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Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument

BACKGROUND: Laparoscopic complete mesocolic excision (CME) with D3 lymph node dissection for the right colon is becoming popular, but still technically challenging. Several articulating laparoscopic instruments had been introduced to reduce technical difficulties; however, those were not practical....

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Autores principales: Jin, Hyeong Yong, Ibahim, Abulfetouh M., Bae, Jung Hoon, Lee, Chul Seung, Han, Seung Rim, Lee, In Kyu, Lee, Do Sang, Lee, Yoon Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973474/
https://www.ncbi.nlm.nih.gov/pubmed/35313433
http://dx.doi.org/10.4103/jmas.JMAS_88_21
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author Jin, Hyeong Yong
Ibahim, Abulfetouh M.
Bae, Jung Hoon
Lee, Chul Seung
Han, Seung Rim
Lee, In Kyu
Lee, Do Sang
Lee, Yoon Suk
author_facet Jin, Hyeong Yong
Ibahim, Abulfetouh M.
Bae, Jung Hoon
Lee, Chul Seung
Han, Seung Rim
Lee, In Kyu
Lee, Do Sang
Lee, Yoon Suk
author_sort Jin, Hyeong Yong
collection PubMed
description BACKGROUND: Laparoscopic complete mesocolic excision (CME) with D3 lymph node dissection for the right colon is becoming popular, but still technically challenging. Several articulating laparoscopic instruments had been introduced to reduce technical difficulties; however, those were not practical. This study aimed to report the first clinical experience of using ArtiSential(®), a new laparoscopic articulating instrument in laparoscopic complete mesocolic with D3 lymph node dissection for right colon cancer. PATIENTS AND METHODS: This was a retrospective, single-institution, consecutive case study. From October 2018 to March 2020, a total of 33 patients underwent laparoscopic right hemicolectomy using ArtiSential(®) , a new articulating instrument. We compared the short-term outcomes of patients who underwent surgery using ArtiSential(®) (AG) to the conventional instrument (CG). RESULTS: In total, there were 33 cases in AG and 43 cases in CG. There were no significant differences in operation time (141.0 ± 22.5 vs. 156.0 ± 50.6 min, P = 0.09), mean estimated blood loss (46.8 ± 36.2 vs. 100.8 ± 300.6 ml, P = 0.31) and intra-operative and post-operative complications. However, the number of harvested lymph nodes was higher and the length of hospital stay was shorter in AG than in CG (32.6 ± 12.2 vs. 24.6 ± 7.4, P < 0.01 and 3.0 ± 1.2 vs. 4.1 ± 2.2 days, P = 0.01, respectively). CONCLUSIONS: Laparoscopic CME with D3 lymph node dissection for right colon cancer using ArtiSential(®), the new articulating laparoscopic instrument is safe and technically feasible.
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spelling pubmed-89734742022-04-02 Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument Jin, Hyeong Yong Ibahim, Abulfetouh M. Bae, Jung Hoon Lee, Chul Seung Han, Seung Rim Lee, In Kyu Lee, Do Sang Lee, Yoon Suk J Minim Access Surg Original Article BACKGROUND: Laparoscopic complete mesocolic excision (CME) with D3 lymph node dissection for the right colon is becoming popular, but still technically challenging. Several articulating laparoscopic instruments had been introduced to reduce technical difficulties; however, those were not practical. This study aimed to report the first clinical experience of using ArtiSential(®), a new laparoscopic articulating instrument in laparoscopic complete mesocolic with D3 lymph node dissection for right colon cancer. PATIENTS AND METHODS: This was a retrospective, single-institution, consecutive case study. From October 2018 to March 2020, a total of 33 patients underwent laparoscopic right hemicolectomy using ArtiSential(®) , a new articulating instrument. We compared the short-term outcomes of patients who underwent surgery using ArtiSential(®) (AG) to the conventional instrument (CG). RESULTS: In total, there were 33 cases in AG and 43 cases in CG. There were no significant differences in operation time (141.0 ± 22.5 vs. 156.0 ± 50.6 min, P = 0.09), mean estimated blood loss (46.8 ± 36.2 vs. 100.8 ± 300.6 ml, P = 0.31) and intra-operative and post-operative complications. However, the number of harvested lymph nodes was higher and the length of hospital stay was shorter in AG than in CG (32.6 ± 12.2 vs. 24.6 ± 7.4, P < 0.01 and 3.0 ± 1.2 vs. 4.1 ± 2.2 days, P = 0.01, respectively). CONCLUSIONS: Laparoscopic CME with D3 lymph node dissection for right colon cancer using ArtiSential(®), the new articulating laparoscopic instrument is safe and technically feasible. Wolters Kluwer - Medknow 2022 2021-09-21 /pmc/articles/PMC8973474/ /pubmed/35313433 http://dx.doi.org/10.4103/jmas.JMAS_88_21 Text en Copyright: © 2021 Journal of Minimal Access Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Jin, Hyeong Yong
Ibahim, Abulfetouh M.
Bae, Jung Hoon
Lee, Chul Seung
Han, Seung Rim
Lee, In Kyu
Lee, Do Sang
Lee, Yoon Suk
Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title_full Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title_fullStr Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title_full_unstemmed Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title_short Initial experience of laparoscopic complete mesocolic excision with D3 lymph node dissection for right colon cancer using Artisential(®), a new laparoscopic articulating instrument
title_sort initial experience of laparoscopic complete mesocolic excision with d3 lymph node dissection for right colon cancer using artisential(®), a new laparoscopic articulating instrument
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8973474/
https://www.ncbi.nlm.nih.gov/pubmed/35313433
http://dx.doi.org/10.4103/jmas.JMAS_88_21
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