Postoperative complications of laparoscopic surgery in colorectal cancer patients
Keywords:
colorectal cancer, laparoscopic surgery, postoperative complications.Abstract
Introduction: Laparoscopic surgery in the treatment of neoplastic colorectal disease presents the same benefits as in the case of other procedures performed by this route. Over the years, the number of patients operated on by this technique is increasing. Despite this, minimally invasive surgery for the treatment of colorectal cancer is not free from postoperative complications.Objective: To carry out a critical analysis of the postoperative complications of laparoscopic surgery in colorectal cancer patients.
Development: A bibliographic review of case reports, bibliographic reviews, case series articles in English and Spanish was carried out from January 2005 to December 2021, in indexed national and international journals and in recognized databases. The main keywords used were colorectal cancer, laparoscopic surgery, postoperative complications. After the bibliographic review carried out, the main postoperative complications of laparoscopic surgery in the treatment of colorectal cancer were analyzed.
Conclusions: In minimally invasive surgery as an approach in the treatment of colorectal cancer, the main postoperative complications are surgical site infection and anastomotic leakage.
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References
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15. Iversen H, Ahlberg M, Lindqvist M, Buchli C. Changes in Clinical Practice Reduce the Rate of Anastomotic Leakage After Colorectal Resections. World J Surg. 2018; 42(7):2234-41. DOI: 10.1007/s00268-017-4423-7
16. Blanco Engert R, Díaz Maag R, Gascón M, Delgado Gomis F, Rosenthanl R, Weiner R. Complicaciones postoperatorias en cirugía laparoscópica del colon. Cir Esp. 2020 [acceso: 17/12/2021]; 72(4):232-9. Disponible en: https://www.elsevier.es/en-revista-cirugia-espanola-36-articulo-complicaciones-postoperatorias-cirugia-laparoscopica-del-S0009739X02720460
17. Romero Ramírez Wilber Paul, Cordero Escobar Idoris. Variación de la temperatura central durante la cirugía colorrectal laparoscópica. Rev cuba anestesiol reanim. 2018 [acceso: 15/12/2021]; 17(1):1-14. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182018000100003&lng=es
18. Molina Meneses SP, Palacios Fuenmayor LJ, Castaño Llano RJ, Mejía Gallego JI, Sánchez Patiño LA. Determinación de los factores predictivos para complicaciones en cirugía electiva de pacientes con cáncer colorrectal. Experiencia del Instituto de Cancerología Las Américas Auna (Colombia, 2016-2019). Rev Colomb Cir. 2021; 36:637-46. DOI: 10.30944/20117582.863
19. Gellona V J, Miguieles C R, Espínola M D, Urrejola S G, Molina P M E, Inostroza L G et al. Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica. Rev Chil Cir. 2013; 65(5):415-20. DOI: 10.4067/S0718-40262013000500008
20. Sciuto A, Merola G, De Palma GD, Sodo M, Pirozzi F, Bracale UM, et al. Predictive factors for anastomotic leakage after laparoscopic colorectal surgery. World J Gastroenterol. 2018; 24(21):2247-60. DOI: 10.3748/wjg.v24.i21.2247
21. Trinh BB, Jackson NR, Hauch AT, Hu T, Kandil E. Robotic versus laparoscopic colorectal surgery. JSLS. 2014; 18(4):e2014.00187. DOI: 10.4293/JSLS.2014.00187
22. Liao G, Zhao Z, Lin S, Li R, Yuan Y, Du S, et al. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol. 2014; 12:122. DOI: 10.1186/1477-7819-12-122
23. Hu M, Miao C, Wang X, Ma Y. Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures: Protocol for meta-analysis. Medicine (Baltimore). 2018; 97(15):e0396. DOI: 10.1097/MD.0000000000010396
24. Yang SX, Sun ZQ, Zhou QB, Xu JZ, Chang Y, Xia KK, et al. Security and Radical Assessment in Open, Laparoscopic, Robotic Colorectal Cancer Surgery: A Comparative Study. Technol Cancer Res Treat. 2018; 17:1533033818794160. DOI: 10.1177/1533033818794160
25. Curtis NJ, Conti JA, Dalton R, Rockall TA, Allison AS, Ockrim JB, et al. 2D versus 3D laparoscopic total mesorectal excision: a developmental multicentre randomised controlled trial. Surg Endosc. 2019; 33(10):3370-83. DOI: 10.1007/s00464-018-06630-9
26. Wang G, Zhou J, Sheng W, Dong M. Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis. World J Surg Oncol. 2017; 15(1):215. DOI: 10.1186/s12957-017-1277-2
27. Chaouch MA, Dougaz MW, Mesbehi M, Jerraya H, Nouira R, Khan JS, et al. A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer. World J Surg Oncol. 2020; 18(1):91. DOI: 10.1186/s12957-020-01869-w
28. Zhang X, Wu Q, Gu C, Hu T, Bi L, Wang Z. Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer: An updated systematic review and meta-analysis. Medicine (Baltimore). 2017; 96(33):e7794. DOI: 10.1097/MD.0000000000007794
29. Athanasiou CD, Robinson J, Yiasemidou M, Lockwood S, Markides GA. Laparoscopic vs open approach for transverse colon cancer. A systematic review and meta-analysis of short and long term outcomes. Int J Surg. 2017; 41:78-85. DOI: 10.1016/j.ijsu.2017.03.050
30. Harji DP, Marshall H, Gordon K, Twiddy M, Pullan A, Meads D, et al. LaCeS Collaborators. Laparoscopic versus open colorectal surgery in the acute setting (LaCeS trial): a multicentre randomized feasibility trial. Br J Surg. 2020; 107(12):1595-1604. DOI: 10.1002/bjs.11703
31. Cirocchi R, Cesare Campanile F, Di Saverio S, Popivanov G, Carlini L, Pironi D, et al. Laparoscopic versus open colectomy for obstructing right colon cancer: A systematic review and meta-analysis. J Visc Surg. 2017; 154(6):387-99. DOI: 10.1016/j.jviscsurg.2017.09.002
2. Balén E, Suárez J, Ariceta I, Oronoz B, Herrera J, Lera JM. Cirugía laparoscópica en las enfermedades colorrectales. Anales Sis San Navarra. 2005 [acceso: 16/12/2021]; 28(Suppl 3): 67-80. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272005000600009&lng=es
3. Straatman J, Cuesta MA, Tuynman JB, Veenhof AAFA, Bemelman WA, van der Peet DL. C-reactive protein in predicting major postoperative complications are there differences in open and minimally invasive colorectal surgery? Substudy from a randomized clinical trial. Surg Endosc. 2018; 32(6):2877-85. DOI: 10.1007/s00464-017-5996-9. Epub 2017 Dec 27
4. Sheng S, Zhao T, Wang X. Comparison of robot-assisted surgery, laparoscopic-assisted surgery, and open surgery for the treatment of colorectal cancer: A network meta-analysis. Medicine (Baltimore). 2018; 97(34):e11817. DOI: 10.1097/MD.0000000000011817
5. Muñoz JL, Alvarez MO, Cuquerella V, Miranda E, Picó C, Flores R, et al. Procalcitonin and C-reactive protein as early markers of anastomotic leak after laparoscopic colorectal surgery within an enhanced recovery after surgery (ERAS) program. Surg Endosc. 2018; 32(9):4003-10. DOI: 10.1007/s00464-018-6144-x
6. Barrera EA, Muñoz PN. Cirugía laparoscópica en cáncer de colon. Rev. Cir. 2020; 72(2):164-170. DOI: 10.35687/s245245492020002688
7. Rueda Mesías M, Peralta P, Mesías C. Cirugía Laparoscópica en el Cáncer de Colon, en el Hospital Oncológico Solca-Quito. Rev. Oncol. Ecu. 2018; 28(2):103-11. DOI: 10.33821/125
8. Sánchez Gallego LA, Martínez Jaramillo CE, Medellín Abueta A, Obando Rodallega A, Barbosa Rónel, Senejoa Nairo, et al. Cirugía para enfermedad colorrectal vía laparoscópica por el servicio de coloproctología del Hospital Militar Central (2005-2015). Rev Col Gastroenterol. 2018; 33(1):8-15. DOI: 10.22516/25007440.228
9. Allaix ME, Furnée EJ, Mistrangelo M, Arezzo A, Morino M. Conversion of laparoscopic colorectal resection for cancer: What is the impact on short-term outcomes and survival? World J Gastroenterol. 2016; 22(37):8304-8313. DOI: 10.3748/wjg.v22.i37.8304
10. 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):205-13. DOI: 10.1097/01.sla.0000133083.54934.ae
11. Esteva Miró C, Núñez García B, Pérez Gaspar M, Santiago Martínez S, Jiménez Gómez J, Betancourth Alvarenga JE et al. Aplicabilidad de la clasificación Clavien-Dindo en las complicaciones quirúrgicas del procedimiento de Nuss. Cir Pediatr. 2020 [acceso: 16/12/2021]; 33(4):154-59. Disponible en: https://secipe.org/coldata/upload/revista/2020_33-4ESP_154.pdf
12. Fernández Santiesteban LT, Hernández Álvarez FE, González Villalonga JA, Lima Pérez M, González Meisozo M. Resultados del tratamiento quirúrgico en pacientes con cáncer colorrectal avanzado. Rev Cubana Cir. 2020 [acceso: 16/12/2021]; 59(2):e935. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932020000200004&lng=es
13. Zhao JH, Sun JX, Gao P, Chen XW, Song YX, Huang XZ et al. Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery: a meta-analysis. BMC Cancer. 2014; 14:607. DOI: 10.1186/1471-2407-14-607
14. Li J, Kong XX, Zhou JJ, Song YM, Huang XF, Li GH et al. Fast-track multidisciplinary treatment versus conventional treatment for colorectal cancer: a multicenter, open-label randomized controlled study. BMC Cancer. 2019; 19(1):988. DOI: 10.1186/s12885-019-6188-x
15. Iversen H, Ahlberg M, Lindqvist M, Buchli C. Changes in Clinical Practice Reduce the Rate of Anastomotic Leakage After Colorectal Resections. World J Surg. 2018; 42(7):2234-41. DOI: 10.1007/s00268-017-4423-7
16. Blanco Engert R, Díaz Maag R, Gascón M, Delgado Gomis F, Rosenthanl R, Weiner R. Complicaciones postoperatorias en cirugía laparoscópica del colon. Cir Esp. 2020 [acceso: 17/12/2021]; 72(4):232-9. Disponible en: https://www.elsevier.es/en-revista-cirugia-espanola-36-articulo-complicaciones-postoperatorias-cirugia-laparoscopica-del-S0009739X02720460
17. Romero Ramírez Wilber Paul, Cordero Escobar Idoris. Variación de la temperatura central durante la cirugía colorrectal laparoscópica. Rev cuba anestesiol reanim. 2018 [acceso: 15/12/2021]; 17(1):1-14. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1726-67182018000100003&lng=es
18. Molina Meneses SP, Palacios Fuenmayor LJ, Castaño Llano RJ, Mejía Gallego JI, Sánchez Patiño LA. Determinación de los factores predictivos para complicaciones en cirugía electiva de pacientes con cáncer colorrectal. Experiencia del Instituto de Cancerología Las Américas Auna (Colombia, 2016-2019). Rev Colomb Cir. 2021; 36:637-46. DOI: 10.30944/20117582.863
19. Gellona V J, Miguieles C R, Espínola M D, Urrejola S G, Molina P M E, Inostroza L G et al. Factores asociados a morbilidad precoz en cirugía colorrectal laparoscópica. Rev Chil Cir. 2013; 65(5):415-20. DOI: 10.4067/S0718-40262013000500008
20. Sciuto A, Merola G, De Palma GD, Sodo M, Pirozzi F, Bracale UM, et al. Predictive factors for anastomotic leakage after laparoscopic colorectal surgery. World J Gastroenterol. 2018; 24(21):2247-60. DOI: 10.3748/wjg.v24.i21.2247
21. Trinh BB, Jackson NR, Hauch AT, Hu T, Kandil E. Robotic versus laparoscopic colorectal surgery. JSLS. 2014; 18(4):e2014.00187. DOI: 10.4293/JSLS.2014.00187
22. Liao G, Zhao Z, Lin S, Li R, Yuan Y, Du S, et al. Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol. 2014; 12:122. DOI: 10.1186/1477-7819-12-122
23. Hu M, Miao C, Wang X, Ma Y. Robotic surgeries for patients with colorectal cancer who have undergone abdominal procedures: Protocol for meta-analysis. Medicine (Baltimore). 2018; 97(15):e0396. DOI: 10.1097/MD.0000000000010396
24. Yang SX, Sun ZQ, Zhou QB, Xu JZ, Chang Y, Xia KK, et al. Security and Radical Assessment in Open, Laparoscopic, Robotic Colorectal Cancer Surgery: A Comparative Study. Technol Cancer Res Treat. 2018; 17:1533033818794160. DOI: 10.1177/1533033818794160
25. Curtis NJ, Conti JA, Dalton R, Rockall TA, Allison AS, Ockrim JB, et al. 2D versus 3D laparoscopic total mesorectal excision: a developmental multicentre randomised controlled trial. Surg Endosc. 2019; 33(10):3370-83. DOI: 10.1007/s00464-018-06630-9
26. Wang G, Zhou J, Sheng W, Dong M. Hand-assisted laparoscopic surgery versus laparoscopic right colectomy: a meta-analysis. World J Surg Oncol. 2017; 15(1):215. DOI: 10.1186/s12957-017-1277-2
27. Chaouch MA, Dougaz MW, Mesbehi M, Jerraya H, Nouira R, Khan JS, et al. A meta-analysis comparing hand-assisted laparoscopic right hemicolectomy and open right hemicolectomy for right-sided colon cancer. World J Surg Oncol. 2020; 18(1):91. DOI: 10.1186/s12957-020-01869-w
28. Zhang X, Wu Q, Gu C, Hu T, Bi L, Wang Z. Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer: An updated systematic review and meta-analysis. Medicine (Baltimore). 2017; 96(33):e7794. DOI: 10.1097/MD.0000000000007794
29. Athanasiou CD, Robinson J, Yiasemidou M, Lockwood S, Markides GA. Laparoscopic vs open approach for transverse colon cancer. A systematic review and meta-analysis of short and long term outcomes. Int J Surg. 2017; 41:78-85. DOI: 10.1016/j.ijsu.2017.03.050
30. Harji DP, Marshall H, Gordon K, Twiddy M, Pullan A, Meads D, et al. LaCeS Collaborators. Laparoscopic versus open colorectal surgery in the acute setting (LaCeS trial): a multicentre randomized feasibility trial. Br J Surg. 2020; 107(12):1595-1604. DOI: 10.1002/bjs.11703
31. Cirocchi R, Cesare Campanile F, Di Saverio S, Popivanov G, Carlini L, Pironi D, et al. Laparoscopic versus open colectomy for obstructing right colon cancer: A systematic review and meta-analysis. J Visc Surg. 2017; 154(6):387-99. DOI: 10.1016/j.jviscsurg.2017.09.002
Published
2022-08-16
How to Cite
1.
Licea Videaux M, Santana Caballero R, Gómez Morgado M. Postoperative complications of laparoscopic surgery in colorectal cancer patients. Rev Cubana Med Milit [Internet]. 2022 Aug. 16 [cited 2025 Apr. 13];51(4):e02201827. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1827
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