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Surgical efficacy and learning curves of laparoscopic complete mesocolic excision with intracorporeal anastomosis for right-sided colon cancer: A retrospective two-center cohort study.

التفاصيل البيبلوغرافية
العنوان: Surgical efficacy and learning curves of laparoscopic complete mesocolic excision with intracorporeal anastomosis for right-sided colon cancer: A retrospective two-center cohort study.
المؤلفون: Cuk P; Surgical Department, Hospital of Southern Jutland, Aabenraa, Denmark.; Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark., Simonsen RM; Surgical Department, Odense University Hospital, Odense C, Denmark., Sherzai S; Surgical Department, Hospital of South West Jutland, Esbjerg, Denmark., Buchbjerg T; Surgical Department, Odense University Hospital, Odense C, Denmark., Andersen PV; Surgical Department, Odense University Hospital, Odense C, Denmark., Salomon S; Surgical Department, Odense University Hospital, Odense C, Denmark., Pietersen PI; Department of Radiology, Odense University Hospital-Svendborg, Odense, Denmark.; Department of Radiology, Research and Innovation Unit of Radiology, University of Southern Denmark, Odense, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark., Möller S; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.; OPEN-Open Patient data Explorative Network, Odense University Hospital and Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Al-Najami I; Surgical Department, Odense University Hospital, Odense C, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Clinical Research, University of Southern Denmark, Odense C, Denmark., Ellebaek MB; Surgical Department, Odense University Hospital, Odense C, Denmark.; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.; Department of Clinical Research, University of Southern Denmark, Odense C, Denmark.
المصدر: Journal of surgical oncology [J Surg Oncol] 2023 Jun; Vol. 127 (7), pp. 1152-1159. Date of Electronic Publication: 2023 Mar 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 0222643 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-9098 (Electronic) Linking ISSN: 00224790 NLM ISO Abbreviation: J Surg Oncol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York, Plenum.
مواضيع طبية MeSH: Colonic Neoplasms*/surgery , Laparoscopy*/methods, Humans ; Learning Curve ; Retrospective Studies ; Cohort Studies ; Colectomy/methods ; Lymph Node Excision/methods ; Anastomosis, Surgical ; Treatment Outcome
مستخلص: Background: There is a potential benefit on long-term outcomes following complete mesocolic excision (CME) for right-sided colon cancer when compared to conventional colectomy. This study aims to analyze the learning curve and short-term outcomes of laparoscopic CME with intracorporeal anastomosis (ICA) for right-sided colon cancer in the hands of experienced colorectal surgeons.
Methods: A two-center cohort study of consecutive patients undergoing right-sided colectomy from September 2021 to May 2022 at two tertiary colorectal centers in Denmark. Learning curves of surgical time were estimated using a cumulative sum analysis (CUSUM).
Results: A total of 61 patients were included. According to the CUSUM analysis, 32 cases were needed to obtain a peak in operative time, resulting in a decrease in time consumption (group 1/learning phase: 217.2 min [SD 53.6] and group 2/plateau phase 191.6 min [SD 45.1], p = 0.05). There was a nonsignificant reduction in the rates of severe surgical complications (Clavien-Dindo > 3) (13% vs. 7%, p = 0.67) between the two groups, while the length of hospital stay remained constant (median 3.0 days, interquartile range, IQR [2.0; 4.0]).
Conclusion: The learning curve of laparoscopic CME with ICA for right-sided colon cancer demonstrated that 32 cases were needed to obtain a plateau phase expressed by operative time.
(© 2023 The Authors. Journal of Surgical Oncology published by Wiley Periodicals LLC.)
References: Bertelsen CA, Neuenschwander AU, Jansen JE, et al. 5-year outcome after complete mesocolic excision for right-sided colon cancer: a population-based cohort study. Lancet Oncol. 2019;20(11):1556-65.
Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation-technical notes and outcome. Colorectal Disease. 2009;11(4):354-364.
Mathis K. Laparoscopic complete mesocolic excision: safe for right colon cancer? Lancet Oncol. 2021;22(3):293-294.
Ferri V, Vicente E, Quijano Y, et al. Right-side colectomy with complete mesocolic excision vs conventional right-side colectomy in the treatment of colon cancer: a systematic review and meta-analysis. Int J Colorectal Dis. 2021;36(9):1885-1904.
Anania G, Davies RJ, Bagolini F, et al. Right hemicolectomy with complete mesocolic excision is safe, leads to an increased lymph node yield and to increased survival: results of a systematic review and meta-analysis. Tech Coloproctol. 2021;25(10):1099-113.
Kuzu MA, Ismail E, Çelik S, et al. Variations in the vascular anatomy of the right colon and implications for right-sided colon surgery. Dis Colon Rectum. 2017;60(3):290-298.
Benz SR, Feder IS, Vollmer S, et al. Complete mesocolic excision for right colonic cancer: prospective multicentre study. Br J Surg. 2022;110(1):98-105.
Xu L, Su X, He Z, et al. Short-term outcomes of complete mesocolic excision versus D2 dissection in patients undergoing laparoscopic colectomy for right colon cancer (RELARC): a randomised, controlled, phase 3, superiority trial. Lancet Oncol. 2021;22(3):391-401.
Karachun A, Panaiotti L, Chernikovskiy I, et al. Short-term outcomes of a multicentre randomized clinical trial comparing D2 versus D3 lymph node dissection for colonic cancer (COLD trial). Br J Surg. 2020;107(5):499-508.
van Oostendorp S, Elfrink A, Borstlap W, et al. Intracorporeal versus extracorporeal anastomosis in right hemicolectomy: a systematic review and meta-analysis. Surg Endosc. 2017;31(1):64-77.
Aiolfi A, Bona D, Guerrazzi G, et al. Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: an updated systematic review and cumulative meta-analysis. J Laparoendosc Adv Surg Tech A. 2020;30(4):402-412.
Emile SH, Elfeki H, Shalaby M, et al. Intracorporeal versus extracorporeal anastomosis in minimally invasive right colectomy: an updated systematic review and meta-analysis. Tech Coloproctol. 2019;23(11):1023-35.
Bollo J, Turrado V, Rabal A, et al. Randomized clinical trial of intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy (IEA trial). Br J Surg. 2020;107(4):364-72.
Allaix ME, Degiuli M, Bonino MA, et al. Intracorporeal or extracorporeal ileocolic anastomosis after laparoscopic right colectomy: a double-blinded randomized controlled trial. Ann Surg. 2019;270(5):762-767.
Flynn J, Larach JT, Kong JCH, Waters PS, Warrier SK, Heriot A. The learning curve in robotic colorectal surgery compared with laparoscopic colorectal surgery: a systematic review. Colorectal Dis. 2021;23(11):2806-2820.
de'Angelis N, Lizzi V, Azoulay D, Brunetti F. Robotic versus laparoscopic right colectomy for colon cancer: analysis of the initial simultaneous learning curve of a surgical fellow. J Laparoendosc Adv Surg Tech A. 2016;26(11):882-892.
Danish Colorectal Cancer Group. Landsdaekkende database for kraeft i tyk- og endetarm. 2020.
Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surgery. 2017;152(3):292-298.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205-213.
Kulu Y, Ulrich A, Bruckner T, et al. Validation of the International Study Group of Rectal Cancer definition and severity grading of anastomotic leakage. Surgery. 2013;153(6):753-761.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42(2):377-381.
Wu CJ, Huang KJ, Chang WC, Li YX, Wei LH, Sheu BC. Analyzing the learning curve of vaginal pelvic reconstruction surgery with and without mesh by the cumulative summation test (CUSUM). Sci Rep. 2022;12(1):7025.
Huang P, Li S, Li P, Jia B. The learning curve of da vinci Robot-Assisted hemicolectomy for colon cancer: a retrospective study of 76 cases at a single center. Front Surg. 2022;9:897103.
Planellas P, Cornejo L, Pigem A, et al. Challenges and learning curves in adopting TaTME and robotic surgery for rectal cancer: a cusum analysis. Cancers. 2022;14(20):5089.
Di Buono G, Buscemi S, Cocorullo G, et al. Feasibility and safety of laparoscopic complete mesocolic excision (CME) for right-sided colon cancer: short-term outcomes. A randomized clinical study. Ann Surg. 2021;274(1):57-62.
Crane J, Hamed M, Borucki JP, El-Hadi A, Shaikh I, Stearns AT. Complete mesocolic excision versus conventional surgery for colon cancer: a systematic review and meta-analysis. Colorectal Dis. 2021;23(7):1670-1686.
Ferrer-Márquez M, Rubio-Gil F, Torres-Fernández R, et al. Intracorporeal versus extracorporeal anastomosis in patients undergoing laparoscopic right hemicolectomy: a multicenter randomized clinical trial (The IVEA-study). Surg Laparosc Endosc Percutan Tech. 2021;31(4):408-13.
Rinne JK, Ehrlich A, Ward J, et al. Laparoscopic colectomy vs laparoscopic CME: a retrospective study of two hospitals with comparable laparoscopic experience. J Gastrointest Surg. 2021;25(2):475-83.
Magistro C, Bertoglio CL, Giani A, et al. Laparoscopic complete mesocolic excision versus conventional resection for right-sided colon cancer: a propensity score matching analysis of short-term outcomes. Surg Endosc. 2022;36(5):3049-58.
Miskovic D, Ni M, Wyles SM, Tekkis P, Hanna GB. Learning curve and case selection in laparoscopic colorectal surgery: systematic review and international multicenter analysis of 4852 cases. Dis Colon Rectum. 2012;55(12):1300-1310.
Tekkis PP, Senagore AJ, Delaney CP, Fazio VW. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg. 2005;242(1):83-91.
Barrie J, Jayne DG, Wright J, Murray CJC, Collinson FJ, Pavitt SH. Attaining surgical competency and its implications in surgical clinical trial design: a systematic review of the learning curve in laparoscopic and robot-assisted laparoscopic colorectal cancer surgery. Ann Surg Oncol. 2014;21(3):829-840.
Yudkowsky R, Park YS, Downing SM, eds. Assessment in Health Professions Education. 2nd ed. Routledge; 2019. doi:10.4324/9781138054394.
Rassie K. The apprenticeship model of clinical medical education: time for structural change. N Z Med J. 2017;130(1461):66-72.
فهرسة مساهمة: Keywords: CME; colon cancer; complete mesocolic excision; intracorporeal anastomosis; laparoscopy
تواريخ الأحداث: Date Created: 20230318 Date Completed: 20230428 Latest Revision: 20230428
رمز التحديث: 20230428
DOI: 10.1002/jso.27230
PMID: 36933189
قاعدة البيانات: MEDLINE
الوصف
تدمد:1096-9098
DOI:10.1002/jso.27230