Safety and feasibility of laparoscopic sigmoid colon and rectal cancer surgery in patients with previous vertical abdominal laparotomy

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dc.authorid0000-0001-8500-7276
dc.authorid0000-0003-0428-2511
dc.authorid0000-0003-2357-5387
dc.contributor.authorHaksal, Mustafa
dc.contributor.authorÖzdenkaya, Yaşar
dc.contributor.authorAtıcı, Ali Emre
dc.contributor.authorOkkabaz, Nuri
dc.contributor.authorAksakal, Nihat
dc.contributor.authorErdemir, Ayhan
dc.contributor.authorCivil, Osman
dc.contributor.authorÖncel, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:55Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:55Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.descriptionWOS: 000360993700019
dc.descriptionPubMed ID: 26231993
dc.description.abstractIntroduction: Current study aims to analyze the impact of previous vertical laparotomy on safety and feasibility of laparoscopic sigmoid colon and rectal cancer operations. Methods: All consecutive patients who underwent a laparoscopic resection for sigmoid colon or rectal cancer were included. These aspects were abstracted and compared within no laparotomy and previous vertical laparotomy groups: demographics, perioperative aspects, pathological features and survival. Results: There were 252 patients in no laparotomy group, and 25 cases with previous vertical incisions including lower (n = 12,48%), upper (n = 7, 28%), and lower&upper (n = 2, 8%) midline and paramedian (n = 4, 16%) laparotomies. Veress insufflation and open technique were used in 19 (76%) and 6 (24%) cases, respectively, during the insertion of the first trocar in previous laparotomy group. Patients in previous laparotomy group were significantly older (59.2 +/- 13.4 vs. 66.2 +/- 0.1, p = 0.01), but gender, ASA scores, tumor and technique related factors were similar within the groups, including operation time (200 [70-600] vs. 200 [130-390] min, p = 0.353), blood loss (250 [100-1500] vs. 250 [0-2200] ml, p = 0.46), additional trocar insertion (10 [4%] vs. 3 [12%], p = 0.101), conversion (20 [7.9%] vs. 4 [16%], p = 0.25), postoperative complication (59 [23.4%] vs. 4 [16%], p = 0.06) and 30-day mortality (7 [2.8%] vs. 1 [4%], p = 0.536) rates. Oncological outcomes regarding pathological features and 5-year survival rates (65% vs. 73.2%, p = 0.678) were not different. Conclusion: The presence of a previous laparotomy does not worsen the outcomes in patients undergoing laparoscopic removal of sigmoid or rectal cancer, thus laparoscopy may be considered to be safe and feasible in these cases.
dc.identifier.citationHaksal, M., Özdenkaya, Y., Atıcı, A. E., Okkabaz, N., Aksakal, N., Erdemir, A. ... Öncel, M. (2015). Safety and feasibility of laparoscopic sigmoid colon and rectal cancer surgery in patients with previous vertical abdominal laparotomy. International Journal of Surgery, 21, 97-102. https://dx.doi.org/10.1016/j.ijsu.2015.07.687
dc.identifier.doi10.1016/j.ijsu.2015.07.687
dc.identifier.endpage102
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.scopusqualityQ2
dc.identifier.startpage97
dc.identifier.urihttps://dx.doi.org/10.1016/j.ijsu.2015.07.687
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2851
dc.identifier.volume21
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLaparoscopy
dc.subjectRectal Cancer
dc.subjectLaparotomy
dc.subjectIncision
dc.titleSafety and feasibility of laparoscopic sigmoid colon and rectal cancer surgery in patients with previous vertical abdominal laparotomy
dc.typeArticle

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