dc.contributor.author | Haksal, Mustafa | |
dc.contributor.author | Özdenkaya, Yaşar | |
dc.contributor.author | Atıcı, Ali Emre | |
dc.contributor.author | Okkabaz, Nuri | |
dc.contributor.author | Aksakal, Nihat | |
dc.contributor.author | Erdemir, Ayhan | |
dc.contributor.author | Civil, Osman | |
dc.contributor.author | Öncel, Mustafa | |
dc.date.accessioned | 10.07.201910:49:13 | |
dc.date.accessioned | 2019-07-10T19:56:55Z | |
dc.date.available | 10.07.201910:49:13 | |
dc.date.available | 2019-07-10T19:56:55Z | |
dc.date.issued | 2015 | en_US |
dc.identifier.citation | Haksal, 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 | en_US |
dc.identifier.issn | 1743-9191 | |
dc.identifier.issn | 1743-9159 | |
dc.identifier.uri | https://dx.doi.org/10.1016/j.ijsu.2015.07.687 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/2851 | |
dc.description | WOS: 000360993700019 | en_US |
dc.description | PubMed ID: 26231993 | en_US |
dc.description.abstract | Introduction: 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Laparoscopy | en_US |
dc.subject | Rectal Cancer | en_US |
dc.subject | Laparotomy | en_US |
dc.subject | Incision | en_US |
dc.title | Safety and feasibility of laparoscopic sigmoid colon and rectal cancer surgery in patients with previous vertical abdominal laparotomy | en_US |
dc.type | article | en_US |
dc.relation.ispartof | International Journal of Surgery | en_US |
dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı | en_US |
dc.authorid | 0000-0001-8500-7276 | en_US |
dc.authorid | 0000-0003-0428-2511 | en_US |
dc.authorid | 0000-0003-2357-5387 | en_US |
dc.identifier.volume | 21 | en_US |
dc.identifier.startpage | 97 | en_US |
dc.identifier.endpage | 102 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.1016/j.ijsu.2015.07.687 | en_US |
dc.identifier.wosquality | Q1 | en_US |
dc.identifier.scopusquality | Q2 | en_US |