Emergency laparoscopic-assisted versus open right hemicolectomy for obstructing right-sided colonic carcinoma: a comparative study of short-term clinical outcomes

World Journal of Surgery
Simon S M NgKa Lau Leung

Abstract

The aim of the present study was to compare the clinical outcomes of emergency laparoscopic-assisted versus open right hemicolectomy for obstructing right-sided colonic carcinoma. Between July 2003 and July 2006, 43 consecutive patients with obstructing right-sided colonic carcinoma underwent emergency right hemicolectomy at our institution, 14 with the laparoscopic-assisted approach and 29 with the open approach. Clinical data were retrospectively recorded and compared between the two groups. There were no significant differences between the two groups with respect to age, gender, co-morbidities, duration of obstructing symptoms, tumor length, and tumor staging. The laparoscopic-assisted group had longer operative time than the open group (187.5 min versus 145 min; p=0.034) but less blood loss (20 ml versus 100 ml; p=0.020). The median time to full ambulation was significantly shorter in the laparoscopic-assisted group (4 days versus 6 days; p=0.016), but the time to return of gastrointestinal function and the duration of hospital stay were similar between the two groups. More patients in the open group developed postoperative complications (55.2% versus 28.6%), but the difference was not statistically significant. Emergency l...Continue Reading

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Citations

Jun 3, 2009·International Journal of Colorectal Disease·Wah-Siew TanKong-Weng Eu
Aug 24, 2011·International Journal of Colorectal Disease·Jimmy Chak-Man LiSophie Sok-Fei Hon
Dec 15, 2012·Surgical Endoscopy·Marc ZereyUNKNOWN Members of the SAGES Guidelines Committee
May 13, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jimmy C M LiKa Lau Leung
Aug 24, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jimmy Chak-Man LiKa-Lau Leung
May 1, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F RondelliG Noya
Sep 13, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Andrew T SchlusselScott R Steele
Nov 29, 2013·The British Journal of Surgery·D P HarjiP M Sagar
Apr 5, 2016·Updates in Surgery·Ferdinando AgrestaGabriele Anania
Jan 24, 2015·The Indian Journal of Surgery·Ajay GuptaNiraj Khetan
Nov 11, 2016·Aging Clinical and Experimental Research·Renata TabolaJaroslaw Wierzbicki
Mar 5, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A BirindelliS Di Saverio
May 12, 2015·Annals of Surgical Treatment and Research·Yoonah ParkHo-Kyung Chun
Jan 23, 2016·Journal of Clinical Gastroenterology·Takaya Shimura, Takashi Joh
Mar 14, 2012·Journal of the Korean Society of Coloproctology·Jung Hoon ChoNam Kyu Kim
Dec 11, 2014·World Journal of Gastroenterology : WJG·Manish ChandTahseen Qureshi
Apr 4, 2019·International Journal of Colorectal Disease·Diane MegeUNKNOWN AFC (French Surgical Association) Working Group
Apr 16, 2013·Annals of Coloproctology·Frederick H KohDean C Koh
Jun 24, 2020·Surgical Endoscopy·Zhobin MoghadamyeghanehAlessio Pigazzi
Jun 5, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Salman E AhmedDharmendra Garg

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