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Right colonic transposition for colorectal anastomotic techniques after left hemicolectomy with rectal low anterior resection. The right colon is rotated 180 • in the sagittal plane and around the ileocecal pedicle axis or the right colon is rotated 180 • in a counterclockwise manner in the frontal plane and around the superior mesenteric vessel axis.
Source publication
Extended colon resection is often performed in advanced ovarian cancer. Restoring intestinal continuity and avoiding stoma creation improve patients’ quality of life postoperatively. We tried to minimize the number of anastomoses, restore intestinal continuity, and avoid stoma creation for 295 patients with stage III/IV ovarian cancer who underwent...
Context in source publication
Context 1
... colonic transposition (Figure 1, Supplementary Video S1) was initiated with a complete mobilization of the right colon and hepatic flexure up to the base of the right mesocolon [8][9][10]. An incision was made along the Toldt's fascia and was extended to the base of the right mesocolon and mesentery. ...
Similar publications
Objective
This systematic review and meta-analysis aimed to summarise the available evidence on the pre- and intra-operative risk factors for anastomotic leakage (AL) after bowel resection and anastomosis for ovarian cancer (OC).
Study design
We searched online databases from Pubmed, Scopus, ScienceDirect, and Cochrane Library from inception to Oc...
Citations
... The stabilization of AEs was gained with the procedures 12 and 47, respectively for Group A, as well as procedures 17 and 56 in Group B (Figs. 5, 6). (11,12) . A further detailed analysis showed that liver wedge resection during a cytoreductive surgery in women with FIGO stage IIIC ovarian malignancy does not significantly impact either the operating time, intraoperative blood loss, or postoperative hospital stay. ...
... In Group A, the learning curves for operating time, intraoperative blood loss, and postoperative hospital stay remained irregular and different in shape compared to Group B and the entire cohort. The prevalence of mAEs and sAEs in our study remain comparable with other results (11,12) . Liver wedge resection did not increase the prevalence of mAEs or sAEs. ...
... Therefore, we analyzed gaining surgical experience in a debulking surgery performed due to an advanced ovarian cancer by an operating team, and not by a single surgeon. This can be explained by the fact that a high-complexity surgery performed in women with advanced ovarian cancer, usually in combination with upper abdominal surgery, and additionally, bowel and liver resection, requires an experienced surgical team and this kind of experience can be hardly gained by a single, even highly skilled and practized surgeon, as concluded by Nishikimi et al. (11) . ...
Objective: In this study, we aimed to determine the learning curve for liver wedge resection performed as part of cytoreductive surgery in advanced ovarian malignant tumors. Materials and methods: This was a retrospective analysis of 120 women diagnosed with stage IIIC ovarian cancer according to the International Federation of Gynecology and Obstetrics (FIGO) classification: 22 underwent liver wedge resection as part of cytoreductive surgery (Group A), while 98 did not require liver surgery (Group B). In the study, the t-Student test was used for variables with normal distribution and the Mann−Whitney U test was utilized for increment and abnormally distributed variables. The variables categorized were shown as a number of cases (n) and a percentage (%), and compared using the chi-square test, with a p-value <0.05 considered significant. A cumulative sum control chart (CUSUM) method was used to investigate the learning curves in both groups and the entire cohort. Results: There were no significant differences in the operating time, intraoperative blood loss, postoperative hospitalization or minor and severe adverse effects between the Groups A and B. The operative time, total blood loss, and incidence of adverse effects showed a similar learning curve for Group B and the entire cohort. Conclusion: It is safe and feasible for gynecologic oncologists to perform wedge liver resections as part of cytoreductive surgery in women with advanced ovarian tumors.
