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Original Articles
Clinical Significance of Preoperative Virtual Colonoscopy for Evaluation of the Proximal Colon in Patient With Obstructive Colorectal Cancer
Jae-Hyuk Heo, Chun-Geun Ryu, Eun-Joo Jung, Jin-Hee Paik, Dae-Yong Hwang
Ann Coloproctol. 2017;33(4):130-133.   Published online August 31, 2017
DOI: https://doi.org/10.3393/ac.2017.33.4.130
  • 4,428 View
  • 49 Download
  • 5 Web of Science
  • 5 Citations
AbstractAbstract PDF
Purpose

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.

Methods

A 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.

Results

Of 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.

Conclusion

Virtual 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.

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
Jin-Hee Paik, Eun-Joo Jung, Chun-Geun Ryu, Dae-Yong Hwang
Ann Coloproctol. 2015;31(5):182-186.   Published online October 31, 2015
DOI: https://doi.org/10.3393/ac.2015.31.5.182
  • 5,630 View
  • 38 Download
  • 6 Web of Science
  • 8 Citations
AbstractAbstract PDF
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.

Methods

In 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.

Results

Of 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).

Conclusion

Colonoscopic 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.

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
Hyeonjun An, Chun-Geun Ryu, Eun-Joo Jung, Hyun Jong Kang, Jin Hee Paik, Jung-Hyun Yang, Dae-Yong Hwang
Ann Coloproctol. 2015;31(2):63-67.   Published online April 30, 2015
DOI: https://doi.org/10.3393/ac.2015.31.2.63
  • 5,780 View
  • 49 Download
  • 16 Web of Science
  • 18 Citations
AbstractAbstract PDF
Purpose

The aim of this study is to evaluate the results for the insertion of totally implantable central venous access devices (TICVADs) by surgeons.

Methods

Total 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.

Results

The 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.

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
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
  • 9,085 View
  • 44 Download
  • 13 Citations
AbstractAbstract PDF
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  
  • 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
Sang Eun Nam, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Dae-Yong Hwang
Ann Coloproctol. 2013;29(1):17-21.   Published online February 28, 2013
DOI: https://doi.org/10.3393/ac.2013.29.1.17
  • 4,441 View
  • 18 Download
  • 5 Citations
AbstractAbstract PDF
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.

Methods

Twenty-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.

Results

Pathologic 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.

Conclusion

The 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.

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
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    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
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