ArticleAnnals of medicine and surgery (2012)2015
Laparoscopic colorectal surgery in learning curve: Role of implementation of a standardized technique and recovery protocol. A cohort study.
Article in Annals of medicine and surgery (2012), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review.Surgical endoscopy · 2023Pooled it
- Temporal Trends in Clinical Evidence of 5-Year Survival Within Electronic Health Records Among Patients With Early-Stage Colon Cancer Managed With Laparoscopy-Assisted Colectomy vs Open Colectomy.JAMA network open · 2022Trial
- Single-port robotic-assisted kidney transplantation: early benchmarks from a systematic review.International urology and nephrology · 2026Article
- Robotic versus laparoscopic surgery for IBD: a case-matched comparison during the learning curve.Updates in surgery · 2026Article
- Short-Term Outcomes of First 100 Laparoscopic Colorectal Surgeries at a Newly Developed Surgical Setup at Peshawar.Cureus · 2024Article
- Determining the frequency of burn wound dressing for clinically competent nursing students: establishing standards based on learning curves.BMC medical education · 2023Article
- The risk factors for failure and recurrence of LIFT procedure for fistula in ano.Turkish journal of surgery · 2023Article
- A novel training program: laparoscopic versus robotic-assisted low anterior resection for rectal cancer can be trained simultaneously.Frontiers in oncology · 2023Article
- Is non-mentored initiation of laparoscopic colorectal surgery safe? Single surgeon initial experience with the first 40 cases.Frontiers in surgery · 2023Article
- The Effect of Laparoscopic Technique on the Surgical Outcome of Colorectal Cancer in a Small-Volume Rural Finnish Lapland Central Hospital.Gastrointestinal tumors · 2021Article
- Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.PloS one · 2021Article
- Article
- First Feasibility Study and Short-term Outcomes of Laparoscopic-Assisted Anterior Resection in Colorectal Cancer in Malaysia.Annals of coloproctology · 2020Article
- Oncological Outcomes and Quality of Life After Rectal Cancer Surgery.Open medicine (Warsaw, Poland) · 2019Article
- Defunctioning ileostomy and mechanical bowel preparation may contribute to development of low anterior resection syndrome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Novel Approaches to Ileocolic and Perianal Fistulising Crohn's Disease.Gastroenterology research and practice · 2018Review
- Quantitative Assessment of Visceral Obesity and Postoperative Colon Cancer Outcomes.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Article
- Laparoscopic colorectal surgery: Current status and implementation of the latest technological innovations.World journal of gastroenterology · 2016Review
- Quality of life in rectal cancer surgery: What do the patient ask?World journal of gastrointestinal surgery · 2015Article
- A video demonstration of the Li's anastomosis-the key part of the "non-tube no fasting" fast track program for resectable esophageal carcinoma.Journal of thoracic disease · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the proven benefits, laparoscopic colorectal surgery is still under utilized among surgeons. A steep learning is one of the causes of its limited adoption. Aim of the study is to determine the feasibility and morbidity rate after laparoscopic colorectal surgery in a single institution, "learning curve" experience, implementing a well standardized operative technique and recovery protocol.
methodsThe first 50 patients treated laparoscopically were included. All the procedures were performed by a trainee surgeon, supervised by a consultant surgeon, according to the principle of complete mesocolic excision with central vascular ligation or TME. Patients underwent a fast track recovery programme. Recovery parameters, short-term outcomes, morbidity and mortality have been assessed.
resultsType of resections: 20 left side resections, 8 right side resections, 14 low anterior resection/TME, 5 total colectomy and IRA, 3 total panproctocolectomy and pouch. Mean operative time: 227 min; mean number of lymph-nodes: 18.7. Conversion rate: 8%. Mean time to flatus: 1.3 days; Mean time to solid stool: 2.3 days. Mean length of hospital stay: 7.2 days. Overall morbidity: 24%; major morbidity (Dindo-Clavien III): 4%. No anastomotic leak, no mortality, no 30-days readmission.
conclusionProper laparoscopic colorectal surgery is safe and leads to excellent results in terms of recovery and short term outcomes, even in a learning curve setting. Key factors for better outcomes and shortening the learning curve seem to be the adoption of a standardized technique and training model along with the strict supervision of an expert colorectal surgeon.
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