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Laparoscopic Resection of the Rectosigmoid Colon

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Minimally Invasive Cancer Management
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Abstract

The worldwide acceptance of laparoscopic cholecystectomy as the gold standard for gallbladder surgery has prompted colorectal surgeons to seek the same potential advantages of laparoscopic techniques applied to the treatment of various colorectal diseases. Laparoscopic colorectal surgery, however, presents greater challenges, especially in the resection of colorectal cancer, which is the leading indication for large bowel resection in the United States.1 It requires operating over multiple quadrants; retracting the small bowel; exposing and dissecting large tissue planes; removing a large, bacteria-laden organ that may contain a malignancy; and performing a bowel anastomosis. This chapter presents a safe and systematic approach for the successful application of laparoscopic techniques in the management of rectosigmoid cancer.

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References

  1. Landis SH, Murray T, Bolden S, et al. Cancer statistics, 1999. CA 1999; 49: 8–31.

    CAS  Google Scholar 

  2. Tomita H, Macello PW, MilsomJW. Laparoscopic surgery of the colon and rectum. World J Surg 1999; 23: 397–405.

    Article  PubMed  CAS  Google Scholar 

  3. Bokey EL, Moore JW, Keating JP, et al. Laparoscopic resection of the colon and rectum for cancer. Br J Surg 1997; 84: 822–825.

    Article  PubMed  CAS  Google Scholar 

  4. Stage JG, Schulze S, Moller P, et al. Prospective randomized study of laparoscopic versus open colonic resection for adenocarcinoma. Br J Surg 1997; 84: 391–396.

    Article  PubMed  CAS  Google Scholar 

  5. Goh YC, Eu KW, Seow-Choen F. Early postoperative results of a prospective series of laparoscopic versus open anterior resections for rectosigmoid cancers. Dis Colon Rectum 1997; 40: 776–780.

    Article  PubMed  CAS  Google Scholar 

  6. Cirocco WC, Schwartzman A, Golub RW. Abdominal wall recurrence after laparoscopic colectomy for colon cancer. Surgery 1994; 116: 842–846.

    PubMed  CAS  Google Scholar 

  7. Wexner SD, Cohen SM. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br J Surg 1995; 82: 295–298.

    Article  PubMed  CAS  Google Scholar 

  8. Senagore AJ, Luchtefeld MA, Mackeigan JM. What is the learning curve for laparoscopic colectomy? Am Surg 1995; 61: 681–685.

    PubMed  CAS  Google Scholar 

  9. Enker WE, Laffer UT, Block GE. Enhanced survival of patients with colon and rectal cancer based upon wide anatomic resection. Ann Surg 1979; 190: 350–360.

    Article  PubMed  CAS  Google Scholar 

  10. Goligher JC. Surgery of Anus, Rectum and Colon. London: Balliere Tindall, 1984.

    Google Scholar 

  11. Daly JM, Cady B. Atlas of Surgical Oncology. St Louis: Mosby Year Book, 1993: 455–600.

    Google Scholar 

  12. Pezim ME, Nicholls RJ. Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer. Ann Surg 1984; 200: 729–733.

    Article  PubMed  CAS  Google Scholar 

  13. Surtees P, Ritchie JK, Phillips RK High versus low ligation of the inferior mesenteric artery in rectal cancer. Br J Surg 1990; 77: 618–621.

    Article  PubMed  CAS  Google Scholar 

  14. Milsom JW, Kim SH. Laparoscopic versus open surgery for colorectal cancer. World J Surg 1997; 21: 702–705.

    Article  PubMed  CAS  Google Scholar 

  15. Steinbrok RA. Epidural anesthesia and gastrointestinal motility. Anesth Analg 1998; 86: 837–844.

    Google Scholar 

  16. Morimoto H, Cullen JJ, MessickJM Jr, et al. Epidural analgesia shortens postoperative ileus after ileal pouch-anal canal anastomosis. Am J Surg 1995; 169: 79–82.

    Article  PubMed  CAS  Google Scholar 

  17. Ferraz AA, Cowles VE, Condon RE, et al. Non-opioid analgesics shorten the duration of postoperative ileus. Am Surg 1995; 61: 1079–1083.

    PubMed  CAS  Google Scholar 

  18. Petros JG, Realica R, Ahmad S, et al. Patient-controlled analgesia and prolonged ileus after uncomplicated colectomy. Am J Surg 1995; 170: 371–374.

    Article  PubMed  CAS  Google Scholar 

  19. VanDamme J, Bonte J. Vascular Anatomy in Abdominal Surgery. New York: Thieme, 1990.

    Google Scholar 

  20. Kim SH, Milsom JW, Church JM, et al. Perioperative tumor localization for laparoscopic colorectal surgery. Surg Endosc 1997; 11: 1013–1016.

    Article  PubMed  CAS  Google Scholar 

  21. McArthur CS, Roayaie S, Waye JD. Safety of pre-operation endoscopic tattoo with india ink for identification of colonic lesions. Surg Endosc 1999; 13: 397–400.

    Article  PubMed  CAS  Google Scholar 

  22. Montorsi M, Opocher E, Santambrogio R, et al. Original technique for small colorectal tumor localization during laparoscopic surgery. Dis Colon Rectum 1999; 42: 819–822.

    Article  PubMed  CAS  Google Scholar 

  23. Marchesa P, Milsom JW, Hale JC, et al. Intraoperative laparoscopic liver ultrasonography for staging of colorectal cancer. Initial experience. Dis Colon Rectum 1996; 39: S73–78.

    Article  PubMed  CAS  Google Scholar 

  24. Milsom JW, Jerby BL, Kessler H, et al. Prospective blinded comparison of laparoscopic ultrasonography versus contrast enhanced computerized tomography for liver assessment in patients undergoing colorectal carcinoma surgery. Dis Colon Rectum 2000; 43 (l): 44–49.

    Article  PubMed  CAS  Google Scholar 

  25. Milsom JW, Bohm B, Stolfi M, et al. Use of cotton tapes in laparoscopic intestinal surgery. Br J Surg 1993; 80: 768.

    Article  PubMed  CAS  Google Scholar 

  26. Umpleby HC, Williamson RC. The efficacy of agents employed to prevent anastomotic recurrence in colorectal carcinoma. Ann Surg Oncol 1984; 66: 192–194.

    CAS  Google Scholar 

  27. Merad F, Hay JM, Fingerhut A, et al. Is prophylactic pelvic drainage useful after elective rectal or anal anastomosis? A multicenter controlled randomized trial. Surgery 1999; 125: 529–535.

    Article  PubMed  CAS  Google Scholar 

  28. Bauer JJ, Galernt IM, Salky B, et al. Sexual dysfunction following proctocolectomy for benign disease of the colon and rectum. Ann Surg 1983; 197: 363–367.

    Article  PubMed  CAS  Google Scholar 

  29. Heald RT, Leicester RJ. The stapled low anastomosis. Br J Surg 1981; 68: 333–337.

    Article  PubMed  CAS  Google Scholar 

  30. Havenga K, DeRuiter MC, Enker WE, et al. Anatomical basis of autonomic nerve-preserving total mesorectal excision for rectal cancer. Br J Surg 1996; 83: 384–388.

    Article  PubMed  CAS  Google Scholar 

  31. Jerby BL, Kessler H, Marcello PW, et al. Laparoscopic total mesorectal excision and autonomic nerve preservation in a cadaver model. J Gastrointest Surg (in press).

    Google Scholar 

  32. Hermanek P. Impact of surgeon’s technique on outcome after treatment of rectal carcinoma. Dis Colon Rectum 1999; 42: 559–562.

    Article  PubMed  CAS  Google Scholar 

  33. Franklin Jr ME, Rosenthal D, Abrego-Medina D, et al. Prospective comparison of open versus laparoscopic colon surgery for carcinoma. Five-year results. Dis Colon Rectum 1996; 39: S35–46.

    Article  PubMed  Google Scholar 

  34. Monson JRT, Hill ADK, Darzi A. Laparoscopic colonic surgery. Br J Surg 1995; 82: 150–157.

    Article  PubMed  CAS  Google Scholar 

  35. Kockerling F, Schneidner C, Reymond MA, et al. Early results of a prospective multicenter study on 500 consecutive cases of laparoscopic colorectal surgery. Surg Endose 1998; 12: 37–41.

    Article  CAS  Google Scholar 

  36. Senagore AJ, Kilbride MJ, Luchtefeld MA, et al. Superior nitrogen balance after laparoscopic-assisted colectomy. Ann Surg 1995; 221: 171–175.

    Article  PubMed  CAS  Google Scholar 

  37. Bardram L, Funch-Jensen P, Jensen P, et al. Recovery after laparoscopic colonic surgery with epidural analgesia and early oral nutrition and mobilization. Lancet 1995; 345: 763–764.

    Article  PubMed  CAS  Google Scholar 

  38. Lacy AM, Garcia-Valdecasas JC, Pique JM, et al. Short-term outcome analysis of a randomized study comparing laparoscopic vs. open colectomy for colon cancer. Surg Endosc 1995; 9: 1101–1105.

    PubMed  CAS  Google Scholar 

  39. Milsom JW, Böhm B, Hammerhofer KA, et al. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coll Surg 1998; 187: 46–57.

    Article  PubMed  CAS  Google Scholar 

  40. Reilly WT, Nelson H, Schroeder G, et al. Wound recurrence following conventional treatment of colorectal cancer. A rare but perhaps underestimated problem. Dis Colon Rectum 1996; 39: 200–207.

    Article  PubMed  CAS  Google Scholar 

  41. Vukasin P, Ortega AE, Greene FL, et al. Wound recurrence following laparoscopic colon cancer resection: results of the American Society of Colon and Rectal Surgeons Laparoscopic Registry. Dis Colon Rectum 1996; 39: S20–23.

    Article  PubMed  CAS  Google Scholar 

  42. Nelson H, Weeks JC, Wieand HC. Proposed phase III trial comparing laparoscopic-assisted colectomy versus open colectomy for colon cancer. J Natl Cancer Inst Monogr 1995; 19: 51–56.

    Google Scholar 

  43. Wittich P, Kazemier G, Schouten WR, et al. The Colon Cancer Laparoscopic or Open Resection (COLOR) Trial. [Article in Dutch]. Ned Tijdschr Geneeskd 1997; 141: 1870–1871.

    PubMed  CAS  Google Scholar 

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© 2001 Springer Science+Business Media New York

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Sim, R., Milsom, J.W. (2001). Laparoscopic Resection of the Rectosigmoid Colon. In: Greene, F.L., Heniford, B.T. (eds) Minimally Invasive Cancer Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3444-7_16

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  • DOI: https://doi.org/10.1007/978-1-4757-3444-7_16

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-3446-1

  • Online ISBN: 978-1-4757-3444-7

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