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Laparoscopic Surgery for Colorectal Cancer in Korea: Nationwide Data from 2013 to 2018
Sun Jin Park, Kil Yeon Lee, Suk-Hwan Lee
Cancer Res Treat. 2020;52(3):938-944.   Published online April 6, 2020
DOI: https://doi.org/10.4143/crt.2020.043
AbstractAbstract PDFPubReaderePub
Purpose
We report nationwide data on the current status of laparoscopic surgery for colorectal cancer (CRC) in Korea.
Materials and Methods
Nationwide data of patients who underwent surgery for CRC from 2013 to 2018 were obtained from the Health Insurance Review & Assessment Service database. Data and trends of laparoscopy use for colorectal resection over six years were examined.
Results
In Korea, a total of 117,320 patients underwent surgical resection for CRC from 2013 to 2018. The proportion of laparoscopic resection increased from 64.9% in 2013 to 78.5% in 2018. The rate of laparoscopic resection for colon cancer increased from 64.7% in 2013 to 77.4% in 2018. For rectal cancer, the rate of laparoscopic resection increased from 65.4% to 81.6%. Males accounted for 59.8% of all patients, but females surpassed males at over 80 years of age. The age of peak incidence was in the 60s for males and in the 70s for females. A steady increase in the number of patients undergoing surgery for CRC was observed over 80 years of age.
Conclusion
The laparoscopic penetration rate for CRC in Korea continued to increase annually and reached 78.5% in 2018.

Citations

Citations to this article as recorded by  
  • Cost-effectiveness and readmission rates of laparoscopic vs. open surgery for colorectal cancer: evidence from the health insurance review and assessment service dataset in South Korea
    Sanghyun An, Sung Eun Hong, Moo Hyun Kim, Ik Yong Kim
    Frontiers in Surgery.2025;[Epub]     CrossRef
  • Learning curve for single-port robot-assisted colectomy
    Moon Suk Choi, Seong Hyeon Yun, Sung Chul Lee, Jung Kyong Shin, Yoon Ah Park, Jungwook Huh, Yong Beom Cho, Hee Cheol Kim, Woo Yong Lee
    Annals of Coloproctology.2024; 40(1): 44.     CrossRef
  • Clinical effect of laparoscopic radical resection of colorectal cancer based on propensity score matching
    Yang Liu, Xian-Xue Wang, Yu-Lin Li, Wen-Tao He, Hong Li, Hua Chen
    World Journal of Gastrointestinal Surgery.2024; 16(1): 124.     CrossRef
  • The impact of surgical volume on outcomes in newly diagnosed colorectal cancer patients receiving definitive surgeries
    Chiu-Mei Yeh, Tzu-Yu Lai, Yu-Wen Hu, Chung-Jen Teng, Nicole Huang, Chia-Jen Liu
    Scientific Reports.2024;[Epub]     CrossRef
  • Essential knowledge and technical tips for total mesorectal excision and related procedures for rectal cancer
    Min Soo Cho, Hyeon Woo Bae, Nam Kyu Kim
    Annals of Coloproctology.2024; 40(4): 384.     CrossRef
  • Robotic surgery may lead to reduced postoperative inflammatory stress in colon cancer: a propensity score–matched analysis
    Eun Ji Park, Gyong Tae Noh, Yong Joon Lee, Min Young Park, Seung Yoon Yang, Yoon Dae Han, Min Soo Cho, Hyuk Hur, Kang Young Lee, Byung Soh Min
    Annals of Coloproctology.2024; 40(6): 594.     CrossRef
  • Incidence of incisional hernia after major colorectal cancer surgery & analysis of associated risk factors in Asian population: Is laparoscopy any better?
    Shao Nan Khor, S.H.X. Cheok, Rehena Sultana, Emile Kwong Wei Tan
    Asian Journal of Surgery.2023; 46(1): 99.     CrossRef
  • Intracorporeal anastomosis for minimally invasive right colectomy – is it time for wider uptake?
    Kim‐Chi Phan‐Thien, Edward A. Cooper, David Z. Lubowski
    ANZ Journal of Surgery.2023; 93(3): 454.     CrossRef
  • Laparoscopic versus open surgery for colonoscopic perforation: A systematic review and meta-analysis
    Wu Zhong, Chuanyuan Liu, Chuanfa Fang, Lei Zhang, Xianping He, Weiquan Zhu, Xueyun Guan
    Medicine.2023; 102(24): e34057.     CrossRef
  • Results of Laparoscopic Surgery and D3 Lymph Node Dissection Combined With Chemotherapy for the Radical Treatment of Advanced-Stage Right Colon Cancer: A Single-Center Observational Study in Vietnam
    Long Huynh Thanh, Khiem Nguyen Manh, Minh Nguyen Thi, Anh Nguyen Tri Trung, Kien Nguyen Trung, Thang Le Viet, Nung Vu Huy
    Cureus.2023;[Epub]     CrossRef
  • Learning curve of single-incision laparoscopic totally extraperitoneal repair (SILTEP) for inguinal hernia
    Y. Y. Park, K. Lee, S. T. Oh, J. Lee
    Hernia.2022; 26(3): 959.     CrossRef
  • Laparoscopic Radical Resection of Colorectal Cancer in the Treatment of Elderly Colorectal Cancer and Its Effect on Gastrointestinal Function
    Biao Liu, Chuanhui Yao, Haiying Li
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Learning curve for single-port robot-assisted rectal cancer surgery
    Moon Suk Choi, Seong Hyeon Yun, Chang Kyu Oh, Jung Kyong Shin, Yoon Ah Park, Jung Wook Huh, Yong Beom Cho, Hee Cheol Kim, Woo Yong Lee
    Annals of Surgical Treatment and Research.2022; 102(3): 159.     CrossRef
  • Comparison of clinical efficacy and postoperative inflammatory response between laparoscopic and open radical resection of colorectal cancer
    Long-Hai He, Bo Yang, Xiao-Qin Su, Yue Zhou, Zhen Zhang
    World Journal of Clinical Cases.2022; 10(13): 4042.     CrossRef
  • Risk factors and economic burden of postoperative anastomotic leakage related events in patients who underwent surgeries for colorectal cancer
    Jeonghyun Kang, Hyesung Kim, HyeJin Park, Bora Lee, Kang Young Lee, Alberto Meyer
    PLOS ONE.2022; 17(5): e0267950.     CrossRef
  • Minimally Invasive Pancreatoduodenectomy: Contemporary Practice, Evidence, and Knowledge Gaps
    Jacob Ghotbi, Mushegh Sahakyan, Kjetil Søreide, Åsmund Avdem Fretland, Bård Røsok, Tore Tholfsen, Anne Waage, Bjørn Edwin, Knut Jørgen Labori, Sheraz Yaqub, Dyre Kleive
    Oncology and Therapy.2022; 10(2): 301.     CrossRef
  • A retrospective study of post-operative complications and cost analysis in robotic rectal resection versus laparoscopic rectal resection
    Muhammad Ali, Xiaodong Zhu, Yang Wang, Jianyue Ding, Qi Zhang, Qiannan Sun, Shantanu Baral, Daorong Wang
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Multidisciplinary treatment strategy for early colon cancer
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Korean Medical Association.2022; 65(9): 558.     CrossRef
  • Epidemiology, risk factors, and prevention of colorectal cancer
    Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim
    Journal of the Korean Medical Association.2022; 65(9): 549.     CrossRef
  • Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 203.     CrossRef
  • Epidemiology, Risk Factors, and Prevention of Colorectal Cancer-An English Version
    Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 231.     CrossRef
  • Postoperative complications observed with robotic versus laparoscopic surgery for the treatment of rectal cancer
    Chengkui Liu, Xiaoqing Li, Qingfeng Wang
    Medicine.2021; 100(36): e27158.     CrossRef
  • Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
    Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim
    Annals of Coloproctology.2021; 37(6): 434.     CrossRef
  • Preoperative Colonoscopic Tattooing Using a Direct Injection Method with Indocyanine Green for Localization of Colorectal Tumors: An Efficacy and Safety Comparison Study
    Young Jin Kim, Ji Won Park, Han-Ki Lim, Yoon-Hye Kwon, Min Jung Kim, Eun Kyung Choe, Sang Hui Moon, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
    The Journal of Minimally Invasive Surgery.2020; 23(4): 186.     CrossRef
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  • 26 Web of Science
  • 24 Crossref
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Laparoscopy versus Open Nephroureterectomy in Prognostic Outcome of Patients with Advanced Upper Tract Urothelial Cancer: A Retrospective, Multicenter, Propensity-Score Matching Analysis
Sung Han Kim, Mi Kyung Song, Jung Kwon Kim, Bumsik Hong, Seok Ho Kang, Ja Hyeon Ku, Byong Chang Jeong, Ho Kyung Seo, On behalf of Urothelial Cancer-Advanced Research and Treatment (UCART) Study Group
Cancer Res Treat. 2019;51(3):963-972.   Published online October 12, 2018
DOI: https://doi.org/10.4143/crt.2018.465
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
The purpose of this study was to compare oncologic outcomes between open nephroureterectomy (ONU) and laparoscopic nephroureterectomy (LNU) in patients with upper tract urothelial carcinoma.
Materials and Methods
The medical records of consecutive ONU and LNU cases from five tertiary institutions were retrospectively analyzed between 2000 and 2012. The propensity-score matching methodology was used to compare the two surgical approaches in terms of age, body mass index, American Society of Anesthesiologists score, tumor location, grade, pathologic T and N categories, the presence of lymphovascular invasion, and follow-up duration. The Kaplan-Meier with log-rank tests and clustered Cox regression were used to compare the estimated rates of survival for each surgical approach and to investigate the effect of the surgical approach on each prognostic outcome.
Results
Six hundred thirty-eight propensity-score matching pairs (n=1,276) were compared; LNU was significantly better than ONU in all types of survival, including intravesical recurrencefree survival (IVRFS), disease-free survival, overall survival (OS), and cancer-specific survival (CSS) (p < 0.05). The 3-year OS and CSS rates were significantly higher with LNU than with ONU (p < 0.05). Compared with ONU, LNU had significantly better 3-year OS and CSS rates (82.9% and 86.2% vs. 78.3% and 81.8%); there were no differences at 5 years. In subgroup analysis of the early-staged group, advanced-stage group, lymph node–positive group, and lymph node–negative group, the two approaches did not significantly affect prognostic outcomes, except LNU improved the IVRFS in the lymph node–negative or no history of previous bladder cancer group.
Conclusion
LNU had a significantly better prognostic outcome than ONU after propensity-score matching.

Citations

Citations to this article as recorded by  
  • Laparoscopic Versus Open Nephroureterectomy for Upper Tract Urothelial Carcinoma: A Systematic Review and Meta-Analysis of Propensity-Score Matched Studies
    Shidong Deng, Lingzhi Liu, Yurou Wang, Chuan Zhou, Huihui Zhang
    Surgical Innovation.2024; 31(5): 520.     CrossRef
  • Differential effect of surgical technique on intravesical recurrence after radical nephroureterectomy in patients with upper tract urothelial cancer: a systematic review and Meta-analysis
    Ichiro Tsuboi, Akihiro Matsukawa, Mehdi Kardoust Parizi, Jakob Klemm, Robert J Schulz, Anna Cadenar, Stefano Mancon, Sever Chiujdea, Tamás Fazekas, Marcin Miszczyk, Ekaterina Laukhtina, Tatsushi Kawada, Satoshi Katayama, Takehiro Iwata, Kensuke Bekku, Koi
    World Journal of Urology.2024;[Epub]     CrossRef
  • Comparing Oncological and Perioperative Outcomes of Open versus Laparoscopic versus Robotic Radical Nephroureterectomy for the Treatment of Upper Tract Urothelial Carcinoma: A Multicenter, Multinational, Propensity Score-Matched Analysis
    Nico C. Grossmann, Francesco Soria, Tristan Juvet, Aaron M. Potretzke, Hooman Djaladat, Alireza Ghoreifi, Eiji Kikuchi, Andrea Mari, Zine-Eddine Khene, Kazutoshi Fujita, Jay D. Raman, Alberto Breda, Matteo Fontana, John P. Sfakianos, John L. Pfail, Ekater
    Cancers.2023; 15(5): 1409.     CrossRef
  • Factors Predicting Oncological Outcomes of Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma in Taiwan
    I-Hsuan Alan Chen, Chao-Hsiang Chang, Chi-Ping Huang, Wen-Jeng Wu, Ching-Chia Li, Chung-Hsin Chen, Chao-Yuan Huang, Chi-Wen Lo, Chih-Chin Yu, Chung-You Tsai, Wei-Che Wu, Jen-Shu Tseng, Wun-Rong Lin, Yuan-Hong Jiang, Yu-Khun Lee, Yeong-Chin Jou, Ian-Seng C
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • Robotic Radical Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial Carcinoma: A Trend Analysis of Utilization and a Comparative Study
    Hoyoung Bae, Jae Hoon Chung, Wan Song, Minyong Kang, Hwang Gyun Jeon, Byong Chang Jeong, Seong Il Seo, Seong Soo Jeon, Hyun Moo Lee, Hyun Hwan Sung
    Cancers.2022; 14(10): 2497.     CrossRef
  • Oncological outcomes of laparoscopic versus open nephroureterectomy for the treatment of upper tract urothelial carcinoma: an updated meta-analysis
    Radosław Piszczek, Łukasz Nowak, Wojciech Krajewski, Joanna Chorbińska, Sławomir Poletajew, Marco Moschini, Krzysztof Kaliszewski, Romuald Zdrojowy
    World Journal of Surgical Oncology.2021;[Epub]     CrossRef
  • Laparoscopic compared with open nephroureterectomy in upper urinary tract urothelial carcinoma: A systemic review and a meta‐analysis
    Guihong Liu, Zeqin Yao, Guoqiang Chen, Yalang Li, Bing Liang
    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • RETRACTED: Open Nephroureterectomy Compared to Laparoscopic in Upper Urinary Tract Urothelial Carcinoma: A Meta-Analysis
    Guihong Liu, Zeqin Yao, Guoqiang Chen, Yalang Li, Bing Liang
    Frontiers in Surgery.2021;[Epub]     CrossRef
  • A retrospective multicenter comparison of conditional cancer-specific survival between laparoscopic and open radical nephroureterectomy in locally advanced upper tract urothelial carcinoma
    Sung Han Kim, Mi Kyung Song, Ja Hyeon Ku, Seok Ho Kang, Byong Chang Jeong, Bumsik Hong, Ho Kyung Seo, Isaac Yi Kim
    PLOS ONE.2021; 16(10): e0255965.     CrossRef
  • Risk factor analysis of intravesical recurrence after retroperitoneoscopic nephroureterectomy for upper tract urothelial carcinoma
    Masato Yanagi, Tsutomu Hamasaki, Jun Akatsuka, Yuki Endo, Hayato Takeda, Yukihiro Kondo
    BMC Urology.2021;[Epub]     CrossRef
  • Diagnosis, management, and follow-up of upper tract urothelial carcinoma: an interdisciplinary collaboration between urology and radiology
    Jacob L. Roberts, Fady Ghali, Lejla Aganovic, Seth Bechis, Kelly Healy, Gerant Rivera-Sanfeliz, Riccardo Autorino, Ithaar Derweesh
    Abdominal Radiology.2019; 44(12): 3893.     CrossRef
  • Prognostic Value of Lymphovascular Invasion in Upper Urinary Tract Urothelial Carcinoma after Radical Nephroureterectomy: A Systematic Review and Meta-Analysis
    Wen Liu, Lijiang Sun, Fengju Guan, Fangming Wang, Guiming Zhang
    Disease Markers.2019; 2019: 1.     CrossRef
  • 7,693 View
  • 180 Download
  • 12 Web of Science
  • 12 Crossref
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Comparative Effectiveness of Abdominal versus Laparoscopic Radical Hysterectomy for Cervical Cancer in the Postdissemination Era
Jin Hee Kim, Kyungjoo Kim, Seo Jin Park, Jung-Yun Lee, Kidong Kim, Myong Cheol Lim, Jae Weon Kim
Cancer Res Treat. 2019;51(2):788-796.   Published online September 11, 2018
DOI: https://doi.org/10.4143/crt.2018.120
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Purpose
Despite the benefits of minimally invasive surgery for cervical cancer, there are a lack of randomized trials comparing laparoscopic radical hysterectomy and abdominal radical hysterectomy. We compared morbidity, cost of care, and survival between abdominal radical hysterectomy and laparoscopic radical hysterectomy for cervical cancer.
Materials and Methods
We used the Korean nationwide database to identify women with cervical cancer who underwent radical hysterectomy from January 1, 2011 to December 31, 2014. Patients who underwent abdominal radical hysterectomy were compared to those who underwent laparoscopic radical hysterectomy. Perioperative morbidity, the use of adjuvant therapy, and survival were evaluated after propensity score balancing.
Results
We identified 6,335 patients, including 3,235 who underwent abdominal radical hysterectomy and 3,100 who underwent laparoscopic radical hysterectomy. The use of laparoscopic radical hysterectomy increased from 46.1% in 2011 to 51.8% in 2014. Patients who were younger, had a more recent year of diagnosis, and were treated in the metropolitan area were more likely to undergo a laparoscopic procedure (p < 0.001). Compared to abdominal radical hysterectomy, laparoscopic radical hysterectomy was associated with lower rates of complication, fewertransfusions, a shorter hospital stay, less adjuvant therapy, and reduced total medical costs (p < 0.001). Laparoscopic surgery was associated with a better overall survival than abdominal operation (hazard ratio, 0.74; 95% confidence interval, 0.64 to 0.85).
Conclusion
In the postdissemination era, laparoscopic radical hysterectomy was associated with more favorable morbidity profiles, a lower cost of care, and comparable survival than abdominal radical hysterectomy.

Citations

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    Jorge Cea García, Francisco Márquez Maraver, M. Carmen Rubio Rodríguez, Laura Ríos-Pena, Inmaculada Rodríguez Jiménez
    Indian Journal of Gynecologic Oncology.2024;[Epub]     CrossRef
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    Subbiah Shanmugam, Jagadish Singh, Mohanasundaram Natarajan
    Indian Journal of Gynecologic Oncology.2024;[Epub]     CrossRef
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    潇予 刘
    Advances in Clinical Medicine.2023; 13(08): 13249.     CrossRef
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    Greg Marchand, Ahmed Taher Masoud, Ahmed Abdelsattar, Alexa King, Hollie Ulibarri, Julia Parise, Amanda Arroyo, Catherine Coriell, Sydnee Goetz, Carmen Moir, Atley Moberly, Malini Govindan
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    Rüdiger Klapdor, Hermann Hertel, Laura Delebinski, Peter Hillemanns
    Archives of Gynecology and Obstetrics.2022; 305(1): 215.     CrossRef
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    Juliana Rodriguez, Jose Alejandro Rauh-Hain, James Saenz, David Ortiz Isla, Gabriel Jaime Rendon Pereira, Diego Odetto, Fabio Martinelli, Vladimir Villoslada, Ignacio Zapardiel, Lina Maria Trujillo, Milagros Perez, Marcela Hernandez, Jose Martin Saadi, Fr
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    Anna Jo Bodurtha Smith, Tiffany Nicole Jones, Diana Miao, Amanda Nickles Fader
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    Cong Liang, Ping Liu, Zhumei Cui, Zhiqing Liang, Xiaonong Bin, Jinghe Lang, Chunlin Chen
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    Stefano Greggi, Gennaro Casella, Felice Scala, Francesca Falcone, Serena Visconti, Cono Scaffa
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    Benny Brandt, Vasileios Sioulas, Derman Basaran, Theresa Kuhn, Katherine LaVigne, Ginger J. Gardner, Yukio Sonoda, Dennis S. Chi, Kara C. Long Roche, Jennifer J. Mueller, Elizabeth L. Jewell, Vance A. Broach, Oliver Zivanovic, Nadeem R. Abu-Rustum, Mario
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    Alexander Melamed, Pedro T. Ramirez
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    Roni Nitecki, Pedro T. Ramirez, Michael Frumovitz, Kate J. Krause, Ana I. Tergas, Jason D. Wright, J. Alejandro Rauh-Hain, Alexander Melamed
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    Ting wen yi Hu, Yue Huang, Na Li, Dan Nie, Zhengyu Li
    International Journal of Gynecological Cancer.2020; 30(8): 1143.     CrossRef
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    Tanitra Tantitamit, Kuan-Gen Huang, Chyi-Long Lee
    Taiwanese Journal of Obstetrics and Gynecology.2020; 59(4): 481.     CrossRef
  • Primary conization overcomes the risk of developing local recurrence following laparoscopic radical hysterectomy in early stage cervical cancer
    Giorgio Bogani, Antonino Ditto, Valentina Chiappa, Ciro Pinelli, Cristina Sonetto, Francesco Raspagliesi
    International Journal of Gynecology & Obstetrics.2020; 151(1): 43.     CrossRef
  • Survival After Minimally Invasive vs. Open Radical Hysterectomy for Cervical Cancer: A Meta-Analysis
    Yizi Wang, Bo Li, Fang Ren, Zixuan Song, Ling Ouyang, Kuiran Liu
    Frontiers in Oncology.2020;[Epub]     CrossRef
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    Weihong Yang, Rong Chen, Caixia Li, Li Li, Ning Luo, Zhongping Cheng
    Gynecology and Minimally Invasive Therapy.2020; 9(4): 220.     CrossRef
  • A Retrospective Comparison of the Outcomes of Laparoscopic and Open Radical Hysterectomy for Early and Advanced Cancer of the Cervix, in the Post-LACC Era
    Subbiah Shanmugam, Sujay Susikar, Syed Afroze Hussain, T. Bharanidharan, Rajiv Michael
    Indian Journal of Gynecologic Oncology.2020;[Epub]     CrossRef
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    Se Ik Kim, Jae Hyun Cho, Aeran Seol, Young Im Kim, Maria Lee, Hee Seung Kim, Hyun Hoon Chung, Jae-Weon Kim, Noh Hyun Park, Yong-Sang Song
    Gynecologic Oncology.2019; 153(1): 3.     CrossRef
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    James R. Bentley
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  • Laparoscopic radical hysterectomy with transvaginal closure of vaginal cuff – a multicenter analysis
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  • Impact of laparoscopic radical hysterectomy on survival outcome in patients with FIGO stage IB cervical cancer: A matching study of two institutional hospitals in Korea
    Se Ik Kim, Maria Lee, Sungyoung Lee, Dong Hoon Suh, Hee Seung Kim, Kidong Kim, Hyun Hoon Chung, Jae Hong No, Jae-Weon Kim, Noh Hyun Park, Yong-Sang Song, Yong Beom Kim
    Gynecologic Oncology.2019; 155(1): 75.     CrossRef
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The Comparison of Oncologic Outcomes between Open and Laparoscopic Radical Nephroureterectomy for the Treatment of Upper Tract Urothelial Carcinoma: A Korean Multicenter Collaborative Study
Tae Heon Kim, Bumsik Hong, Ho Kyung Seo, Seok Ho Kang, Ja Hyeon Ku, Byong Chang Jeong, on behalf of Urothelial Cancer-Advanced Research and Treatment (UCART) Study Group
Cancer Res Treat. 2019;51(1):240-251.   Published online April 24, 2018
DOI: https://doi.org/10.4143/crt.2017.417
AbstractAbstract PDFPubReaderePub
Purpose
We compared oncologic outcomes of patients with upper tract urothelial carcinoma (UTUC) who underwent open nephroureterectomy (ONU) or laparoscopic nephroureterectomy (LNU).
Materials and Methods
Consecutive cases of ONU and LNU between 2000 and 2012 at five participating institutions were included in this retrospective analysis. Clinical characteristics and pathologic outcomes were compared between the two surgical approaches. The influence of the type of surgical approach on intravesical recurrence-free survival (IVRFS), progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS) was analyzed using the Kaplan-Meier method and differences were assessed with the log-rank test. Predictors of IVRFS, PFS, CSS, and OS were also analyzed with a multivariable Cox regression model.
Results
A total of 1,521 patients with UTUC were eligible for the present study (ONU, 906; LNU, 615). The estimated 5-year IVRFS (57.8 vs. 51.0%, p=0.010), CSS (80.4 vs. 76.4%, p=0.032), and OS (75.8 vs. 71.4%, p=0.026) rates were significantly different between the two groups in favor of LNU. Moreover, in patients with locally advanced disease (pT3/pT4), the LNU group showed better 5-year IVRFS (62.9 vs. 54.1%, p=0.038), CSS (64.3 vs. 56.9%, p=0.022), and OS (60.4 vs. 53.1%, p=0.018) rates than the ONU group. Multivariable Cox regression analyses showed that type of surgical approach was independently associated with IVRFS, but was not related to PFS, CSS, and OS.
Conclusion
Our findings indicate that LNU provided better oncologic control of IVRFS, CSS, and OS compared with ONU for the management of patients with UTUC.

Citations

Citations to this article as recorded by  
  • Impact of lymphovascular invasion on survival in surgically treated upper tract urothelial carcinoma: a nationwide analysis
    Giuseppe Ottone Cirulli, Nicholas Corsi, Ivan Rakic, Alex Stephens, Giuseppe Chiarelli, Marco Finati, Matthew Davis, Shane Tinsley, Akshay Sood, Nicolò Buffi, Giovanni Lughezzani, Giuseppe Carrieri, Andrea Salonia, Alberto Briganti, Francesco Montorsi, Cr
    BJU International.2024; 133(5): 555.     CrossRef
  • Robotic Radical Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial Carcinoma: A Trend Analysis of Utilization and a Comparative Study
    Hoyoung Bae, Jae Hoon Chung, Wan Song, Minyong Kang, Hwang Gyun Jeon, Byong Chang Jeong, Seong Il Seo, Seong Soo Jeon, Hyun Moo Lee, Hyun Hwan Sung
    Cancers.2022; 14(10): 2497.     CrossRef
  • Impact of pathological factors on survival in patients with upper tract urothelial carcinoma: a systematic review and meta-analysis
    Gopal Sharma, Anuj Kumar Yadav, Tarun Pareek, Pawan Kaundal, Shantanu Tyagi, Sudheer Kumar Devana, Shrawan Kumar Singh
    International braz j urol.2022; 48(3): 406.     CrossRef
  • Laparoscopic compared with open nephroureterectomy in upper urinary tract urothelial carcinoma: A systemic review and a meta‐analysis
    Guihong Liu, Zeqin Yao, Guoqiang Chen, Yalang Li, Bing Liang
    International Journal of Clinical Practice.2021;[Epub]     CrossRef
  • RETRACTED: Open Nephroureterectomy Compared to Laparoscopic in Upper Urinary Tract Urothelial Carcinoma: A Meta-Analysis
    Guihong Liu, Zeqin Yao, Guoqiang Chen, Yalang Li, Bing Liang
    Frontiers in Surgery.2021;[Epub]     CrossRef
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    Sung Han Kim, Mi Kyung Song, Ja Hyeon Ku, Seok Ho Kang, Byong Chang Jeong, Bumsik Hong, Ho Kyung Seo, Isaac Yi Kim
    PLOS ONE.2021; 16(10): e0255965.     CrossRef
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    Hao Lun Luo, Chikara Ohyama, Shingo Hatakeyama, Hung Jen Wang, Tohru Yoneyama, Wen Chou Yang, Yao Chi Chuang, Yen Ta Chen, Wei Chin Lee, Yuan Tso Cheng, Chih Hsiung Kang, Po Hui Chiang
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    Xiaoshuai Gao, Yucheng Ma, Guo Chen, Jixiang Chen, Hao Li, Hong Li, Xin Wei, Kunjie Wang
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  • Transperitoneal radical nephroureterectomy is associated with worse disease progression than retroperitoneal radical nephroureterectomy in patients with upper urinary tract urothelial carcinoma
    Tae Heon Kim, Yoon Seok Suh, Hwang Gyun Jeon, Byong Chang Jeong, Seong Il Seo, Seong Soo Jeon, Hyun Moo Lee, Han Yong Choi, Hyun Hwan Sung
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    Jacob L. Roberts, Fady Ghali, Lejla Aganovic, Seth Bechis, Kelly Healy, Gerant Rivera-Sanfeliz, Riccardo Autorino, Ithaar Derweesh
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    Wen Liu, Lijiang Sun, Fengju Guan, Fangming Wang, Guiming Zhang
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Case Report
Diagnostic Laparoscopy of Patient with Deep Vein Thrombosis before Diagnosis of Ovarian Cancer : A Case Report
Jae Eun Ha, Yong Seok Lee, Hae Nam Lee, Eun Kyung Park
Cancer Res Treat. 2010;42(1):48-52.   Published online March 31, 2010
DOI: https://doi.org/10.4143/crt.2010.42.1.48
AbstractAbstract PDFPubReaderePub

Venous thromboembolism (VTE) is a common complication in patients with malignant disease. Epidemiological studies have demonstrated an increased risk of subsequent cancer in the patients who are diagnosed with idiopathic venous thrombosis. Cancers of the breast, lung and ovary in women and adenocarcinomas of an unknown primary cancer are most strongly associated with thrombosis. Mucin-producing cancers are most often associated with VTE and the highest rates of VTE were found for cases of ovarian cancer, but the absolute risk of cancer after thrombosis is relatively low (about 2% over the first year) and so the benefit of screening for cancer in thrombosis patients seems limited. But as this case, the association between thrombosis and occult cancer shows the importance of this association for patients who have thrombosis that is unresponsive to anticoagulant therapy. Especially, we should recognize that such patients can undergo investigation for an underlying malignancy. Diagnostic laparoscopy of an adnexal mass for confirming cancer in the acute setting of deep vein thrombosis (DVT) was performed for our patient. We report here on a case of a patient with DVT in the upper and lower extremities before the diagnosis of ovarian cancer, and we briefly review of the relevant literature.

Citations

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  • Analysis of the Preventive Action of Rivaroxaban against Lower Extremity Deep Venous Thrombosis in Patients after Laparoscopic Radical Gastrectomy
    Qinhui Dong, Xiayin Zhu, Yafen Gao, Zhengrong Wang, Dexing Zheng, Jian Zhu, Pan Zheng
    Computational and Mathematical Methods in Medicine.2022; 2022: 1.     CrossRef
  • Increase in Carbohydrate Antigen 19-9 Levels without Tumor Progression after Polaprezinc Administration that Induced Deep Vein Thrombosis in a Colon Cancer Patient
    Masahito Naito, Ryota Torii, Yuki Hashimoto, Yuki Kawamoto, Kenichi Hayashi, Hiroaki Shinoda, Yumiko Honjo, Motoki Hiroyoshi
    Chemotherapy.2019; 64(3): 163.     CrossRef
  • Optimal cytoreductive surgery for underlying ovarian cancer associated with deep venous thrombosis without placement of inferior vena cava filter: A case report and literature review
    HONGWEI SHEN, JIANHONG SHANG, GANG NIU, JUN LIU, ZESHAN YOU, SHANYANG HE
    Oncology Letters.2015; 10(4): 2579.     CrossRef
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Original Article
Laparoscopic Assisted Distal Rectal Cancer Resection with Preoperative Concurrent Chemoradiotherapy
Bong Hwa Lee, Mi Young Chang, Sung Kook Park, Taeik Eum, Hyun Joo Shin, Nam Kyu Ro, Chang Nam An, Hae Wan Lee, Lee Su Kim, Hyoung-Chul Park, Hoon Sik Bae, Dae Young Zang, Richard L Whelan
Cancer Res Treat. 2007;39(1):10-15.   Published online March 31, 2007
DOI: https://doi.org/10.4143/crt.2007.39.1.10
AbstractAbstract PDFPubReaderePub
Purpose

Anatomy of deep pelvis, narrow distal margin and tumor invasion into neighbor organ are obstacles for curative radical resection for advanced cancer of distal rectum. Technically, laparoscopic application after downstaging the tumor with preoperative concurrent chemotherapy (CCRT) may give a solution to overcome the anatomical difficulties. We compared the results of laparoscopic surgery in the patients who received CCRT with those of patients who had conventional surgery.

Materials and Methods

A continuous infusion of 5FU plus leucovorin and radiotherapy (50.4 Gy) in 28 fractions was given each patient as CCRT. They underwent D2 radical resection with TME and ANP for the rectal cancer in 4 weeks.

Results

Thirty three patients had laparoscopic resection such as LAR, colo-anal anastomosis and APR. The results were compared with 12 cases of the conventional resections. As a result of preoperative CCRT, the cancer was down-staged in 71%. Two year disease free survival was 75% and 74% in the group of conventional and laparoscopic resection, respectively (p=0.427). Ileus, voiding difficulty and leakage after surgery were not different between two groups. Weakness of ejaculation was noted in 9~11% of both groups. The DFS of the preoperative CCRT followed by radical resection in the groups with a response was more favorable than that in the group with progressive or stable disease.

Conclusion

Radical resection of advanced distal rectal cancer could be done with performing a laparoscopic assisted operation after CCRT induced down-staging. We may suggest that laparoscopic assisted resection is a good treatment option as it doesn't increase the complications and it has a compatible survival rate to conventional surgery.

Citations

Citations to this article as recorded by  
  • DPYD,TYMS,TYMP,TK1, andTK2Genetic Expressions as Response Markers in Locally Advanced Rectal Cancer Patients Treated with Fluoropyrimidine-Based Chemoradiotherapy
    Ming-Yii Huang, Chan-Han Wu, Chun-Ming Huang, Fu-Yen Chung, Ching-Wen Huang, Hsiang-Lin Tsai, Chin-Fan Chen, Shiu-Ru Lin, Jaw-Yuan Wang
    BioMed Research International.2013; 2013: 1.     CrossRef
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