Abstract：
BACKGROUND:We have been performing curative resection of colon cancer via a minilaparotomy without utilizing any laparoscopic instruments as an alternative to laparoscopic-assisted approach. Based on our experiences and improved surgical techniques, we have devised a new method for performing resection of stage 0/I colon cancer via a circumferential periumbilical skin incision that is associated with better cosmesis than standard minilaparotomy. METHODS:The short- and long-term results of curative colectomy via a circumferential periumbilical skin incision without utilizing any laparoscopic instruments performed in selected patients with stage 0/I colon cancer between October 2003 and July 2004 were analyzed. RESULTS:There were 8 men and 2 women with a median age of 66.5 years (range 61-77 years). Their median body mass index was 22.4 kg/m(2) (range 21.1-27.7 kg/m(2)). Pathological stage according the TNM classification was stage 0 in 4 patients and stage I in 6 patients. Median operative time was 160.5 min (range 135-203 min), and median blood loss was 60 ml (range 5-330 ml). Postoperative complications consisted of seroma in two patients and small bowel obstruction in one patient. After a median follow-up period of 5.7 years, there were no recurrences or wound complications. CONCLUSION:Curative colectomy via a circumferential periumbilical skin incision seems oncologically safe, yields satisfactory cosmetic results, and may provide an alternative to single-incision laparoscopic surgery in selected patients with colon cancer.
journal_name
Tech Coloproctoljournal_title
Techniques in coloproctologyauthors
Ohsawa T,Ishida H,Kumamoto K,Nakada H,Yokoyama M,Okada N,Ishibashi K,Haga Ndoi
10.1007/s10151-010-0639-3subject
Has Abstractpub_date
2010-12-01 00:00:00pages
311-5issue
4eissn
1123-6337issn
1128-045Xjournal_volume
14pub_type
杂志文章abstract：BACKGROUND:Porcine small intestinal submucosa (SIS) is a bioprosthetic collagen material used in the management of various surgical conditions, especially hernia repairs. We studied the effectiveness of porcine SIS Bioprosthetic plug (Surgisis AFP, Cook Biotech Inc., West Lafayette, IN, USA) in the treatment of fistula...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-012-0897-3
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Obstetric anal sphincter injury is the most frequent cause of fecal incontinence (FI) in young women. However, the relationship between the extent of anal sphincter defects and the severity of long-term FI (at least 1 year after delivery) has been poorly studied. The aim of the present study was to determine...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-019-02128-1
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:The aim of this study was to report the outcomes of sacral neuromodulation (SNM) in chronic pelvic pain (CPP) patients in the Finnish national cohort. METHODS:This was a register-based retrospective study, involving all the centers that provide SNM treatment in Finland. The data of all patients treated with...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02148-2
更新日期：2020-03-01 00:00:00
abstract：:Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior recta...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0712-6
更新日期：2013-06-01 00:00:00
abstract：:Obstructed defecation is one subtype of constipation, and may be due to functional or mechanical causes. Here, we report an unusual cause, never described before, of obstructed defecation due to a large uterine myoma that reverted to normal bowel habits after surgery. The importance of an accurate evaluation of the ca...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0510-6
更新日期：2009-09-01 00:00:00
abstract：:Turnbull and Cutait described abdominoperineal pull-through followed by delayed coloanal anastomosis (DCA) in 1961. DCA could reduce anastomotic leaks, pelvic morbidity and use of stomas. Strong evidence about its clinical benefits is still lacking. This systematic review examined the clinical outcomes of DCA for the ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-014-1132-1
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:The quantitative immunochemical faecal occult blood test (qFOBT) has been shown to be an accurate method of identifying significant colorectal neoplasia including cancer and advanced adenomas. This study reports the results of a Singapore population-based colorectal cancer screening event using the qFOBT. M...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0515-1
更新日期：2009-09-01 00:00:00
abstract：:After radical resection of rectal carcinoma, the circumferential resection margin (CRM) on the non-peritonealized surface of the resected specimen is of critical importance. Histopathological examination of resected specimens must include careful assessment of the CRM. There is a need to distinguish between CRM-positi...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-005-0226-1
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Perineal wound complications are frequently observed after abdominoperineal resection (APR) for rectal cancer, especially in preoperatively irradiated patients. This is the first study to investigate whether local application of gentamicin-impregnated collagen fleece reduces deep perineal wound infection aft...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-008-0440-8
更新日期：2008-12-01 00:00:00
abstract：BACKGROUND:The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery. METHODS:We conducted an observational, comparative, prospective, non-randomized study ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02151-7
更新日期：2020-03-01 00:00:00
abstract：:Colorectal cancer remains a leading cause of cancer death in the UK. With the advent of screening programmes and developing techniques designed to treat and stage colorectal neoplasia, there is increasing pressure on the colonoscopist to keep up to date with the latest practices in this area. This review looks at the ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-007-0319-0
更新日期：2007-03-01 00:00:00
abstract：:Advancements in the medical treatment of Crohn's disease have reduced the need for surgery. The indications for surgery include the failure of medical management, especially the persistence or worsening of symptoms in spite of proper treatment and complications of the disease process. These complications include intes...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0728-y
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:The aim of our study was to assess perineal wound healing in patients with Crohn's disease (CD) who undergo proctectomy or proctocolectomy with end ileostomy and to evaluate the influence of various factors including types of perineal dissection on eventual wound healing. METHODS:Data for patients with CD w...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-017-1695-8
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:The aim of this study is to underscore the incidence of synchronous polyps in patients with colorectal cancer and to emphasise the importance of their perioperative detection and management. PATIENTS AND METHODS:Three hundred and seven patients underwent a potentially curative resection for colorectal cance...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-004-0117-x
更新日期：2004-11-01 00:00:00
abstract：:Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Amongst these, LigaSure haemorrhoidectomy is a safe and fast technique that fulfils the requirements of low-complication rate, fast wound ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0530-2
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Obese patients have higher complication rates after pelvic surgery. Laparoscopic rectal surgery may not be possible in the obese individual due to mesorectal, total pelvic and general visceral fat volumes. Very low energy diets reduce visceral fat but the changes within the pelvis and mesorectum are unknown....
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-019-02074-y
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:The aim of the present study was to evaluate patient factors that affect the progression of anal dysplasia in human immunodeficiency virus (HIV)-positive individuals. METHODS:A retrospective cohort study of HIV-positive adults with human papilloma virus related anal lesions was performed from 2012 to 2017. ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-019-01951-w
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION:One in ten patients with rectal cancer presents with synchronous colorectal liver metastases. We present an up-to-date review of the different surgical strategies available for rectal cancer patients with synchronous colorectal liver metastases. METHOD:A literature review of MEDLINE, Cochrane and Google s...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-012-0888-4
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:Laparoscopic rectal sleeve resection is challenging and technically demanding. Exposure and mobilization of the most distal part of the rectum can be especially hazardous. We propose the use of a single port access device, placed in the anal canal after incision of the sleeve at the appropriate level, to fac...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0795-0
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:In the United States, colorectal cancer (CRC) screening and surveillance is recommended until age 75. However, rates of surgery for CRC are greatest in the elderly, questioning current guidelines. Tumor sidedness is an emerging prognostic marker that may help guide screening and treatment decisions, with spe...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02329-z
更新日期：2020-08-27 00:00:00
abstract：:BACKGROUND: Several surgical methods are accepted for the treatment of chronic anal fissure. The most popular are anal dilatation (AD) and left lateral sphincterotomy (LLS). The objective of the current study was to prospectively evaluate the results of these two procedures in terms of recurrence rate, complications a...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-007-0373-7
更新日期：2007-12-03 00:00:00
abstract：BACKGROUND:Pouchitis after total rectocolectomy is among the most common complications of patients with ulcerative colitis (UC). However, its frequency is quite rare in patients with familial adenomatous polyposis (FAP). We evaluated the inflammatory and pro-apoptotic activity in endoscopically normal mucosa of the ile...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-008-0395-9
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:The presence of endometriosis in the anal canal and perianal tissues is rare and difficult to suspect at clinical examination. We report our experience with preoperative ultrasound evaluation of four cases of anal endometriosis. METHODS:Four patients were evaluated by transperineal and high-resolution three...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-014-1176-2
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Epidemiological studies in Western countries have documented an increase of hospitalizations for acute diverticulitis (AD) but Italian evidence is scarce. The aim of the present study was to analyse the trend in hospitalization for AD, including in-hospital mortality, in Italy from 2008 to 2015. METHODS:Thr...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-018-1840-z
更新日期：2018-08-01 00:00:00
abstract：:There is still no clear consensus about surgical treatment of anal fistulas. Fistulotomy or fistulectomy and primary sphincter reconstruction is still regarded with skepticism. The aim of this systematic review was to evaluate the evidence in the literature supporting the use of this technique in the treatment of comp...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-015-1323-4
更新日期：2015-07-01 00:00:00
abstract：:The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer follow...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-010-0672-2
更新日期：2011-03-01 00:00:00
abstract：:We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme's procedure. The possible cause of this complication is explored and serves as a reminder that ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-007-0382-6
更新日期：2007-12-01 00:00:00
abstract：:Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0696-2
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Perioperative blood transfusion has been associated with a poor prognosis in patients undergoing surgery for colorectal cancer. The aim of this study was to evaluate risk factors for blood transfusion and its impact on long-term outcome exclusively in patients undergoing laparoscopic surgery for curable colo...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-013-1014-y
更新日期：2013-10-01 00:00:00
abstract：BACKGROUND:Although the Hinchey scoring system has guided surgical decision making for perforated diverticulitis, what constitutes optimal surgical management is controversial. We report our experience of selective primary closure of the perforation without use of a transverse colostomy and the specific circumstances i...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0675-7
更新日期：2011-06-01 00:00:00
