scholarly journals Comment on: oncologic outcomes after robotic pancreatic resections are not inferior to open surgery

2021 ◽  
Vol 10 (6) ◽  
pp. 842-845
Author(s):  
Antonio Mimmo ◽  
Tullio Piardi
2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mark D. Girgis ◽  
Mazen S. Zenati ◽  
Jonathan C. King ◽  
Ahmad Hamad ◽  
Amer H. Zureikat ◽  
...  

2014 ◽  
Vol 86 (1) ◽  
pp. 28 ◽  
Author(s):  
Woo Ram Kim ◽  
Se Jin Baek ◽  
Chang Woo Kim ◽  
Hyun A Jang ◽  
Min Soo Cho ◽  
...  

2017 ◽  
Vol 65 (1) ◽  
pp. e26755 ◽  
Author(s):  
Brian Ezekian ◽  
Brian R. Englum ◽  
Brian C. Gulack ◽  
Kristy L. Rialon ◽  
Jina Kim ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
J. Holder-Murray ◽  
E. J. Dozois

A rapid progression from conventional open surgery to minimally invasive approaches in the surgical management of colorectal cancer has occurred over the last 2 decades. Initial concerns that this new approach was oncologically inferior to open surgery were ultimately refuted when several prospective randomized trials concluded that laparoscopic colectomy could achieve similar oncologic outcomes to open surgery. On the contrary, level 1 data has not yet matured regarding the oncologic safety of minimally invasive approaches for rectal cancer. We review the published literature pertaining to the evolution of minimally invasive techniques used to treat colorectal cancer surgery, including barriers to adoption, and the prospects for future advances related to innovative techniques.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Sung Sil Park ◽  
◽  
Joon Sang Lee ◽  
Hyoung-Chul Park ◽  
Sung Chan Park ◽  
...  

Abstract Background Laparoscopic surgery for T4 colon cancer may be safe in selected patients. We hypothesized that small tumor size might preoperatively predict a good laparoscopic surgery outcome. Herein, we compared the clinicopathologic and oncologic outcomes of laparoscopic and open surgery in small T4 colon cancer. Methods In a retrospective multicenter study, we reviewed the data of 449 patients, including 117 patients with tumors ≤ 4.0 cm who underwent surgery for T4 colon cancer between January 2014 and December 2017. We compared the clinicopathologic and 3-year oncologic outcomes between the laparoscopic and open groups. Survival curves were estimated using the Kaplan–Meier method and compared using the log-rank test. Univariate and multivariate analyses were performed using the Cox proportional hazards model. A p < 0.05 was considered statistically significant. Results Blood loss, length of hospital stay, and postoperative morbidity were lower in the laparoscopic group than in the open group (median [range], 50 [0–700] vs. 100 [0–4000] mL, p < 0.001; 8 vs. 10 days, p < 0.001; and 18.0 vs. 29.5%, p = 0.005, respectively). There were no intergroup differences in 3-year overall survival or disease-free survival (86.6 vs. 83.2%, p = 0.180, and 71.7 vs. 75.1%, p = 0.720, respectively). Among patients with tumor size ≤ 4.0 cm, blood loss was significantly lower in the laparoscopic group than in the open group (median [range], 50 [0–530] vs. 50 [0–1000] mL, p = 0.003). Despite no statistical difference observed in the 3-year overall survival rate (83.3 vs. 78.7%, p = 0.538), the laparoscopic group had a significantly higher 3-year disease-free survival rate (79.2 vs. 53.2%, p = 0.012). Conclusions Laparoscopic surgery showed similar outcomes to open surgery in T4 colon cancer patients and may have favorable short-term oncologic outcomes in patients with tumors ≤ 4.0 cm.


2018 ◽  
Vol 42 (10) ◽  
pp. 3405-3414 ◽  
Author(s):  
Marco Ettore Allaix ◽  
Edgar Furnée ◽  
Laura Esposito ◽  
Massimiliano Mistrangelo ◽  
Fabrizio Rebecchi ◽  
...  

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