Pubblicazioni

Autori:

Marco, Milone; Maurizio, Degiuli; Nunzio, Velotti; Michele, Manigrasso; Sara, Vertaldi; Domenico, D'Ugo; Giovanni Domenico, De Palma; Ettore Allaix, Marco; Alberto Ammirati, Carlo; Anania, Gabriele; Barberis, Andrea; Belli, Andrea; Bianco, Francesco; Pietro Bianchi, Paolo; Bombardini, Cristina; Bruzzese, Dario; Cavaliere, Davide; Coco, Claudio; Coratti, Andrea; DE MANZONI, Giovanni; De Nardi, Paola; De Simone, Giuseppe; De Luca, Raffaele; Delrio, Paolo; Di Cataldo, Antonio; Di Lauro, Katia; DI LEO, Alberto; Donini, Annibale; Elmore, Ugo; Fontana, Andrea; Formisano, Giampaolo; Gentilli, Sergio; Giuliani, Giuseppe; Graziosi, Luigina; Guerrieri, Mario; Li Destri, Giovanni; Longhin, Roberta; Mineccia, Michela; Monni, Manuela; Morino, Mario; Ortenzi, Monica; Pace, Ugo; Pecchini, Francesca; Pedrazzani, Corrado; Piccoli, Micaela; Pollesel, Sara; Pucciarelli, Salvatore; Reddavid, Rossella; Rega, Daniela; Rigamonti, Marco; Rizzo, Gianluca; Rosati, Riccardo; Roviello, Franco; Santarelli, Mauro; Saraceno, Federica; Scabini, Stefano; Servillo, Giuseppe; Sigismondo Sica, Giuseppe; Sileri, Pierpaolo; Simone, Michele; Siragusa, Luigi; Sofia, Silvia; Solaini, Leonardo; Tribuzi, Angela; Turri, Giulia; Vignali, Andrea; Zuin, Matteo; Zuolo, Michele

Titolo:

Segmental transverse colectomy. Minimally invasive versus open approach: results from a multicenter collaborative study

Anno:

2022

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

No

Nome rivista:

UPDATES IN SURGERY

ISSN Rivista:

2038-131X

N° Volume:

74

Numero o Fascicolo:

1

Intervallo pagine:

127-135

Parole chiave:

Laparoscopic; Minimally invasive surgery; Robotic; Transverse colon cancer; Colectomy; Humans; Length of Stay; Operative Time; Postoperative Complications; Retrospective Studies; Treatment Outcome; Colonic Neoplasms; Laparoscopy; Robotic Surgical Procedures

Breve descrizione dei contenuti:

The role of minimally invasive surgery in the treatment of transverse colon cancer is still controversial. The aim of this study is to investigate the advantages of a totally laparoscopic technique comparing open versus laparoscopic/robotic approach. Three hundred and eighty-eight patients with transverse colon cancer, treated with a segmental colon resection, were retrospectively analyzed. Demographic data, tumor stage, operative time, intraoperative complications, number of harvested lymph nodes and recovery outcomes were recorded. Recurrences and death were also evaluated during the follow-up. No differences were found between conventional and minimally invasive surgery, both for oncological long-term outcomes (recurrence rate p = 0.28; mortality p = 0.62) and postoperative complications (overall rate p = 0.43; anemia p = 0.78; nausea p = 0.68; infections p = 0.91; bleeding p = 0.62; anastomotic leak p = 0.55; ileus p = 0.75). Nevertheless, recovery outcomes showed statistically significant differences in favor of minimally invasive surgery in terms of time to first flatus (p = 0.001), tolerance to solid diet (p = 0.017), time to first mobilization (p = 0.001) and hospital stay (p = 0.004). Compared with laparoscopic approach, robotic surgery showed significantly better results for time to first flatus (p = 0.001), to first mobilization (p = 0.005) and tolerance to solid diet (p = 0.001). Finally, anastomosis evaluation confirmed the superiority of intracorporeal approach which showed significantly better results for time to first flatus (p = 0.001), to first mobilization (p = 0.003) and tolerance to solid diet (p = 0.001); moreover, we recorded a statistical difference in favor of intracorporeal approach for infection rate (p = 0.04), bleeding (p = 0.001) and anastomotic leak (p = 0.03). Minimally invasive approach is safe and effective as the conventional open surgery, with comparable oncological results but not negligible advantages in terms of recovery outcomes. Moreover, we demonstrated that robotic approach may be considered a valid option and an intracorporeal anastomosis should always be preferred.

Id prodotto:

130164

Handle IRIS:

11562/1078673

ultima modifica:

23 febbraio 2023

Citazione bibliografica:

Marco, Milone; Maurizio, Degiuli; Nunzio, Velotti; Michele, Manigrasso; Sara, Vertaldi; Domenico, D'Ugo; Giovanni Domenico, De Palma; Ettore Allaix, Marco; Alberto Ammirati, Carlo; Anania, Gabriele; Barberis, Andrea; Belli, Andrea; Bianco, Francesco; Pietro Bianchi, Paolo; Bombardini, Cristina; Bruzzese, Dario; Cavaliere, Davide; Coco, Claudio; Coratti, Andrea; DE MANZONI, Giovanni; De Nardi, Paola; De Simone, Giuseppe; De Luca, Raffaele; Delrio, Paolo; Di Cataldo, Antonio; Di Lauro, Katia; DI LEO, Alberto; Donini, Annibale; Elmore, Ugo; Fontana, Andrea; Formisano, Giampaolo; Gentilli, Sergio; Giuliani, Giuseppe; Graziosi, Luigina; Guerrieri, Mario; Li Destri, Giovanni; Longhin, Roberta; Mineccia, Michela; Monni, Manuela; Morino, Mario; Ortenzi, Monica; Pace, Ugo; Pecchini, Francesca; Pedrazzani, Corrado; Piccoli, Micaela; Pollesel, Sara; Pucciarelli, Salvatore; Reddavid, Rossella; Rega, Daniela; Rigamonti, Marco; Rizzo, Gianluca; Rosati, Riccardo; Roviello, Franco; Santarelli, Mauro; Saraceno, Federica; Scabini, Stefano; Servillo, Giuseppe; Sigismondo Sica, Giuseppe; Sileri, Pierpaolo; Simone, Michele; Siragusa, Luigi; Sofia, Silvia; Solaini, Leonardo; Tribuzi, Angela; Turri, Giulia; Vignali, Andrea; Zuin, Matteo; Zuolo, Michele, Segmental transverse colectomy. Minimally invasive versus open approach: results from a multicenter collaborative study «UPDATES IN SURGERY» , vol. 74 , n. 1 , 2022 , pp. 127-135

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo