scholarly journals Laparoscopic Resection of Advanced Colorectal Cancer in a Patient with Lumboperitoneal Shunt

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Toru Imagami ◽  
Satoru Takayama ◽  
Yohei Maeda ◽  
Ryohei Matsui ◽  
Masaki Sakamoto ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Colorectal Resection ◽  
Laparoscopic Resection ◽  
Advanced Colorectal Cancer ◽  
Surgical Site Infections ◽  
Right Hemicolectomy ◽  
Csf Shunt ◽  
Negative Effects ◽  
Number Of Patients ◽  
Laparoscopic Right Hemicolectomy

A 78-year-old woman with lumboperitoneal (LP) shunt was diagnosed with advanced cancer of the ascending colon. Laparoscopic right hemicolectomy was performed without manipulating the catheter. The patient’s postoperative course was uneventful, with no shunt-related complications or neurological deficit. The number of patients with cerebrospinal fluid (CSF) shunt who require abdominal surgery has been increasing. There are only few studies on laparoscopic surgery for patients with LP shunt, and the safety of pneumoperitoneum in the CSF shunt remains controversial. Consistent with other studies, we considered that pneumoperitoneum with a pressure of 10 mmHg has few negative effects. Our recommendations are as follows: (1) during colorectal resection, laparoscopic surgery can be performed without routine manipulation of the shunt catheter; (2) altering the location of the port is necessary to prevent both damage to the shunt tube during surgery and wound infection postoperatively; and (3) laparoscopic surgery is superior to laparotomy because it is associated with reduced surgical site infections and postoperative adhesions. However, laparoscopy should be performed at least 3 months after the construction of CSF shunt.

scholarly journals Laparoscopic Surgery for Colorectal Cancer in Korea: Nationwide Data from 2013 to 2018

2020 ◽  
Vol 52 (3) ◽  
pp. 938-944
Author(s):  
Sun Jin Park ◽  
Kil Yeon Lee ◽  
Suk-Hwan Lee
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Colorectal Resection ◽  
Laparoscopic Resection ◽  
Penetration Rate ◽  
Current Status ◽  
Steady Increase ◽  
Number Of Patients

PurposeWe report nationwide data on the current status of laparoscopic surgery for colorectal cancer (CRC) in Korea.Materials and MethodsNationwide data of patients who underwent surgery for CRC from 2013 to 2018 were obtained from the Health Insurance Review & Assessment Service database. Data and trends of laparoscopy use for colorectal resection over six years were examined. ResultsIn Korea, a total of 117,320 patients underwent surgical resection for CRC from 2013 to 2018. The proportion of laparoscopic resection increased from 64.9% in 2013 to 78.5% in 2018. The rate of laparoscopic resection for colon cancer increased from 64.7% in 2013 to 77.4% in 2018. For rectal cancer, the rate of laparoscopic resection increased from 65.4% to 81.6%. Males accounted for 59.8% of all patients, but females surpassed males at over 80 years of age. The age of peak incidence was in the 60s for males and in the 70s for females. A steady increase in the number of patients undergoing surgery for CRC was observed over 80 years of age.ConclusionThe laparoscopic penetration rate for CRC in Korea continued to increase annually and reached 78.5% in 2018.

scholarly journals Utility of Laparoscopic Surgery for Multiple Synchronous Colorectal Cancers With Two Anastomotic Sites

2017 ◽  
Vol 102 (1-2) ◽  
pp. 15-20
Author(s):  
Mitsunobu Takeda ◽  
Yoshihito Ide ◽  
Masayoshi Tokuoka ◽  
Hajime Hirose ◽  
Yo Sasaki
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Colorectal Resection ◽  
Laparoscopic Resection ◽  
Single Port ◽  
Colorectal Cancers ◽  
Surgery Complications ◽  
Short Term ◽  
Laparoscopic Colorectal Resection ◽  
Open Colorectal Resection

The frequency of multiple synchronous colorectal cancers is reported to be 2% to 7%. The surgical resection of 2 lesions and having 2 anastomotic sites are rare. According to previous studies, even if there are 2 anastomotic sites, the rate of complications associated with laparotomy will not increase. However, the number of studies confined to cases of laparoscopic surgery is limited. This study investigated effective methods for laparoscopic colorectal resection and their short-term results in cases of multiple synchronous colorectal cancers with 2 anastomotic sites. The safety of these methods were also evaluated. The study was comprised of 4 patients with multiple synchronous colorectal cancers who underwent resection using laparoscopy between January 2011 and March 2015. We retrospectively examined patients with 2 anastomosis sites. A total of 3 patients underwent multiport laparoscopic surgery (5-port) and 1 patient underwent single-port laparoscopic surgery. Complications due to the conversion to laparotomy or intraoperative or postoperative complications were not observed in any patient. Laparoscopic colorectal resection, resulting in 2 anastomosis sites, was performed safely. Compared to open colorectal resection with 2 anastomotic sites, laparoscopic resection was a smaller incision and minimally invasive. Therefore, laparoscopic colorectal resection with 2 anastomotic sites is regarded as a feasible and safe option for multiple synchronous colorectal cancers when tumors are located distantly from each other.

THE PRELIMINARY RESULTS OF OPERATION COLORECTAL ADENOMATOUS POLYPOSIS BY LAPAROSCOPY

2017 ◽  
pp. 63-68
Author(s):  
Quoc Phong Le ◽  
Nhu Hiep Pham
Keyword(s):  
Laparoscopic Surgery ◽  
Bowel Resection ◽  
Right Hemicolectomy ◽  
Adenomatous Polyposis ◽  
Operative Indication ◽  
Surgical Department ◽  
Colorectal Polyposis ◽  
Segmental Bowel Resection ◽  
The Mean ◽  
Bloody Stools

Objective: To study the clinical characteristics, paraclinic, the operative indication and treatment outcomes operation of colorectal polyposis by laparoscopic. Marterials: 12 patients with colorectal polyposis, is surgically the subtotal colectomy, and the total colorectomy by laparoscopic from 11/2012 to 4/2015 at Digestive Surgical Department of Hue Central Hospital. Method: Prospective study, all patients were examined clinically, endoscopic colorectal, operative indication, the type of surgery, lengh of post-operative stay, complications, and pathology. Results: From 11/2012 to 4/2015. We had overalled 12 patients: 8 males and 4 females, the mean patient was 36.33 ± 19.5 years of age (15-71). Dyspepsia 66.7%, bloody stools 100%. Laparoscopic segmental bowel resection in four (33,3%) cases: right hemicolectomy in one (8.3%), resection of transverse colon in one (8.3%), left hemicolectomy in two (16.7%), and totally colorectomy in eight (66.7%) by laparoscopic surgery. The mean post-operative hospital stay was 10.1 ± 3.8 days. The early complication: fistula anastomosis in one (8.3%), patients recovered after conservative treatment, no bleeding and no wound infection. The pathology is adematous polyps 91.7% and hyperplasia polyps 8.3%. Conclusion: Laparoscopic surgery is currently the technique of choice. The resection of colorectal polyposis is the method safe, effective, high success, low rate complications. Key words: laparoscopic, polyposis, colo-rectal polyposis, hemicolectomy

Laparoscopic right hemicolectomy with posterior colpotomy for transvaginal specimen retrieval

2007 ◽  
Vol 9 (7) ◽  
pp. 662-662 ◽  
Author(s):  
J. I. Wilson ◽  
K. K. Dogiparthi ◽  
N. Hebblethwaite ◽  
M. D. Clarke
Keyword(s):  
Right Hemicolectomy ◽  
Specimen Retrieval ◽  
Posterior Colpotomy ◽  
Laparoscopic Right Hemicolectomy

Laparoscopic right hemicolectomy for intestinal intussuception

2009 ◽  
Vol 181 (3) ◽  
pp. 333-335
Author(s):  
F. Kiernan ◽  
M. Joyce ◽  
C. K. Byrnes ◽  
F. Keane ◽  
P. Neary
Keyword(s):  
Right Hemicolectomy ◽  
Laparoscopic Right Hemicolectomy
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