Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease
Background Short‐term outcome and anorectal function results after laparoscopic hemicolectomy for colon cancer were compared with results after laparoscopic hemicolectomy for benign diseases. Methods A total of 108 patients who underwent laparoscopic left colectomy (60 for colon cancer, 48 for diver...
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| Veröffentlicht in: | World journal of surgery 2006-03, Vol.30 (3), p.446-452 |
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| creator | Sarli, Leopoldo Pavlidis, Clara Cinieri, Francesco Giovanni Regina, Gabriele Sansebastiano, Giuliano Veronesi, Licia Ferro, Michelina Morari, Silvia Violi, Vincenzo Roncoroni, Luigi |
| description | Background
Short‐term outcome and anorectal function results after laparoscopic hemicolectomy for colon cancer were compared with results after laparoscopic hemicolectomy for benign diseases.
Methods
A total of 108 patients who underwent laparoscopic left colectomy (60 for colon cancer, 48 for diverticulitis or polyposis) were enrolled in the study. Left hemicolectomy in patients affected by cancer was performed by high ligation of the inferior mesenteric artery. A questionnaire concerning anorectal function was mailed to patients 6 months after surgery.
Results
Complications were more frequent in the cancer group than in the benign disease group: overall morbidity rate (29.6% versus 8.7%; P = 0.009), diarrhea during the first 6 postoperative months (58.7% versus 34.1%; P = 0.022), and anorectal function problems (fecal incontinence and/or the inability to discriminate between gas and stool, and/or urgency, and/or tenesmus) (65.2% versus 31.7%; P = 0.002).
Discussion
The level of ligation of the lower mesenteric artery and damage at the lower mesenteric ganglion could explain the poorer anorectal function outcome in the colon cancer group. |
| doi_str_mv | 10.1007/s00268-005-0556-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67678386</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>991056271</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4066-135f0c32752520629fd583ef7bb9f72fc71b8bb0d75eb0fa8982abe8e084007a3</originalsourceid><addsrcrecordid>eNqNkc9uEzEQxi0EoqHwAFzQCgluC2N7_e9I05aCIoEEiKPldcbgane92AlVHqLvjEMiVeJCTx6Pft_Y33yEPKfwhgKotwWASd0CiBaEkC19QBa046xlnPGHZAFcdrWm_IQ8KeUagCoJ8jE5obJThvNuQW4_51Rm9Jv4G5tlGmeXY0lTk0KzcvWSik9z9M0Kw6a5wjH6NFQ6jbsmpFwVQ4WXbvKYm5u4-Xkv1RlO8cf0V5xr2w3NeSzoCj4lj4IbCj47nqfk2-XF1-VVu_r0_sPy3ar1Hcjqk4sAnjMlmGAgmQlroTkG1fcmKBa8or3ue1grgT0Ep41mrkeNoLu6N8dPyevD3DmnX1ssGzvG4nEY3IRpW6xUUmmuZQVf_gNep22e6t8so8Z0nelohegB8tV4yRjsnOPo8s5SsPug7CEoW4Oy-6DsXvPiOHjbj7i-UxyTqcCrI-CKd0PIdcex3HFKVFfaVM4cuJs44O7_L9vvH7-cXQIzVPI_gaOtnQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>219944941</pqid></control><display><type>article</type><title>Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Sarli, Leopoldo ; Pavlidis, Clara ; Cinieri, Francesco Giovanni ; Regina, Gabriele ; Sansebastiano, Giuliano ; Veronesi, Licia ; Ferro, Michelina ; Morari, Silvia ; Violi, Vincenzo ; Roncoroni, Luigi</creator><creatorcontrib>Sarli, Leopoldo ; Pavlidis, Clara ; Cinieri, Francesco Giovanni ; Regina, Gabriele ; Sansebastiano, Giuliano ; Veronesi, Licia ; Ferro, Michelina ; Morari, Silvia ; Violi, Vincenzo ; Roncoroni, Luigi</creatorcontrib><description>Background
Short‐term outcome and anorectal function results after laparoscopic hemicolectomy for colon cancer were compared with results after laparoscopic hemicolectomy for benign diseases.
Methods
A total of 108 patients who underwent laparoscopic left colectomy (60 for colon cancer, 48 for diverticulitis or polyposis) were enrolled in the study. Left hemicolectomy in patients affected by cancer was performed by high ligation of the inferior mesenteric artery. A questionnaire concerning anorectal function was mailed to patients 6 months after surgery.
Results
Complications were more frequent in the cancer group than in the benign disease group: overall morbidity rate (29.6% versus 8.7%; P = 0.009), diarrhea during the first 6 postoperative months (58.7% versus 34.1%; P = 0.022), and anorectal function problems (fecal incontinence and/or the inability to discriminate between gas and stool, and/or urgency, and/or tenesmus) (65.2% versus 31.7%; P = 0.002).
Discussion
The level of ligation of the lower mesenteric artery and damage at the lower mesenteric ganglion could explain the poorer anorectal function outcome in the colon cancer group.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-005-0556-1</identifier><identifier>PMID: 16479334</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer‐Verlag</publisher><subject>Aged ; Anal Incontinence ; Benign Disease ; Biological and medical sciences ; Colectomy - methods ; Colonic Diseases - surgery ; Colonic Neoplasms - surgery ; Digestive system. Abdomen ; Diverticulitis ; Diverticulitis - surgery ; Endoscopy ; Female ; General aspects ; Humans ; Inferior Mesenteric Artery ; Intestinal Polyposis - surgery ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Male ; Medical sciences ; Middle Aged ; Operative Blood Loss ; Postoperative Complications - epidemiology ; Surveys and Questionnaires ; Survival Analysis ; Treatment Outcome</subject><ispartof>World journal of surgery, 2006-03, Vol.30 (3), p.446-452</ispartof><rights>2006 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2006 INIST-CNRS</rights><rights>Société Internationale de Chirurgie 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4066-135f0c32752520629fd583ef7bb9f72fc71b8bb0d75eb0fa8982abe8e084007a3</citedby><cites>FETCH-LOGICAL-c4066-135f0c32752520629fd583ef7bb9f72fc71b8bb0d75eb0fa8982abe8e084007a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs00268-005-0556-1$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs00268-005-0556-1$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17589889$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16479334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sarli, Leopoldo</creatorcontrib><creatorcontrib>Pavlidis, Clara</creatorcontrib><creatorcontrib>Cinieri, Francesco Giovanni</creatorcontrib><creatorcontrib>Regina, Gabriele</creatorcontrib><creatorcontrib>Sansebastiano, Giuliano</creatorcontrib><creatorcontrib>Veronesi, Licia</creatorcontrib><creatorcontrib>Ferro, Michelina</creatorcontrib><creatorcontrib>Morari, Silvia</creatorcontrib><creatorcontrib>Violi, Vincenzo</creatorcontrib><creatorcontrib>Roncoroni, Luigi</creatorcontrib><title>Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><description>Background
Short‐term outcome and anorectal function results after laparoscopic hemicolectomy for colon cancer were compared with results after laparoscopic hemicolectomy for benign diseases.
Methods
A total of 108 patients who underwent laparoscopic left colectomy (60 for colon cancer, 48 for diverticulitis or polyposis) were enrolled in the study. Left hemicolectomy in patients affected by cancer was performed by high ligation of the inferior mesenteric artery. A questionnaire concerning anorectal function was mailed to patients 6 months after surgery.
Results
Complications were more frequent in the cancer group than in the benign disease group: overall morbidity rate (29.6% versus 8.7%; P = 0.009), diarrhea during the first 6 postoperative months (58.7% versus 34.1%; P = 0.022), and anorectal function problems (fecal incontinence and/or the inability to discriminate between gas and stool, and/or urgency, and/or tenesmus) (65.2% versus 31.7%; P = 0.002).
Discussion
The level of ligation of the lower mesenteric artery and damage at the lower mesenteric ganglion could explain the poorer anorectal function outcome in the colon cancer group.</description><subject>Aged</subject><subject>Anal Incontinence</subject><subject>Benign Disease</subject><subject>Biological and medical sciences</subject><subject>Colectomy - methods</subject><subject>Colonic Diseases - surgery</subject><subject>Colonic Neoplasms - surgery</subject><subject>Digestive system. Abdomen</subject><subject>Diverticulitis</subject><subject>Diverticulitis - surgery</subject><subject>Endoscopy</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Inferior Mesenteric Artery</subject><subject>Intestinal Polyposis - surgery</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Operative Blood Loss</subject><subject>Postoperative Complications - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc9uEzEQxi0EoqHwAFzQCgluC2N7_e9I05aCIoEEiKPldcbgane92AlVHqLvjEMiVeJCTx6Pft_Y33yEPKfwhgKotwWASd0CiBaEkC19QBa046xlnPGHZAFcdrWm_IQ8KeUagCoJ8jE5obJThvNuQW4_51Rm9Jv4G5tlGmeXY0lTk0KzcvWSik9z9M0Kw6a5wjH6NFQ6jbsmpFwVQ4WXbvKYm5u4-Xkv1RlO8cf0V5xr2w3NeSzoCj4lj4IbCj47nqfk2-XF1-VVu_r0_sPy3ar1Hcjqk4sAnjMlmGAgmQlroTkG1fcmKBa8or3ue1grgT0Ep41mrkeNoLu6N8dPyevD3DmnX1ssGzvG4nEY3IRpW6xUUmmuZQVf_gNep22e6t8so8Z0nelohegB8tV4yRjsnOPo8s5SsPug7CEoW4Oy-6DsXvPiOHjbj7i-UxyTqcCrI-CKd0PIdcex3HFKVFfaVM4cuJs44O7_L9vvH7-cXQIzVPI_gaOtnQ</recordid><startdate>200603</startdate><enddate>200603</enddate><creator>Sarli, Leopoldo</creator><creator>Pavlidis, Clara</creator><creator>Cinieri, Francesco Giovanni</creator><creator>Regina, Gabriele</creator><creator>Sansebastiano, Giuliano</creator><creator>Veronesi, Licia</creator><creator>Ferro, Michelina</creator><creator>Morari, Silvia</creator><creator>Violi, Vincenzo</creator><creator>Roncoroni, Luigi</creator><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200603</creationdate><title>Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease</title><author>Sarli, Leopoldo ; Pavlidis, Clara ; Cinieri, Francesco Giovanni ; Regina, Gabriele ; Sansebastiano, Giuliano ; Veronesi, Licia ; Ferro, Michelina ; Morari, Silvia ; Violi, Vincenzo ; Roncoroni, Luigi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4066-135f0c32752520629fd583ef7bb9f72fc71b8bb0d75eb0fa8982abe8e084007a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Anal Incontinence</topic><topic>Benign Disease</topic><topic>Biological and medical sciences</topic><topic>Colectomy - methods</topic><topic>Colonic Diseases - surgery</topic><topic>Colonic Neoplasms - surgery</topic><topic>Digestive system. Abdomen</topic><topic>Diverticulitis</topic><topic>Diverticulitis - surgery</topic><topic>Endoscopy</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Inferior Mesenteric Artery</topic><topic>Intestinal Polyposis - surgery</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Operative Blood Loss</topic><topic>Postoperative Complications - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sarli, Leopoldo</creatorcontrib><creatorcontrib>Pavlidis, Clara</creatorcontrib><creatorcontrib>Cinieri, Francesco Giovanni</creatorcontrib><creatorcontrib>Regina, Gabriele</creatorcontrib><creatorcontrib>Sansebastiano, Giuliano</creatorcontrib><creatorcontrib>Veronesi, Licia</creatorcontrib><creatorcontrib>Ferro, Michelina</creatorcontrib><creatorcontrib>Morari, Silvia</creatorcontrib><creatorcontrib>Violi, Vincenzo</creatorcontrib><creatorcontrib>Roncoroni, Luigi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sarli, Leopoldo</au><au>Pavlidis, Clara</au><au>Cinieri, Francesco Giovanni</au><au>Regina, Gabriele</au><au>Sansebastiano, Giuliano</au><au>Veronesi, Licia</au><au>Ferro, Michelina</au><au>Morari, Silvia</au><au>Violi, Vincenzo</au><au>Roncoroni, Luigi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease</atitle><jtitle>World journal of surgery</jtitle><addtitle>World J Surg</addtitle><date>2006-03</date><risdate>2006</risdate><volume>30</volume><issue>3</issue><spage>446</spage><epage>452</epage><pages>446-452</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Short‐term outcome and anorectal function results after laparoscopic hemicolectomy for colon cancer were compared with results after laparoscopic hemicolectomy for benign diseases.
Methods
A total of 108 patients who underwent laparoscopic left colectomy (60 for colon cancer, 48 for diverticulitis or polyposis) were enrolled in the study. Left hemicolectomy in patients affected by cancer was performed by high ligation of the inferior mesenteric artery. A questionnaire concerning anorectal function was mailed to patients 6 months after surgery.
Results
Complications were more frequent in the cancer group than in the benign disease group: overall morbidity rate (29.6% versus 8.7%; P = 0.009), diarrhea during the first 6 postoperative months (58.7% versus 34.1%; P = 0.022), and anorectal function problems (fecal incontinence and/or the inability to discriminate between gas and stool, and/or urgency, and/or tenesmus) (65.2% versus 31.7%; P = 0.002).
Discussion
The level of ligation of the lower mesenteric artery and damage at the lower mesenteric ganglion could explain the poorer anorectal function outcome in the colon cancer group.</abstract><cop>New York</cop><pub>Springer‐Verlag</pub><pmid>16479334</pmid><doi>10.1007/s00268-005-0556-1</doi><tpages>7</tpages></addata></record> |
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| ispartof | World journal of surgery, 2006-03, Vol.30 (3), p.446-452 |
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| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Aged Anal Incontinence Benign Disease Biological and medical sciences Colectomy - methods Colonic Diseases - surgery Colonic Neoplasms - surgery Digestive system. Abdomen Diverticulitis Diverticulitis - surgery Endoscopy Female General aspects Humans Inferior Mesenteric Artery Intestinal Polyposis - surgery Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Male Medical sciences Middle Aged Operative Blood Loss Postoperative Complications - epidemiology Surveys and Questionnaires Survival Analysis Treatment Outcome |
| title | Prospective Comparison of Laparoscopic Left Hemicolectomy for Colon Cancer with Laparoscopic Left Hemicolectomy for Benign Colorectal Disease |
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