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Byung-Kwon Ahn 2 Articles
Simultaneous Laparoscopy-Assisted Resection for Synchronous Colorectal and Gastric Cancer
Seung-Hyun Lee, Byung-Kwon Ahn, Sung-Uhn Baek
Kosin Med J. 2015;30(2):115-121.   Published online January 20, 2015
DOI: https://doi.org/10.7180/kmj.2015.30.2.115
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM
Abstract Objectives

The purpose of this study is to evaluate feasibility and safety of simultaneous laparoscopy-assisted resection for synchronous colorectal and gastric cancer.

Methods

From January 2001 to December 2013, a total of 29 patients underwent simultaneous resection for synchronous colorectal and gastric cancers. Medical records were reviewed, retrospectively.

Results

Eight patients (5 male) underwent laparoscopy-assisted resection (LAP group) and twenty one patients (17 male) underwent open surgery (Open group). In the both group, the mean age (65.2 vs. 63.7 years, p =0.481), body mass index (22.6 vs. 22.3, p = 0.896) was comparable, respectively. In LAP group, laparoscopy-assisted distal gastrectomy was performed for all eight patients. In Open group, subtotal gastrectomy with billroth I gastroduodenostomy was most common procedure (66.7%). The operation time, blood loss volume was similar between the two groups. Gas out was earlier (3.0 vs. 4.6 days p = 0.106), postoperative hospital stay was shorter (12.0 vs. 18.3 days, p = 0.245) in LAP group. The postoperative complications were an ileus, a wound seroma and a bile leakage in LAP group, pneumonia (10.0%), wound bleeding (5.0%) and leakage (5.0%) in Open group.

Conclusions

The simultaneous laparoscopy-assisted resection for synchronous colorectal cancer and gastric cancer is a feasible and safe procedure.

Citations

Citations to this article as recorded by  
  • Simultaneous Treatment of Multifocal Gastric and Sigmoid Colon Carcinoma from Laparoscopic Access: A Case Report
    Oleg V. Zaytsev, Ivan S. Ignatov, Aleksandr Yu. Ogorel'tsev, Sergey V. Bizyayev, Mariya A. Evsyukova, Yuliya B. Li, Maksim A. Yudin, Svetlana V. Snegur, Irina Yu. Bragina, Elena G. Korobova
    I.P. Pavlov Russian Medical Biological Herald.2022;[Epub]     CrossRef
  • Simultaneous Totally Laparoscopic Distal Gastrectomy and Anterior Resection for Synchronous Gastric and Colon Cancer
    Beslen Goksoy
    Cureus.2021;[Epub]     CrossRef
The Safety of Elective Colorectal Surgery without Mechanical Bower Preparation
Chul-Min Lee, Seung-Hyun Lee, Byung-Kwon Ahn, Sung-Uhn Baek
Kosin Med J. 2012;27(2):105-110.   Published online December 27, 2012
DOI: https://doi.org/10.7180/kmj.2012.27.2.105
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM
Objectives

To reduce the risk of postoperative infectious complications and anastomotic leakage in colorectal surgery, preoperative mechanical bowel preparation (MBP) is performed routinely. The aim of this study was to evaluate the safety of primary anastomosis in elective colorectal surgery without MBP.

Methods

From Jan. 2005 to Dec. 2006, three hundred and seventy-nine patients of elective colorectal surgery with primary anastomosis were performed with MBP in 352 cases (Prep group) and without MBP in 24 cases (Non-prep group). For preoperative MBP, 4 liters of polyethylene glycol solution was administered. Postoperative infectious complications and other morbidity were reviewed with medical records and prospectively collected data.

Results

Demographic, clinical and treatment characteristics did not differ significantly between the two groups. The overall rate of abdominal infectious complications (wound infection, anastomotic leak) was 2.9 % in the Prep group and 9 % in the Non-prep group (P > 0.05). Anastomotic leak occurred in nine patients (2.6%) in the Prep group and one (4.5%) in the Non-prep group.

Conclusions

The incidence of infectious complications after elective colorectal surgery without MBP did not differ significantly compare to that with MBP. However, prospective, randomized clinical trial is needed to assess the safety of primary anastomosis in elective colorectal surgery without MBP.


KMJ : Kosin Medical Journal