Laparoscopic right hemicolectomy with intracorporeal anastomosis and natural orifice surgery extraction/minimal extraction site surgery in the obese.

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Tytuł:: Laparoscopic right hemicolectomy with intracorporeal anastomosis and natural orifice surgery extraction/minimal extraction site surgery in the obese.
Autorzy:: Lendzion RJ; Department of Colorectal Surgery, Macquarie University Hospital, Macquarie University, Sydney, New South Wales, Australia.
Gilmore AJ; Department of Colorectal Surgery, Macquarie University Hospital, Macquarie University, Sydney, New South Wales, Australia.; Department of Colorectal Surgery, Concord Repatriation General Hospital, The University of Sydney, Concord Clinical School, Sydney, New South Wales, Australia.; Department of Colorectal Surgery, Liverpool Hospital, Western Sydney University, Sydney, New South Wales, Australia.
Źródło:: ANZ journal of surgery [ANZ J Surg] 2021 Jun; Vol. 91 (6), pp. 1180-1184. Date of Electronic Publication: 2020 Nov 03.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Carlton, Victoria, Australia : Wiley-Blackwell Publishing Asia
Original Publication: Carlton, Victoria, Australia : Blackwell Science Asia on behalf of the Royal Australasian College of Surgeons, c2001-
MeSH Terms:: Colectomy*
Laparoscopy*
Anastomosis, Surgical ; Female ; Humans ; Obesity/complications ; Obesity/surgery ; Retrospective Studies ; Treatment Outcome
References:: Wang CL, Qu G, Xu HW. The short- and long-term outcomes of laparoscopic vs. open surgery for colorectal cancer: a meta-analysis. Int. J. Colorectal Dis. 2014; 29: 309-20.
Xingmao Z, Haitao Z, Jianwei L, Huirong H, Junjie HU, Zhixiang Z. Totally laparoscopic resection with natural orifice specimen extraction (NOSE) has more advantages comparing with laparoscopic-assisted resection for selected patients with sigmoid colon or rectal cancer. Int. J. Colorectal Dis. 2014; 29: 1119-24.
Nishimura A, Kawahara M, Honda K et al. Totally laparoscopic anterior resection with transvaginal assistance and transvaginal specimen extraction: a technique for natural orifice surgery combined with reduced-port surgery. Surg. Endosc. 2013; 27: 4734-40.
Singh R, Omiccioli A, Hegge S, McKinley C. Does the extraction-site location in laparoscopic colorectal surgery have an impact on incisional hernia rates? Surg. Endosc. 2008; 22: 2596-600.
Fabozzi M, Allieta R, Brachet Contul R et al. Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study. Surg. Endosc. 2010; 24: 2085-91.
Milone M, Elmore U, Di Salvo E et al. Intracorporeal versus extracorporeal anastomosis. Results from a multicentre comparative study on 512 right-sided colorectal cancers. Surg. Endosc. 2015; 29: 2314-20.
Geiger TM, Muldoon R. Complications following colon rectal surgery in the obese patient. Clin. Colon Rectal Surg. 2011; 24: 274-82.
Guillou PJ, Quirke P, Thorpe H et al. MRC CLASICC trial group. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre randomized controlled trial. Lancet 2005; 365: 1718-26.
The COLOR Study Group. color:a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Dig. Surg. 2000; 17: 617-22.
Bell S, Kong JC, Wale R et al. The effect of increasing body mass index on laparoscopic surgery for colon and rectal cancer. Colorectal Dis. 2018; 20: 778-88.
Zhou Y, Wu L, Li X, Wu X, Li B. Outcome of laparoscopic colorectal surgery in obese and nonobese patients: a meta-analysis. Surg. Endosc. 2012; 26: 783-9.
Hussan H, Gray DM, Hinton A, Krishna SG, Conwell DL, Stanich PP. Morbid obesity is associated with increased mortality, surgical complications, and incremental health care utilization in the peri-operative period of colorectal cancer surgery. World J. Surg. 2016; 40: 987-94.
Awad ZT, Qureshi I, Seibel B, Sharma S, Dobbertien MA. Laparoscopic right hemicolectomy with transvaginal colon extraction using a laparoscopic posterior colpotomy: a 2-year series from a single institution. Surg. Laparosc. Endosc. Percutan. Tech. 2011; 21: 403-8.
McKenzie S, Baek JH, Wakabayashi M, Garcia-Aguilar J, Pigazzi A. Totally laparoscopic right colectomy with transvaginal specimen extraction: the authors' initial institutional experience. Surg. Endosc. 2010; 24: 2048-52.
Park JS, Choi GS, Kim HJ, Park SY, Jun SH. Natural orifice specimen extraction versus conventional laparoscopically assisted right hemicolectomy. Br. J. Surg. 2011; 98: 710-5.
WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363: 157-63.
Bergamaschi R, Schochet E, Haughn C, Burke M, Reed JF, Arnaud JP. Standardized laparoscopic intracorporeal right colectomy for cancer: short-term outcome in 111 unselected patients. Dis. Colon Rectum 2008; 1350: 1350-5.
Goldstein NS, Sanford W, Coffey M, Layfield LJ. Lymph node recovery from colorectal resection specimens removed for adenocarcinoma. Trends over time and a recommendation for a minimum number of lymph nodes to be recovered. Am. J. Clin. Pathol. 1996; 106: 209-16.
Franklin ME, Salzmann CW, Russek K, Garza U. Comparative study between intracorporeal and extracorporeal anastomoses in right hemicolectomy. SAGES Annual Meeting, San Diego: Convention Center 2012.
World Health Organization. Obesity: preventing and managing the global epidemic. WHO Technical Report Series 894. 2000.
Contributed Indexing:: Keywords: colectomy; intracorporeal anastomosis; laparoscopy; minimal extraction site surgery; natural orifice surgery extraction; obese
Entry Date(s):: Date Created: 20201104 Date Completed: 20210621 Latest Revision: 20210621
Update Code:: 20240105
DOI:: 10.1111/ans.16416
PMID:: 33145963
: Czasopismo naukowe

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Background: Despite advantages associated with laparoscopic colorectal surgery, there is significant morbidity associated with incisions required for specimen extraction and restoration of bowel continuity. In laparoscopic colorectal surgery, the length of the longest incision depends upon that required to facilitate extra-corporeal steps. The purpose of this study was to analyse obese patients (body mass index >30 kg/m 2 ) who have undergone laparoscopic small bowel or right-sided colonic resection with intracorporeal anastomosis (ICA) and natural orifice surgery extraction (NOSE)/minimal extraction site (MES) surgery.
Methods: A retrospective review of 11 obese patients who have undergone laparoscopic small bowel and right-sided colonic resection with ICA and NOSE/MES was conducted.
Results: Mean body mass index was 40.4 kg/m 2 (range 32.7-56 kg/m 2 ) in 11 patients. Procedures performed were laparoscopic right hemicolectomy (7) - one with high anterior resection, pelvic peritonectomy, bilateral salpingo-oophorectomy and greater omentectomy, small bowel resection (2), transverse colotomy (1) and segmental transverse colectomy (1). All colonic specimens were extracted via NOSE (vaginal colpotomy or transcolonic), except two requiring a miniaturized extraction wound. Small bowel specimens were extracted via a 12-mm port hole, without extension. Mean operating time was 240 min (range 100-510 min). Mean time to discharge was 4 days (range 4-6 days). Complications included a superficial wound infection in a patient presenting with an obstructed tumour and a second patient developed a seroma following small bowel resection for an incarcerated hernia.
Conclusion: Obese patients can undergo laparoscopic small bowel and right-sided colonic resection with ICA and NOSE/MES surgery and benefit from short length of stay and low morbidity.
(© 2020 Royal Australasian College of Surgeons.)

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