Annals of Coloproctology

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Original Article

Patient-Controlled Nutrition After Abdominal Surgery: Novel Concept Contrary to Surgical Dogma: Hyung Ook Kim, Mingoo Kang, Sung Ryol Lee, Kyung Uk Jung, Hungdai Kim, Ho-Kyung Chun; Ann Coloproctol. 2018;34(5):253-258. Published online October 31, 2018; DOI: https://doi.org/10.3393/ac.2018.05.29

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1 Web of Science
4 Citations

Purpose
According to surgical dogma, patients who are recovering from general anesthesia after abdominal surgery should begin with a clear liquid diet, progress to a full liquid diet and then to a soft diet before taking regular meals. We propose patient-controlled nutrition (PCN), which is a novel concept in postoperative nutrition after abdominal surgery.
Methods
A retrospective pilot study was conducted to evaluate the feasibility and effects of PCN. This study was carried out with a total of 179 consecutive patients who underwent a laparoscopic appendectomy between August 2014 and July 2016. In the PCN group, diet was advanced depending on the choice of the patients themselves; in the traditional group, diet was progressively advanced to a full liquid or soft diet and then a regular diet as tolerated. The primary endpoints were time to tolerance of regular diet and postoperative hospital stay.
Results
Time to tolerance of a regular diet (P < 0.001) and postoperative hospital stay (P < 0.001) showed statistically significant differences between the groups. Multivariate analysis using linear regression showed that the traditional nutrition pattern was the only factor associated with postoperative hospital stay (P < 0.001). Multivariate analysis using logistic regression showed that traditional nutrition was the only risk factor associated with prolonged postoperative hospital stay (≥3 days).
Conclusion
After abdominal surgery, PCN may be a feasible and effective concept in postoperative nutrition. In our Early Recovery after Surgery program, our PCN concept may reduce the time to tolerance of a regular diet and shorten the postoperative hospital stay.

Citations

Citations to this article as recorded by

Robotic pancreatoduodenectomy in elderly individuals: An international multicenter propensity score–matched study by the PANFRAIL Collaborative group
Tiziana Marchese, Valentina Valle, Benedetto Ielpo, Marcello Giuseppe Spampinato, Annalisa Comandatore, Leonardo Borgioli, Pier Cristoforo Giulianotti, Luca Morelli, Matteo De Pastena, Alessandro Esposito, Roberto Salvia, Giuseppe Ietto, Roberto Delpini,
Surgery.2026; : 110153. CrossRef
Bilateral Exchange: Enteral Nutrition Clinical Decision Making in Pediatric Surgery Patients
Manisha B. Bhatia, Cassandra M. Anderson, Abdiwahab N. Hussein, Brian Opondo, Nereah Aruwa, Otieno Okumu, Sarah G. Fisher, Tasha Sparks Joplin, JoAnna L. Hunter-Squires, Brian W. Gray, Peter W. Saula
Journal of Surgical Research.2024; 295: 139. CrossRef
Clinical pharmacist intervention in Appendectomy - Dexmedetomidine as an adjunct therapy ‎
Bushra Abdel-Hadi, Sami Raid Abdel-Fattah
Journal Of Advanced Pharmacy Education And Research.2022; 12(2): 1. CrossRef
外科患者の栄養管理における給食の意義

The Japanese Journal of SURGICAL METABOLISM and NUTRITION.2021; 55(2): 57. CrossRef

Case Report

Incidental Mesenteric Paraganglioma: A Case Report and Literature Review: Jennie Granger, Roy Mahapatra, Bushra Hamid, Katherine Gillespie, Matthew Fok, Dale Vimalachandran; Ann Coloproctol. 2017;33(5):197-200. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.197

5,956 View
65 Download
8 Web of Science
8 Citations

Abstract PDF

Mesenteric paragangliomas are a rare entity; consequently, only 12 cases have been reported to date. Although considered benign and often found incidentally, they have the potential to metastasize and are an important diagnosis to consider for patients with a mesenteric tumor. We report the case of a 71-year-old woman who was found on magnetic resonance imaging to have an incidental, large, complex, intra-abdominal mass that had initially been misdiagnosed as ovarian in origin. She underwent an open resection of the tumor and adjacent small bowel with no perioperative complications; histology confirmed the mass to be a mesenteric paraganglioma. This case report highlights several important key issues regarding paraganglioma, including diagnosis, imaging, genetic testing, and surgical resection. The results of a literature review are also discussed.

Citations

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Mesenteric Paraganglioma: An Unusual Suspect To Consider
Andreia Martins Fernandes, Raquel Prata Saraiva, Leandro Augusto Silva, Sara Reis, Joana Couto
Cureus.2024;[Epub] CrossRef
Hypertensive Crisis in a Patient With a Functioning Mesenteric Paraganglioma: Dramatic Response to Octreotide Treatment
Omayma T. Elshafie, Abir C. Bou Khalil, Maha A. Alshaibi, Boris L. Itkin, Babikir M. Ismail, Nicholas J. Woodhouse
AACE Clinical Case Reports.2023; 9(5): 149. CrossRef
Mesenteric Paraganglioma: A Case Report and Literature Review
Jihoon Lim, Midhir Patel
Cureus.2023;[Epub] CrossRef
Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols
Ja Yeon You, Joon Woo Lee, Jiwoon Seo, Jee Won Chai, Hee Dong Chae, Heung Sik Kang, Jan Fritz
PLOS ONE.2021; 16(5): e0251310. CrossRef
A rare case of a 65 year old female with a mesenteric paraganglioma
Raffaele Rocco, Brittany L. Murphy, Vatsal P. Patel, Oksana Hamidi, Alice Y. Chang, Melanie L. Lyden
Human Pathology: Case Reports.2020; 19: 200349. CrossRef
An ectopic paraganglioma supplied by the subclavian artery in the right supraclavicular fossa
Yang Wang, Zhen Liu, Chong Lian, Shenming Wang, Jinsong Wang
Journal of Vascular Surgery Cases, Innovations and Techniques.2019; 5(2): 91. CrossRef
Mesenteric Lesions with Similar or Distinctive Appearances on CT
Hwajin Cha, Jiyoung Hwang, Seong Sook Hong, Eun Ji Lee, Hyun-joo Kim, Yun-Woo Chang
Journal of the Korean Society of Radiology.2019; 80(6): 1091. CrossRef
18F-FDOPA PET/CT of Nonfunctioning Paraganglioma of the Gastroepiploic Pedicle
Benjamin Leroy Freschini, Pietro Addeo, Gerlinde Averous, Bernard Goichot, Philippe Bachellier, Alessio Imperiale
Clinical Nuclear Medicine.2018; 43(9): e326. CrossRef

Original Article

Laparoscopic and Robotic Surgeries for Patients With Colorectal Cancer Who Have Had a Previous Abdominal Surgery: Soeun Park, Jeonghyun Kang, Eun Jung Park, Seung Hyuk Baik, Kang Young Lee; Ann Coloproctol. 2017;33(5):184-191. Published online October 31, 2017; DOI: https://doi.org/10.3393/ac.2017.33.5.184

7,771 View
77 Download
15 Web of Science
16 Citations

Abstract PDF

Purpose

The impact of previous abdominal surgery (PAS) on surgical outcomes from laparoscopic and robot surgeries is inconclusive. This study aimed to investigate the impact of PAS on perioperative outcomes from laparoscopic and robotic colorectal surgeries.

Methods

From March 2007 to February 2014, a total of 612 and 238 patients underwent laparoscopic and robotic surgeries, respectively. Patients were divided into 3 groups: those who did not have a PAS (NPAS), those who had a major PAS, and those who had a minor PAS. We further divided the patients so that our final groups for analysis were: patients with NPAS (n = 478), major PAS (n = 19), and minor PAS (n = 115) in the laparoscopy group, and patients with NPAS (n = 202) and minor PAS (n = 36) in the robotic surgery group.

Results

In the laparoscopy group, no differences in the conversion rates between the 3 groups were noted (NPAS = 1.0% vs. major PAS = 0% vs. minor PAS = 1.7%, P = 0.701). In the robotic surgery group, the conversion rate did not differ between the NPAS group and the minor PAS group (1.0% vs. 2.8%, P = 0.390). Among the groups, neither the operation time, blood loss, days to soft diet, length of hospital stay, nor complication rate were affected by PAS.

Conclusion

PAS did not jeopardize the perioperative outcomes for either laparoscopic or robotic colorectal surgeries. Therefore, PAS should not be regarded as an absolute contraindication for minimally invasive colorectal surgeries.

Citations

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Serra Bayrakceken, Aria Sarikhani, Volkan Ozben, Nur Ramoglu, Ahmet Anil Sahar, Arda Ulas Mutlu, Ismail Ahmet Bilgin, Bilgi Baca
The International Journal of Medical Robotics and Computer Assisted Surgery.2026;[Epub] CrossRef
Robotic-assisted versus laparoscopic surgery for colorectal cancer in high-risk patients: a systematic review and meta-analysis
S. Gahunia, J. Wyatt, S. G. Powell, S. Mahdi, S. Ahmed, K. Altaf
Techniques in Coloproctology.2025;[Epub] CrossRef
Impact of previous abdominal surgery on minimally invasive radical resection of colorectal cancer: A meta-analysis
Wenjun Liu, Fan He, Defei Chen, Xiuping Zhang
European Journal of Surgical Oncology.2025; 51(10): 110259. CrossRef
Robotic-assisted radical cystoprostatectomy and intracorporeal ileal conduit formation in a patient with prior total colectomy and J-pouch
Grace S Sutherland, Jodie M McDonald, Amanda C Chung, Justin V Vass, Ahmed G Goolam, Matthew R Winter
Journal of Surgical Case Reports.2025;[Epub] CrossRef
Effect of previous abdominal surgery on robotic-assisted rectal cancer surgery
Davide Ferrari, Tommaso Violante, Himani Bhatt, Ibrahim A. Gomaa, Anne-Lise D. D’Angelo, Kellie L. Mathis, David W. Larson
Journal of Gastrointestinal Surgery.2024; 28(4): 513. CrossRef
The impact of previous abdominal surgery on colorectal cancer patients undergoing laparoscopic surgery
Xu-Rui Liu, Bing-Lan Zhang, Dong Peng, Fei Liu, Zi-Wei Li, Chun-Yi Wang
Updates in Surgery.2024; 76(4): 1331. CrossRef
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Shoutarou Watanabe, Hiroaki Kobayashi, Nao Hiroe, Tomohiro Iwasawa, Michio Kosugi, Masayuki Shimizu, Masaru Ishida
Asian Journal of Endoscopic Surgery.2024;[Epub] CrossRef
The risk of postoperative complications is higher in stage I-III colorectal cancer patients with previous abdominal surgery: a propensity score matching analysis
Xu-Rui Liu, Fei Liu, Zi-Wei Li, Xiao-Yu Liu, Wei Zhang, Dong Peng
Clinical and Translational Oncology.2023; 25(12): 3471. CrossRef
Pretreatment inflammatory markers predicting treatment outcomes in colorectal cancer
Sanghyun An, Hongjin Shim, Kwangmin Kim, Bora Kim, Hui-Jae Bang, Hyejin Do, Hyang-Rae Lee, Youngwan Kim
Annals of Coloproctology.2022; 38(2): 97. CrossRef
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The International Journal of Medical Robotics and Computer Assisted Surgery.2021;[Epub] CrossRef
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E. Lorenz, J. Arend, M. Franz, M. Rahimli, A. Perrakis, V. Negrini, A. A. Gumbs, R. S. Croner
Langenbeck's Archives of Surgery.2021; 406(3): 753. CrossRef
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An individualized laparoscopic‐assisted approach in a patient with a sigmoid tumour and a giant incisional hernia – a video vignette
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Colorectal Disease.2019; 21(8): 972. CrossRef

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