skills between laparoscopic and robot-assisted surgery: a systematic review
Pia Iben Pietersen, Peter Hertz, Rikke Groth Olsen, Louise Birch Møller, Lars Konge, Flemming Bjerrum
Surgical Endoscopy.2023; 37(12): 9030. CrossRef
Short-term and long-term efficacy in robot-assisted treatment for mid and low rectal cancer: a systematic review and meta-analysis
Huiming Wu, Renkai Guo, Huiyu Li
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Robotic-assisted cholecystectomy is superior to laparoscopic cholecystectomy in the initial training for surgical novices in an ex vivo porcine model: a randomized crossover study
E. Willuth, S. F. Hardon, F. Lang, C. M. Haney, E. A. Felinska, K. F. Kowalewski, B. P. Müller-Stich, T. Horeman, F. Nickel
Surgical Endoscopy.2022; 36(2): 1064. CrossRef
Minimally invasive pelvic exenteration for gynaecological malignancy: A single-centre case series and review of the literature
Rebecca Karkia, Anil Tailor, Patricia Ellis, Thumuluru Madhuri, Andrea Scala, James Read, Matthew Perry, Krishna Patil, Adam Blackburn, Simon Butler-Manuel, Jayanta Chatterjee
European Journal of Obstetrics & Gynecology and Reproductive Biology.2022; 274: 56. CrossRef
Patient-Related Functional Outcomes After Robotic-Assisted Rectal Surgery Compared With a Laparoscopic Approach: A Systematic Review and Meta-analysis
Julie Flynn, Jose T. Larach, Joseph C.H. Kong, Peadar S. Waters, Jacob J. McCormick, Satish K. Warrier, Alexander Heriot
Diseases of the Colon & Rectum.2022; 65(10): 1191. CrossRef
Transfer of open and laparoscopic skills to robotic surgery: a systematic review
Baldev Chahal, Abdullatif Aydın, Mohammad S. Ali Amin, Kelly Ong, Azhar Khan, Muhammad Shamim Khan, Kamran Ahmed, Prokar Dasgupta
Journal of Robotic Surgery.2022; 17(4): 1207. CrossRef
Robotic training for medical students: feasibility of a pilot simulation curriculum
Anya L. Greenberg, Shareef M. Syed, Adnan Alseidi, Patricia S. O’Sullivan, Hueylan Chern
Journal of Robotic Surgery.2022; 17(3): 1029. CrossRef
Can video games enhance surgical skills acquisition for medical students? A systematic review
Arnav Gupta, Bishoy Lawendy, Mitchell G. Goldenberg, Ethan Grober, Jason Y. Lee, Nathan Perlis
Surgery.2021; 169(4): 821. CrossRef
Robotic gastrointestinal surgery: learning curve, educational programs and outcomes
Charles C. Vining, Kinga B. Skowron, Melissa E. Hogg
Updates in Surgery.2021; 73(3): 799. CrossRef
Laparoscopic and Robotic Surgery for Endometrial and Cervical Cancer
C. Uwins, H. Patel, G. Prakash Bhandoria, S. Butler-Manuel, A. Tailor, P. Ellis, J. Chatterjee
Clinical Oncology.2021; 33(9): e372. CrossRef
Robotic and Endoscopic Approaches to Head and Neck Surgery
Andrew J. Holcomb, Jeremy D. Richmon
Hematology/Oncology Clinics of North America.2021; 35(5): 875. CrossRef
The learning curve in robotic colorectal surgery compared with laparoscopic colorectal surgery: a systematic review
Julie Flynn, José Tomás Larach, Joseph C. H. Kong, Peadar S. Waters, Satish K. Warrier, Alexander Heriot
Colorectal Disease.2021; 23(11): 2806. CrossRef
Robotics vs Laparoscopy—Are They Truly Rivals?
Natalie Liu, Jacob A. Greenberg
JAMA Surgery.2020; 155(5): 388. CrossRef
Robotic radical hysterectomy for stage 1B1 cervical cancer: A case series of survival outcomes from a leading UK cancer centre
Hersha Patel, Kavitha Madhuri, Thomas Rockell, Rugaia Montaser, Patricia Ellis, Jayanta Chatterjee, Simon Butler‐Manuel, Anil Tailor
The International Journal of Medical Robotics and Computer Assisted Surgery.2020;[Epub] CrossRef
A multi-modal approach to cognitive training and assistance in minimally invasive surgery
Tina Vajsbaher, Tim Ziemer, Holger Schultheis
Cognitive Systems Research.2020; 64: 57. CrossRef
Systematic review and meta‐analysis of robotic versus open hepatectomy
Daniel J. Wong, Michelle J. Wong, Gi Hong Choi, Yao Ming Wu, Paul B. Lai, Brian K. P. Goh
ANZ Journal of Surgery.2019; 89(3): 165. CrossRef
Objective assessment of robotic suturing skills with a new computerized system: A step forward in the training of robotic surgeons
Caleb Busch, Ryu Nakadate, Munenori Uemura, Satoshi Obata, Takahiro Jimbo, Makoto Hashizume
Asian Journal of Endoscopic Surgery.2019; 12(4): 388. CrossRef
Robotic-assisted versus laparoscopic major liver resection: analysis of outcomes from a single center
Mike Fruscione, Ryan Pickens, Erin H. Baker, Allyson Cochran, Adeel Khan, Lee Ocuin, David A. Iannitti, Dionisios Vrochides, John B. Martinie
HPB.2019; 21(7): 906. CrossRef
Soft Robotics in Minimally Invasive Surgery
Mark Runciman, Ara Darzi, George P. Mylonas
Soft Robotics.2019; 6(4): 423. CrossRef
Is the Caribbean ready for robotics?
Jorge Rabaza
International Journal of Surgery.2019; 72: 3. CrossRef
Robot-assisted cholecystectomy is a safe but costly approach: A national database review
Bhavani Pokala, Laura Flores, Priscila R. Armijo, Vishal Kothari, Dmitry Oleynikov
The American Journal of Surgery.2019; 218(6): 1213. CrossRef
Does Previous Laparoscopic Experience Influence Basic Robotic Surgical Skills?
Marcelo Pimentel, Renan Desimon Cabral, Márcio Machado Costa, Brasil Silva Neto, Leandro Totti Cavazzola
Journal of Surgical Education.2018; 75(4): 1075. CrossRef
Visuospatial abilities and fine motor experiences influence acquisition and maintenance of fundamentals of laparoscopic surgery (FLS) task performance
Cuan M. Harrington, Patrick Dicker, Oscar Traynor, Dara O. Kavanagh
Surgical Endoscopy.2018; 32(11): 4639. CrossRef
Distraction and proficiency in laparoscopy: 2D versus robotic console 3D immersion
Steven Kim, Audriene May, Heidi Ryan, Adnan Mohsin, Shawn Tsuda
Surgical Endoscopy.2017; 31(11): 4625. CrossRef
Outcomes of robot-assisted versus laparoscopic repair of small-sized ventral hernias
Y. Julia Chen, Desmond Huynh, Scott Nguyen, Edward Chin, Celia Divino, Linda Zhang
Surgical Endoscopy.2017; 31(3): 1275. CrossRef
3D straight-stick laparoscopy versus 3D robotics for task performance in novice surgeons: a randomised crossover trial
Fevzi Shakir, Haider Jan, Andrew Kent
Surgical Endoscopy.2016; 30(12): 5380. CrossRef
Da Vinci© Skills Simulator™: is an early selection of talented console surgeons possible?
Mark Meier, Kevin Horton, Hubert John
Journal of Robotic Surgery.2016; 10(4): 289. CrossRef
Comparison of the learning curves and frustration level in performing laparoscopic and robotic training skills by experts and novices
Carlo C. Passerotti, Felipe Franco, Julio C. C. Bissoli, Bruno Tiseo, Caio M. Oliveira, Carlos A. O. Buchalla, Gustavo N. C. Inoue, Arzu Sencan, Aydin Sencan, Rogerio Ruscitto do Pardo, Hiep T. Nguyen
International Urology and Nephrology.2015; 47(7): 1075. CrossRef

Initial Clinical Experience with Robotic Lateral Pelvic Lymph Node Dissection for Advanced Rectal Cancer: Ju-A Park, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park; J Korean Soc Coloproctol. 2012;28(5):265-270. Published online October 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.5.265

4,545 View
64 Download
32 Citations

Abstract PDF

Purpose

This study was conducted to evaluate the technical feasibility and safety of robotic extended lateral pelvic lymph node dissection (LPLD) in patients with advanced low rectal cancer.

Methods

A review of a prospectively-collected database at Kyungpook National University Medical Center from January 2011 to November revealed a series of 8 consecutive robotic LPLD cases with a preoperative diagnosis of lateral node metastasis. Data regarding patient demographics, operating time, perioperative blood loss, surgical morbidity, lateral lymph node status, and functional outcome were analyzed.

Results

In all eight patients, the procedures were completed without conversion to open surgery. The mean operative time of extended pelvic node dissection was 38 minutes (range, 20 to 51 minutes), the mean number of lateral lymph nodes harvested was 4.1 (range, 1 to 13), and 3 patients (38%) were found to have lymph node metastases. Postoperative mortality and morbidity were 0% and 25%, respectively, but, there was no LPLD-related morbidity. The mean hospital stay was 7.5 days (range, 5 to 12 days).

Conclusion

Robotic LPLD is safe and feasible, with the advantage of being a minimally invasive approach. Further large-scale studies comparing robotic and conventional surgery with long-term follow-up evaluation are needed to confirm these findings.

Citations

Citations to this article as recorded by

Robotic versus laparoscopic total mesorectal excision with lateral lymph node dissection for advanced rectal cancer: A systematic review and meta-analysis
Mohamed Ali Chaouch, Mohammad Iqbal Hussain, Adriano Carneiro da Costa, Alessandro Mazzotta, Bassem Krimi, Amine Gouader, Eddy Cotte, Jim Khan, Hani Oweira, Tsutomu Kumamoto
PLOS ONE.2024; 19(5): e0304031. CrossRef
The role of lateral pelvic lymph node dissection in advanced rectal cancer: a review of current evidence and outcomes
Gyu-Seog Choi, Hye Jin Kim
Annals of Coloproctology.2024; 40(4): 363. CrossRef
Robotic-assisted versus laparoscopic-assisted extended mesorectal excision: a comprehensive meta-analysis and systematic review of perioperative and long-term outcomes
Ahmed Abdelsamad, Mohammed Khaled Mohammed, Aya Sayed Ahmed Said Serour, Ibrahim Khalil, Zeyad M. Wesh, Laila Rashidi, Mike Ralf Langenbach, Florian Gebauer, Khaled Ashraf Mohamed
Surgical Endoscopy.2024; 38(11): 6464. CrossRef
Short-term outcomes of 47 selective laparoscopic lymph node dissection for rectal cancer: A retrospective study
Xiajuan Xue, Shuijie Lin, Qunzhang Zeng, Yincong Guo
Medicine.2024; 103(43): e39684. CrossRef
Robot-assisted lateral pelvic lymph node dissection in patients with advanced rectal cancer: a single-center experience of 65 cases
Eon Bin Kim, Yong Sik Yoon, Min Hyun Kim, Young Il Kim, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
Journal of Robotic Surgery.2023; 17(4): 1697. CrossRef
Robotic pelvic side‐wall dissection and en‐bloc excision for locally advanced and recurrent rectal cancer: outcomes on feasibility and safety
Naradha Lokuhetty, José Tomás Larach, Amrish K. S. Rajkomar, Helen Mohan, Peadar S. Waters, Alexander G. Heriot, Satish K. Warrier
ANZ Journal of Surgery.2022; 92(9): 2185. CrossRef
Optimizing outcomes of colorectal cancer surgery with robotic platforms
Se-Jin Baek, Guglielmo Niccolò Piozzi, Seon-Hahn Kim
Surgical Oncology.2022; 43: 101786. CrossRef
Standardized Step-by-step Technique Using Surgical Landmarks in Robotic Lateral Pelvic Lymph Node Dissection
Jung Hoon Bae, Wooree Koh, Hyun Ho Kim, Yoon Suk Lee
Annals of Coloproctology.2021; 37(1): 58. CrossRef
Optimizing outcomes of colorectal cancer surgery with robotic platforms
Se-Jin Baek, Guglielmo Niccolò Piozzi, Seon-Hahn Kim
Surgical Oncology.2021; 37: 101559. CrossRef
Long-term clinical outcomes of total mesorectal excision and selective lateral pelvic lymph node dissection for advanced low rectal cancer: a comparative study of a robotic versus laparoscopic approach
S. H. Song, G.-S. Choi, H. J. Kim, J. S. Park, S. Y. Park, S.-M. Lee, J. A. Choi, H. A. Seok
Techniques in Coloproctology.2021; 25(4): 413. CrossRef
Lateral Pelvic Lymph Node Dissection After Neoadjuvant Chemoradiotherapy in Patients With Rectal Cancer: A Single-Center Experience and Literature Review
Min Chul Kim, Jae Hwan Oh
Annals of Coloproctology.2021; 37(6): 382. CrossRef
Robotic surgery for colorectal disease: review of current port placement and future perspectives
Jong Lyul Lee, Hassan A. Alsaleem, Jin Cheon Kim
Annals of Surgical Treatment and Research.2020; 98(1): 31. CrossRef
Laparoscopic and robotic lateral lymph node dissection for rectal cancer
Ryota Nakanishi, Tomohiro Yamaguchi, Takashi Akiyoshi, Toshiya Nagasaki, Satoshi Nagayama, Toshiki Mukai, Masashi Ueno, Yosuke Fukunaga, Tsuyoshi Konishi
Surgery Today.2020; 50(3): 209. CrossRef
Robotic Surgery for Rectal Cancer: Operative Technique and Review of the Literature
Hidetoshi Katsuno, Tsunekazu Hanai, Koji Masumori, Yoshikazu Koide, Keigo Ashida, Hiroshi Matsuoka, Yosuke Tajima, Tomoyoshi Endo, Masahiro Mizuno, Yeongcheol Cheong, Kotaro Maeda, Ichiro Uyama
Journal of the Anus, Rectum and Colon.2020; 4(1): 14. CrossRef
Lateral pelvic lymph node dissection in the management of locally advanced low rectal cancer: Summary of the current evidence
Mootaz Elhusseini, Emad H. Aly
Surgical Oncology.2020; 35: 418. CrossRef
Radiation Therapy Dose Escalation to Clinically Involved Pelvic Sidewall Lymph Nodes in Locally Advanced Rectal Cancer
Pehr E. Hartvigson, Smith Apisarnthanarax, Stephanie Schaub, Stacey Cohen, Greta Bernier, Wui-Jin Koh, Edward Y. Kim
Advances in Radiation Oncology.2019; 4(3): 478. CrossRef
Robotic rectal surgery in Korea: Analysis of a nationwide registry
Se‐Jin Baek, Jung‐Myun Kwak, Jin Kim, Seon‐Hahn Kim, Sungsoo Park
The International Journal of Medical Robotics and Computer Assisted Surgery.2018;[Epub] CrossRef
Selective lateral pelvic lymph node dissection: a comparative study of the robotic versus laparoscopic approach
Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park, Hee Jae Lee, In Taek Woo, In Kyu Park
Surgical Endoscopy.2018; 32(5): 2466. CrossRef
Oncological outcomes of robotic-assisted laparoscopic versus open lateral lymph node dissection for locally advanced low rectal cancer
Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Akinobu Furutani, Shoichi Manabe, Yusuke Yamaoka, Hitoshi Hino
Surgical Endoscopy.2018; 32(11): 4498. CrossRef
Learning Curve of Robotic Rectal Surgery With Lateral Lymph Node Dissection: Cumulative Sum and Multiple Regression Analyses
Kazushige Kawai, Keisuke Hata, Toshiaki Tanaka, Takeshi Nishikawa, Kensuke Otani, Koji Murono, Kazuhito Sasaki, Manabu Kaneko, Shigenobu Emoto, Hiroaki Nozawa
Journal of Surgical Education.2018; 75(6): 1598. CrossRef
Long-term oncological outcomes of robotic versus laparoscopic total mesorectal excision of mid–low rectal cancer following neoadjuvant chemoradiation therapy
Dae Ro Lim, Sung Uk Bae, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
Surgical Endoscopy.2017; 31(4): 1728. CrossRef
Optimal treatment strategies for clinically suspicious lateral pelvic lymph node metastasis in rectal cancer
Hye Jin Kim, Gyu-Seog Choi, Jun Seok Park, Soo Yeun Park, Seung Hyun Cho, Soo Jung Lee, Byung Woog Kang, Jong Gwang Kim
Oncotarget.2017; 8(59): 100724. CrossRef
Robotic-assisted laparoscopic versus open lateral lymph node dissection for advanced lower rectal cancer
Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyuki Tomioka, Hiroyasu Kagawa
Surgical Endoscopy.2016; 30(2): 721. CrossRef
Technical feasibility of laparoscopic extended surgery beyond total mesorectal excision for primary or recurrent rectal cancer
Takashi Akiyoshi
World Journal of Gastroenterology.2016; 22(2): 718. CrossRef
Surgical management of extra-regional lymph node metastasis in colorectal cancer
Mahdi H. Albandar, Min Soo Cho, Sung Uk Bae, Nam Kyu Kim
Expert Review of Anticancer Therapy.2016; 16(5): 503. CrossRef
Robotic-assisted lateral lymph node dissection for lower rectal cancer: short-term outcomes in 50 consecutive patients
Hiroyasu Kagawa, Yusuke Kinugasa, Akio Shiomi, Tomohiro Yamaguchi, Syunsuke Tsukamoto, Hiroyuki Tomioka, Yushi Yamakawa, Sumito Sato
Surgical Endoscopy.2015; 29(4): 995. CrossRef
Minimally Invasive Techniques for an Intersphincteric Resection and Lateral Pelvic Lymph Node Dissection in Rectal Cancer
Jung Wook Huh
Annals of Coloproctology.2014; 30(4): 163. CrossRef
Minimally Invasive Surgery for Rectal Cancer
Matthew Crapko, James Fleshman
Annals of Surgical Oncology.2014; 21(1): 173. CrossRef
Robotic and laparoscopic pelvic lymph node dissection for rectal cancer: short-term outcomes of 21 consecutive series
Sung Uk Bae, Avanish P. Saklani, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
Annals of Surgical Treatment and Research.2014; 86(2): 76. CrossRef
Robotics in general surgery: An evidence‐based review
Se‐Jin Baek, Seon‐Hahn Kim
Asian Journal of Endoscopic Surgery.2014; 7(2): 117. CrossRef
Robotic-Assisted Abdominoperineal Resection With Obturator Lymph Node Dissection
Kevin R. Kasten, Jean V. Joseph, Todd D. Francone
Diseases of the Colon & Rectum.2014; 57(11): 1329. CrossRef
Current Status and Future Perspectives of Robotic Surgery for Colorectal Cancer
Hidetoshi Katsuno, Koutarou Maeda, Tsunekaze Hanai, Harunobu Sato, Koji Masumori, Yoshikazu Koide, Hiroshi Matsuoka, Miho Shiota, Tomoyoshi Endo, Shinji Matsuoka, Kohei Hatta, Masahiro Mizuno, Kunihiro Tohyama
Nippon Daicho Komonbyo Gakkai Zasshi.2013; 66(10): 982. CrossRef

Risk Factors for Repeat Abdominal Surgery in Korean Patients with Crohn's Disease: A Multi-Center Study of a Korean Inflammatory Bowel Disease Study Group: Kil Yeon Lee, Chang Sik Yu, Kang Young Lee, Yong Beom Cho, Kyu Joo Park, Gyu-Seog Choi, Sang Nam Yoon, Hanna Yoo; J Korean Soc Coloproctol. 2012;28(4):188-194. Published online August 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.4.188

3,249 View
24 Download
8 Citations

Abstract PDF

Purpose

The purpose of this study was to assess the risk factors for repeated abdominal surgery in Crohn's disease (CD) patients after the first abdominal surgery. Prior studies have tried to identify the risk factors for postoperative recurrence in CD patients, but the results of the studies have been inconsistent. Furthermore, few data on the risk factors for repeated abdominal surgery are available.

Methods

Clinical data on CD patients who underwent abdominal surgery from January 2000 to December 2009 were collected from seventeen university hospitals and one colorectal clinic. Data from a total of 708 patients were analyzed to find the risk factors for repeated abdominal surgery in CD patients. The mean follow-up period was 72 months.

Results

The risk of repeated abdominal surgery was 3 times higher in young patients (below 16 years old) than in older patients (odds ratio [OR], 3.056; 95% confidence interval [CI], 1.021 to 9.150); P = 0.046). Stricturing behavior at diagnosis was also a risk factor for repeated abdominal surgery (OR, 2.438; 95% CI, 1.144 to 5.196; P = 0.021). Among operative indications, only intra-abdominal abscess was associated with repeated abdominal surgery (OR, 2.393; 95% CI, 1.098 to 5.216; P = 0.028). Concerning type of operation, an ileostomy might be a risk factor for repeated abdominal surgery (OR, 11.437; 95% CI, 1.451 to 90.124; P = 0.021). Emergency surgery (OR, 4.994; 95% CI, 2.123 to 11.745; P < 0.001) and delayed diagnosis after surgery (OR, 2.339; 95% CI, 1.147 to 4.771; P = 0.019) also increased the risk of repeated abdominal surgery.

Conclusion

Young age (below 16 years), stricturing behavior, intra-abdominal abscess, emergency surgery, and delayed diagnosis after surgery were identified as possible risk factors for repeated abdominal surgery in CD patients.

Citations

Citations to this article as recorded by

Therapeutic strategies in Crohn’s disease in an emergency surgical setting
Maria Michela Chiarello, Gilda Pepe, Valeria Fico, Valentina Bianchi, Giuseppe Tropeano, Gaia Altieri, Giuseppe Brisinda
World Journal of Gastroenterology.2022; 28(18): 1902. CrossRef
Risk Factors for Postoperative Recurrence in Korean Patients with Crohn’s Disease
Sung Bae Kim, Jae Hee Cheon, Jae Jun Park, Eun Soo Kim, Seong Woo Jeon, Sung-Ae Jung, Dong Il Park, Chang Kyun Lee, Jong Pil Im, You Sun Kim, Hyun Soo Kim, Jun Lee, Chang Soo Eun, Jeong Mi Lee, Byung Ik Jang, Geom Seog Seo
Gut and Liver.2020; 14(3): 331. CrossRef
Prevalence and factors associated with re-laparotomy among patients operated in Debre-Markos referral hospital, north west Ethiopia: Retrospective cross-sectional study
Yeneabat Birhanu, Debrework Tesgera, Henok Biresaw Netsere, Nurhusien Nuru
International Journal of Africa Nursing Sciences.2020; 13: 100249. CrossRef
Comparison of missing data methods in clustered survival data using Bayesian adaptive B-Spline estimation
Hanna Yoo, Jae Won Lee
Communications for Statistical Applications and Methods.2018; 25(2): 159. CrossRef
Patients with perianal Crohn's disease have poor disease outcomes after primary bowel resection
Yoo Min Han, Ji Won Kim, Seong‐Joon Koh, Byeong Gwan Kim, Kook Lae Lee, Jong Pil Im, Joo Sung Kim, Hyun Chae Jung
Journal of Gastroenterology and Hepatology.2016; 31(8): 1436. CrossRef
The Clinical Features and Predictive Risk Factors for Reoperation in Patients With Perianal Crohn Diseases; A Multi-Center Study of a Korean Inflammatory Bowel Disease Study Group
Jae Bum Lee, Seo-Gue Yoon, Kyu Joo Park, Kang Young Lee, Dae Dong Kim, Sang Nam Yoon, Chang Sik Yu
Annals of Coloproctology.2015; 31(5): 176. CrossRef
Crohn's disease in Korea: past, present, and future
Kang-Moon Lee, Ji Min Lee
The Korean Journal of Internal Medicine.2014; 29(5): 558. CrossRef
Clinical and Endoscopic Recurrence after Surgical Resection in Patients with Crohn's Disease
Yang Woon Lee, Kang-Moon Lee, Woo Chul Chung, Chang Nyol Paik, Hea Jung Sung, You Suk Oh
Intestinal Research.2014; 12(2): 117. CrossRef

Single-incision Laparoscopic Surgery for Appendiceal Mucoceles: Safety and Feasibility in a Series of 16 Consecutive Cases: Ki Bum Park, Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeun Park, Jong Pil Ryuk, Won Ho Choi, You Seok Jang; J Korean Soc Coloproctol. 2011;27(6):287-292. Published online December 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.6.287

5,482 View
34 Download
15 Citations

Abstract PDF

Purpose

The aim of this study was to evaluate the technical feasibility, safety, and oncological outcomes of transumbilical single-incision laparoscopic surgery in patients with an uncomplicated appendiceal mucocele.

Methods

A review of a prospectively collected database at the Kyungpook National University Hospital from January 2006 to September 2010 revealed that a series of 16 consecutive patients underwent single-incision laparoscopic surgery (SILS) for an appendiceal mucocele. Data regarding patient demographics, operating time, conversion, surgical morbidity, lateral lymph node status, and mid-term oncologic result were analyzed.

Results

The reported series consisted of 7 women (50%) and 9 men with a mean age of 61.6 years (range, 41 to 88 years). The mean operative time was 66.8 minutes (range, 33 to 150 minutes). Perioperative mortality and morbidity were 0% and 6.2%, respectively. Recovery after the procedure was rapid, and the mean hospital stay was 6.8 days (range, 3 to 22 days). Pathology revealed 12 lesions compatible with a mucinous cystadenoma and four others compatible with benign cystic tumors. All surgical margins were clear. In one case, an extra port had to be placed, and another case required conversion from SILS to a standard open laparotomy immediately after identification of the tumor because of a micro-perforation with focal mucin collection. With a median follow-up of 28.7 months, no re-admission or tumor recurrence, such as pseudomyxoma peritonei, was noted in 14 patients.

Conclusion

A single-port laparoscopic mucocelectomy should be safe and feasible and has the advantage of being a minimally invasive approach. Prospective controlled studies comparing SILS and conventional open surgery, with long-term follow-up evaluation, are needed to confirm the author's initial experience.

Citations

Citations to this article as recorded by

Single-incision laparoscopic surgery compared to conventional laparoscopic surgery for appendiceal mucocele: a series of 116 patients
Ho Seung Kim, Han-Gil Kim, Seung Yoon Yang, Yoon Dae Han, Hyuk Hur, Byung Soh Min, Kang Young Lee, Nam Kyu Kim, Min Soo Cho
Surgical Endoscopy.2022; 36(1): 244. CrossRef
Mucinous appendiceal neoplasm: A case report
Alexandru Chirca, Lucian Negreanu, Andreea Iliesiu, Radu Costea
World Journal of Clinical Cases.2021; 9(7): 1728. CrossRef
Actinomycosis of the Appendix Mimicking Cecal Tumor Treated by Single-Port Laparoscopic Approach
In Soo Cho, Sung Uk Bae, Hye Ra Jung, Kyung Sik Park, Woon Kyung Jeong, Seong Kyu Baek
Annals of Coloproctology.2021; 37(2): 125. CrossRef
Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm
In Jun Yang, Minseol Seo, Heung-Kwon Oh, Jeehye Lee, Jung Wook Suh, Duck-Woo Kim, Sung-Bum Kang
Annals of Coloproctology.2021; 37(4): 239. CrossRef
Appendiceal Mucocele - A Review of Literature with a Case Report
Berislav Vekic, Rade Markovic, Aleksandar Cvetkovic, Bojan Stojanovic, Marko Spasic, Nenad Markovic, Mladen Pavlovic, Dusica Petrovic, Bojan Milosevic, Jasna Jevdjic, Maja Vulovic, Dalibor Jovanovic, Slobodanka Mitrovic
Serbian Journal of Experimental and Clinical Research.2021;[Epub] CrossRef
The American Society of Colon and Rectal Surgeons, Clinical Practice Guidelines for the Management of Appendiceal Neoplasms
Sean C. Glasgow, Wolfgang Gaertner, David Stewart, Jennifer Davids, Karim Alavi, Ian M. Paquette, Scott R. Steele, Daniel L. Feingold
Diseases of the Colon & Rectum.2019; 62(12): 1425. CrossRef
Safety and feasibility of laparoscopic surgery for appendiceal mucocele: a multicenter study
Tae Kyu Kim, Jun Ho Park, Jeong Yeon Kim, Byung Chun Kim, Byung Mo Kang, Soo Kee Min, Jong Wan Kim
Surgical Endoscopy.2018; 32(11): 4408. CrossRef
Laparoscopic ileocecal resection can be applied for appendiceal cancer with an ileal fistula: A case report
Junko Mukohyama, Yasuo Sumi, Kiyonori Kanemitsu, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji
International Journal of Surgery Case Reports.2018; 52: 120. CrossRef
Minimally invasive appendectomy for resection of appendiceal mucocele: Case series and review of the literature
Sonia T. Orcutt, Daniel A. Anaya, Mokenge Malafa
International Journal of Surgery Case Reports.2017; 37: 13. CrossRef
Diagnosis and Treatment of Mucinous Appendiceal Neoplasm Presented as Acute Appendicitis
Ioannis Kehagias, Apollon Zygomalas, Georgios Markopoulos, Thanasis Papandreou, Pantelis Kraniotis
Case Reports in Oncological Medicine.2016; 2016: 1. CrossRef
Recommendations in the management of epithelial appendiceal neoplasms and peritoneal dissemination from mucinous tumours (pseudomyxoma peritonei)
P. Barrios, F. Losa, S. Gonzalez-Moreno, A. Rojo, A. Gómez-Portilla, P. Bretcha-Boix, I. Ramos, J. Torres-Melero, R. Salazar, M. Benavides, T. Massuti, E. Aranda
Clinical and Translational Oncology.2016; 18(5): 437. CrossRef
Laparoscopic approach to mucocele of appendiceal mucinous cystadenoma: feasibility and short-term outcomes in 24 consecutive cases
Ki-Jae Park, Hong-Jo Choi, Sung-Heun Kim
Surgical Endoscopy.2015; 29(11): 3179. CrossRef
Cholecystectomy: evolution of laparoscopic approach
I. V. Mikhin, Yu. V. Kuhktenko, M. B. Doronin
Endoskopicheskaya khirurgiya.2015; 21(1): 42. CrossRef
IV. Les recommandations

Journal de Chirurgie Viscérale.2014; 151(6): S15. CrossRef
Distinguishing between acute appendicitis and appendiceal mucocele: is this possible preoperatively?
B. Saylam, C. E. Güldoğan, F. Coşkun, V. Vural, B. Çomçalı, M. Tez
European Journal of Trauma and Emergency Surgery.2013; 39(5): 523. CrossRef

The Feasibility of an Ex-vivo Sentinel Lymph Mapping Using Preoperative Radioisotope Injection in Cases of Extraperitoneal Rectal Cancer: Jun Seok Park, Gyu-Seog Choi, Hye Jin Kim, Soo Yeon Park, Yun Jung Park, Sang-Woo Lee, Ziguang Xu, Han Ik Bae; J Korean Soc Coloproctol. 2011;27(2):83-89. Published online April 30, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.2.83

3,882 View
36 Download
2 Citations

Abstract PDF

Purpose

The purpose of this research was to evaluate the feasibility of sentinel lymph node (SLN) mapping involving transanal injection with an ex-vivo mapping in patients with rectal cancer.

Methods

Between April 2007 and December 2009, 20 consecutive patients with T1-3, N0-1 clinical stage rectal cancer preoperatively underwent a SLN procedure using submucosal ^99mTc-phytate injection. All the patients underwent a total mesorectal excision. After the standard surgical resection, all specimens were identified on lymphoscintigraphy, and bench work was done to pick up the sentinel node basin. All the lymph nodes (non-SLNs and SLNs) were examined using conventional hematoxylin and eosin staining and immunohistochemistry with anti-cytokeratin antibodies.

Results

SLNs were identified from 19 of 20 patients with rectal cancer. The total number of sentinel nodes retrieved from the surgical specimens was 29, and the mean number per patient was 1.6 (range, 0 to 4). In three patients, the SLN was the only positive lymph node. There was one false-negative case with a sensitivity of 88.8% and two upstaged cases (20.0%). The SLN samples from rectal cancer are mainly localized in the pararectal region, but aberrant nodes receive direct drainage from the rectal cancer. On planar lymphoscintigraphy, 15.7% of all patients had aberrant lymphatic drainage to the sigmoid mesenteric or sigmoid lymph node station.

Conclusion

In conclusion, the intraoperative transanal injection for ex-vivo SLN navigation is a safe, feasible surgical modality in patients with rectal cancer. Large studies are warranted to determine the clinical significance of the SLN concept and micrometastasis in rectal cancer.

Citations

Citations to this article as recorded by

In vivo lymph node mapping and pattern of metastasis spread in locally advanced mid/low rectal cancer after neoadjuvant chemoradiotherapy
E. Farinella, L. Viganò, M. C. Fava, M. Mineccia, F. Bertolino, L. Capussotti
International Journal of Colorectal Disease.2013; 28(11): 1523. CrossRef
A rectumtumorok sebészete
Péter Metzger
Magyar Sebészet.2012; 65(3): 129. CrossRef

Short-term Outcomes of a Laparoscopic Left Hemicolectomy for Descending Colon Cancer: Retrospective Comparison with an Open Left Hemicolectomy: Kil-Su Han, Gyu-Seog Choi, Jun-Seok Park, Hye Jin Kim, Soo Yeon Park, Soo-Han Jun; J Korean Soc Coloproctol. 2010;26(5):347-353. Published online October 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.5.347

5,158 View
60 Download
22 Citations

Abstract PDF

Purpose

Many randomized clinical trials have been performed to treat a colorectal neoplasm with the exclusion of descending colon cancer. The aim of the present study was to investigate the difference in surgical outcomes between a laparoscopic left hemicolectomy and a conventional open left hemicolectomy for descending colon cancer.

Methods

A retrospective study of ninety patients with descending colon cancer, who underwent a laparoscopic (LAP) or open left hemicolectomy (OS) between May 1998 and December 2009 at Kyungpook National University Hospital, was performed. Clinicopathological and surgical outcomes were compared between the LAP and the OS for descending colon cancer.

Results

The baseline characteristics, including age, gender, body mass index, history of prior abdominal surgical history and tumor location, were similar between the two groups. The mean operation time was 156.2 minutes for the LAP group and 223.2 minutes for the OS group (P < 0.001). Intraoperative blood loss was significantly greater in the OS group (37.5 mL vs. 80.4 mL; P = 0.039). The postoperative recovery in the LAP group was faster, as reflected by the shorter time to pass gas and the shorter hospital stay. Pathological examinations showed the surgery to be equally radical in the two groups. The median follow-up was 21 months and there were 3 distant metastases (8.5%) during follow-up in the LAP group, but no port-site or local recurrence.

Conclusion

A laparoscopic left hemicolectomy is a technically safe and feasible procedure for treating descending colon cancer. Prospective multi-center trials are necessary to establish the LAP as the standard treatment for descending colon cancer.

Citations

Citations to this article as recorded by

Anastomotic Leak Rate and Prolonged Postoperative Paralytic Ileus in Patients Undergoing Laparoscopic Surgery for Colo-Rectal Cancer After Placement of No-Coil Endoanal Tube
Michele Ammendola, Giorgio Ammerata, Francesco Filice, Rosalinda Filippo, Michele Ruggiero, Roberto Romano, Riccardo Memeo, Patrick Pessaux, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
Surgical Innovation.2023; 30(1): 20. CrossRef
Short- and long-term outcomes of preservation versus ligation of the inferior mesenteric artery in laparoscopic D3 lymph node dissection for descending colon cancer: a propensity score-matched analysis
Aya Sato, Ken Imaizumi, Hiroyuki Kasajima, Kentaro Ichimura, Kentaro Sato, Daisuke Yamana, Yosuke Tsuruga, Minoru Umehara, Michihiro Kurushima, Kazuaki Nakanishi
Langenbeck's Archives of Surgery.2023;[Epub] CrossRef
Left hemicolectomy and low anterior resection in colorectal cancer patients: Knight–griffen vs. transanal purse-string suture anastomosis with no-coil placement
Michele Ammendola, Francesco Filice, Caterina Battaglia, Roberto Romano, Francesco Manti, Roberto Minici, Nicola de'Angelis, Riccardo Memeo, Domenico Laganà, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
Frontiers in Surgery.2023;[Epub] CrossRef
The impact of laparoscopic, open, extended right, and left colectomy on clinical outcomes of splenic flexure colon cancer: A meta-analysis
Hefei Cheng, Minjian Zhou, Lianlei Yang, Ziqi Sui
Medicine.2023; 102(19): e33742. CrossRef
European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
N. Beghdadi, N. de’Angelis, F. Brunetti, G. Bianchi, J. Pham, P. Genova, I. Sobhani, A. Martínez-Pérez, S.A. Gómez, M.T. Torres, C. Payá, P. Gonzálvez, D.C. Winter, A. Stakelum, A. Zaborowski, F. Landi, A. Sueiras-Gil, R. Hevia, G.C. Vitali, M. Assalino,
Journal of Visceral Surgery.2022; 159(5): 373. CrossRef
Résection par cœlioscopie versus laparotomie des carcinomes de l’angle colique gauche : une étude multicentrique européenne avec appariement selon le score de propension
N. Beghdadi, A. Martínez-Pérez, D.C. Winter, F. Landi, G.C. Vitali, B. Le Roy, D. Pezet, F. Coccolini, V. Celentano, A. Stakelum, M. Assalino, A. Solis, C. Denet, S. Di Saverio, F. Brunetti, F. Ris, D. Fuks, E. Espin, N. de’Angelis, G. Bianchi, J. Pham, P
Journal de Chirurgie Viscérale.2022; 159(5): 396. CrossRef
Laparoscopic versus open surgery for left flexure colon cancer: A propensity score matched analysis from an international cohort
Corrado Pedrazzani, Giulia Turri, Soo Yeun Park, Koya Hida, Yudai Fukui, Jacopo Crippa, Giovanni Ferrari, Matteo Origi, Gaya Spolverato, Matteo Zuin, Sung Uk Bae, Seong Kyu Baek, Andrea Costanzi, Dario Maggioni, Gyung Mo Son, Andrea Scala, Timothy Rockall
Colorectal Disease.2022; 24(2): 177. CrossRef
Clinical impact of inferior mesenteric vein preservation during left hemicolectomy with low ligation of the inferior mesenteric artery for distal transverse and descending colon cancers: A comparative study based on computed tomography
Jung Wook Suh, Jihoon Park, Jeehye Lee, In Jun Yang, Hong-Min Ahn, Heung-Kwon Oh, Duck-Woo Kim, Sung-Bum Kang
Frontiers in Oncology.2022;[Epub] CrossRef
Extended right colectomy, left colectomy, or segmental left colectomy for splenic flexure carcinomas: a European multicenter propensity score matching analysis
Nicola de’Angelis, Aleix Martínez-Pérez, Des C. Winter, Filippo Landi, Giulio Cesare Vitali, Bertrand Le Roy, Federico Coccolini, Francesco Brunetti, Valerio Celentano, Salomone Di Saverio, Frederic Ris, David Fuks, Eloy Espin
Surgical Endoscopy.2021; 35(2): 661. CrossRef
Laparoscopic Colectomy for Splenic Flexure Cancer Approached from Four Directions
Hiroki Hashida, Masato Kondo, Ryosuke Kita, Koji Kitamura, Kenji Uryuhara, Hiroyuki Kobayashi, Satoshi Kaihara
Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(9): 1014. CrossRef
Efficient and Safe Method for Splenic Flexure Mobilization in Laparoscopic Left Hemicolectomy: A Propensity Score–weighted Cohort Study
Yu-Jen Hsu, Yih-Jong Chern, Jing-Rong Jhuang, Wen-Sy Tsai, Jy-Ming Chiang, Hsin-Yuan Hung, Tzong-yun Tsai, Jeng-Fu You
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(2): 196. CrossRef
Laparoscopic resection with complete mesocolic excision for splenic flexure cancer: long-term follow-up data from a multicenter retrospective study
Umberto Bracale, Giovanni Merola, Giusto Pignata, Francesco Corcione, Felice Pirozzi, Diego Cuccurullo, Giovanni Domenico De Palma, Elisa Cassinotti, Antonio Sciuto, Luigi Boni
Surgical Endoscopy.2020; 34(7): 2954. CrossRef
Colonic splenic flexure carcinoma: is laparoscopic segmental resection a safe enough oncological approach?
Massimiliano Ardu, Carlo Bergamini, Jacopo Martellucci, Paolo Prosperi, Andrea Valeri
Surgical Endoscopy.2020; 34(10): 4436. CrossRef
Elective surgery for tumours of the splenic flexure: a French inter-group (AFC, SFCD, FRENCH, GRECCAR) survey
G. Manceau, S. Benoist, Y. Panis, A. Rault, M. Mathonnet, D. Goere, J. J. Tuech, D. Collet, C. Penna, M. Karoui
Techniques in Coloproctology.2020; 24(2): 191. CrossRef
No Coil® placement in patients undergoing left hemicolectomy and low anterior resection for colorectal cancer
Michele Ammendola, Michele Ruggiero, Carlo Talarico, Riccardo Memeo, Giorgio Ammerata, Antonella Capomolla, Rosalinda Filippo, Roberto Romano, Socrate Pallio, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
World Journal of Surgical Oncology.2020;[Epub] CrossRef
Intracorporeal Versus Extracorporeal Anastomosis for Laparoscopic Resection of the Splenic Flexure Colon Cancer: A Multicenter Propensity Score Analysis
Michele Grieco, Diletta Cassini, Domenico Spoletini, Enrica Soligo, Emanuela Grattarola, Gianandrea Baldazzi, Silvio Testa, Massimo Carlini
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(6): 483. CrossRef
Surgical Treatment of Colon Cancer of the Splenic Flexure: A Systematic Review and Meta-analysis
Aleix Martínez-Pérez, Francesco Brunetti, Giulio C. Vitali, Solafah Abdalla, Frédéric Ris, Nicola de’Angelis
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2017; 27(5): 318. CrossRef
Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery
T Yamada, K Okabayashi, H Hasegawa, M Tsuruta, J-H Yoo, R Seishima, Y Kitagawa
British Journal of Surgery.2016; 103(5): 493. CrossRef
Short-term results of laparoscopic and open complete mesocolic excision with D3 lymph node dissection for left-sided colon cancer
P. V. Tsarkov, I. A. Tulina, A. Yu. Kravchenko, A. V. Leont’Yev
Russian Journal of Gastroenterology, Hepatology, Coloproctology.2016; 26(1): 99. CrossRef
Robotic left colon cancer resection: a dual docking technique that maximizes splenic flexure mobilization
Sung Uk Bae, Se Jin Baek, Hyuk Hur, Seung Hyuk Baik, Nam Kyu Kim, Byung Soh Min
Surgical Endoscopy.2015; 29(6): 1303. CrossRef
Laparoscopic colonic resection for splenic flexure cancer: our experience
Andrea Pisani Ceretti, Nirvana Maroni, Matteo Sacchi, Stefano Bona, Maria Rachele Angiolini, Paolo Bianchi, Enrico Opocher, Marco Montorsi
BMC Gastroenterology.2015;[Epub] CrossRef
Sham Feeding? Same Feeding?
Hungdai Kim
Annals of Coloproctology.2013; 29(6): 224. CrossRef

First
Prev
Page of 1
Next
Last

Search