Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Perioperative and oncologic outcomes of interval colectomy performed by acute care surgeons after stenting as a bridge to surgery for left-sided malignant colonic obstruction are non-inferior to the outcomes of colorectal surgeons in the elective setting: single center experience.

Authors:
J M Aranda-Narváez J González-Cano A J González-Sánchez A Titos-García I Cabrera-Serna L Romacho-López I González-Poveda S Mera-Velasco L Vázquez-Pedreño J Santoyo-Santoyo

Eur J Trauma Emerg Surg 2022 Jun 16. Epub 2022 Jun 16.

Head-in-Chief. General, Digestive and Transplantation Surgery Department, University Regional Hospital, Malaga, Spain.

Purpose: To analyze if perioperative and oncologic outcomes with stenting as a bridge to surgery (SEMS-BS) and interval colectomy performed by acute care surgeons for left-sided occlusive colonic neoplasms (LSCON) are non-inferior to those obtained by colorectal surgeons for non-occlusive tumors of the same location in the full-elective context.

Methods: From January 2011 to January 2021, patients with LSCON at University Regional Hospital in Málaga (Spain) were directed to a SEMS-BS strategy with an interval colectomy performed by acute care surgeons and included in the study group (SEMS-BS). The control group was formed with patients from the Colorectal Division elective surgical activity dataset, matching by ASA, stage, location and year of surgery on a ratio 1:2. Stages IV or palliative stenting were excluded. Software SPSS 23.0 was used to analyze perioperative and oncologic (defined by overall -OS- and disease free -DFS-survival) outcomes.

Results: SEMS-BS and control group included 56 and 98 patients, respectively. In SEMS-BS group, rates of technical/clinical failure and perforation were 5.35% (3/56), 3.57% (2/56) and 3.57% (2/56). Surgery was performed with a median interval time of 11 days (9-16). No differences between groups were observed in perioperative outcomes (laparoscopic approach, primary anastomosis rate, morbidity or mortality). As well, no statistically significant differences were observed in OS and DFS between groups, both compared globally (OS:p < 0.94; DFS:p < 0.67, respectively) or by stages I-II (OS:p < 0.78; DFS:p < 0.17) and III (OS:p < 0.86; DFS:p < 0.70).

Conclusion: Perioperative and oncologic outcomes of a strategy with SEMS-BS for LSCON are non-inferior to those obtained in the elective setting for non-occlusive neoplasms in the same location. Technical and oncologic safety of interval colectomy performed on a semi-scheduled situation by acute care surgeons is absolutely warranted.

Download full-text PDF

 Source
http://dx.doi.org/10.1007/s00068-022-02015-9DOI Listing
June 2022

Publication Analysis

Top Keywords

perioperative oncologic
12
care surgeons
12
acute care
12
bridge surgery
8
stenting bridge
8
control group
8
sems-bs control
8
357% 2/56
8
performed acute
8
colorectal surgeons
8
colectomy performed
8
interval colectomy
8
analyze perioperative
8
oncologic outcomes
8
surgeons
5
sems-bs
5
palliative stenting
4
stages palliative
4
ratio stages
4
stenting excluded
4

Keyword Occurance

Similar Publications

Robot-assisted laparoscopic staging compared to conventional laparoscopic staging and laparotomic staging in clinical early stage ovarian carcinoma.

Authors:
E L M Bouter Christianne Lok Hans Trum

Curr Opin Oncol 2022 Sep;34(5):490-496

Department of gynecologic oncology, Center Gynecologic Oncology Amsterdam, location Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.

Purpose Of Review: Robot-assisted laparoscopic staging (RALS) is increasingly used for staging epithelial ovarian cancer (EOC). Evidence of its safety is limited. The aim of this review is to compare the efficacy and safety of RALS in clinical early-stage EOC to conventional laparoscopy and laparotomy and to assess the level of evidence that is currently available to adopt this surgical technique. Read More

View Article and Full-Text PDF
September 2022
Similar Publications

Robotic-assisted, laparoscopic, and open radical cystectomy: surgical data of 1400 patients from The Italian Radical Cystectomy Registry on intraoperative outcomes.

Authors:
Angelo Porreca Luca Di Gianfrancesco Walter Artibani Gian Maria Busetto Giuseppe Carrieri Alessandro Antonelli Lorenzo Bianchi Eugenio Brunocilla Aldo Massimo Bocciardi Marco Carini Antonio Celia Giovanni Cochetti Andrea Gallina Ettore Mearini Andrea Minervini Riccardo Schiavina Sergio Serni Daniele D'Agostino Erica Debbi Paolo Corsi Alessandro Crestani

Cent European J Urol 2022 4;75(2):135-144. Epub 2022 May 4.

Oncological Urology, Veneto Institute of Oncology IOV - IRCCS, Padua, Italy.

Introduction: The Italian Radical Cystectomy Registry (Registro Italiano Cistectomie - RIC) aimed to analyse outcomes of a multicenter series of patients treated with radical cystectomy (RC) for bladder cancer.

Material And Methods: An observational, prospective, multicenter, cohort study was performed to collect data from RC and urinary diversion via open (ORC), laparoscopic (LRC), or robotic-assisted (RARC) techniques performed in 28 Italian Urological Departments. The enrolment was planned from January 2017 to June 2020 (goal: 1000 patients), with a total of 1425 patients included. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Practice trends for perioperative intravesical chemotherapy in upper tract urothelial carcinoma: Low but increasing utilization during minimally invasive nephroureterectomy.

Authors:
Alexander P Kenigsberg Gianpaolo Carpinito Samuel A Gold Xiaosong Meng Alireza Ghoreifi Hooman Djaladat Andrea Minervini Marcus Jamil Firas Abdollah Jason M Farrow Chandru Sundaram Robert Uzzo Matteo Ferro Margaret Meagher Ithaar Derweesh Zhenjie Wu James Porter Andrew Katims Reza Mehrazin Alex Mottrie Giuseppe Simone Adam C Reese Daniel D Eun Amit Satish Bhattu Mark L Gonzalgo Umberto Carbonara Riccardo Autorino Vitaly Margulis

Urol Oncol 2022 Aug 4. Epub 2022 Aug 4.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Introduction: Perioperative intravesical chemotherapy (IVC) at or around the time of radical nephroureterectomy (RNU) reduces the risk of intravesical recurrence. Guidelines since 2013 have recommended its use. The objective of this study is to examine IVC utilization and determine predictors of its administration within a large international consortium. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Meta-analysis of robot-assisted versus video-assisted McKeown esophagectomy for esophageal cancer.

Authors:
Dimitrios E Magouliotis Prokopis-Andreas Zotos Maria P Fergadi Despoina Koukousaki Dimitris Zacharoulis Alexandros Diamantis Kyriakos Spiliopoulos Thanos Athanasiou

Updates Surg 2022 Aug 6. Epub 2022 Aug 6.

Department of Surgery and Cancer, Imperial College London, St Mary's Hospital, London, W2 1NY, UK.

We aim to review the available literature on patients with esophageal cancer treated with robot-assisted (RAME) or video-assisted McKeown's esophagectomy (VAME), to compare the efficacy and safety of the two approaches. Original research studies that evaluated perioperative and oncologic outcomes of RAME versus VAME were identified, from January 1990 to July 2022. The 90-day mortality, the R0 resection rate, the dissected lymph nodes, the perioperative parameters, and the complications were calculated according to a fixed and a random effect model. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience.

Authors:
Hannah N St Denis-Katz Michael Bastianelli Jillian Macdonald Jing Zhang

Plast Reconstr Surg Glob Open 2022 Jul 29;10(7):e4431. Epub 2022 Jul 29.

Department of Surgery, Division of Plastic Surgery, University of Ottawa, Ottawa, Ontario, Canada.

The use of local anesthesia in nasal surgery has gained popularity as a cost-effective and safe alternative. With the potential benefit of reconstruction without using general anesthesia, the goal of the study was to evaluate the patient-reported experience in addition to surgical outcomes and perioperative complications.

Methods: A mixed-methods study was completed with retrospective chart review and patient-reported outcome questionnaire. Read More

View Article and Full-Text PDF
July 2022
Similar Publications
}