Laparoscopic palliative surgery for complicated colorectal cancer

R. Gonzalez, C. D. Smith, E. M. Ritter, E. Mason, T. Duncan, Bruce Ramshaw

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Background: The aim of this study was to evaluate the feasibility and outcomes of the laparoscopic approach for the palliation of advanced complicated colorectal cancer (CRC). Methods: We reviewed 21 laparoscopic palliative procedures for emergent complications of advanced CRC between 1994 and 2002. Intraoperative complications, estimated blood loss, transfusions, operative times, time to first bowel movement, length of hospital stay, and postoperative complications were assessed. Results: Indications for surgery included perforation (n = 10), bleeding (n = 7), and obstruction (n = 4). A proximal diverting procedure was performed in all patients, and a concomitant colon resection was performed in 18 patients (86%). The mean operative time was 181 ± 22 min. Estimated blood loss was 283 ± 48 cc, with three patients (14%) requiring transfusions. The average length of hospital stay was 8.6 ± 2 days, and time to first bowel movement was 61 ± 9 h. The complication rate and the 30-day mortality rate were 33% and 0%, respectively. Conclusion: A laparoscopic approach to address advanced CRC is safe and effective and should be considered part of the surgeon's armamentarium for the palliation of advanced complicated CRC.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume19
Issue number1
DOIs
StatePublished - Jan 1 2005

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Palliative Care
Laparoscopy
Colorectal Neoplasms
Length of Stay
Operative Time
Intraoperative Complications
Blood Transfusion
Colon
Hemorrhage
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Laparoscopic palliative surgery for complicated colorectal cancer. / Gonzalez, R.; Smith, C. D.; Ritter, E. M.; Mason, E.; Duncan, T.; Ramshaw, Bruce.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 19, No. 1, 01.01.2005, p. 43-46.

Research output: Contribution to journalReview article

Gonzalez, R. ; Smith, C. D. ; Ritter, E. M. ; Mason, E. ; Duncan, T. ; Ramshaw, Bruce. / Laparoscopic palliative surgery for complicated colorectal cancer. In: Surgical Endoscopy and Other Interventional Techniques. 2005 ; Vol. 19, No. 1. pp. 43-46.
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N2 - Background: The aim of this study was to evaluate the feasibility and outcomes of the laparoscopic approach for the palliation of advanced complicated colorectal cancer (CRC). Methods: We reviewed 21 laparoscopic palliative procedures for emergent complications of advanced CRC between 1994 and 2002. Intraoperative complications, estimated blood loss, transfusions, operative times, time to first bowel movement, length of hospital stay, and postoperative complications were assessed. Results: Indications for surgery included perforation (n = 10), bleeding (n = 7), and obstruction (n = 4). A proximal diverting procedure was performed in all patients, and a concomitant colon resection was performed in 18 patients (86%). The mean operative time was 181 ± 22 min. Estimated blood loss was 283 ± 48 cc, with three patients (14%) requiring transfusions. The average length of hospital stay was 8.6 ± 2 days, and time to first bowel movement was 61 ± 9 h. The complication rate and the 30-day mortality rate were 33% and 0%, respectively. Conclusion: A laparoscopic approach to address advanced CRC is safe and effective and should be considered part of the surgeon's armamentarium for the palliation of advanced complicated CRC.

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