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Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?

Identifikátory výsledku

  • Kód výsledku v IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F18%3AA1901WDB" target="_blank" >RIV/61988987:17110/18:A1901WDB - isvavai.cz</a>

  • Nalezeny alternativní kódy

    RIV/00843989:_____/19:E0107793 RIV/61988987:17110/19:A210262C

  • Výsledek na webu

    <a href="https://www.scopus.com/record/display.uri?eid=2-s2.0-85053676790&origin=resultslist&sort=plf-f&src=s&st1=Parastomal+and+incisional+hernia+following+laparoscopic%2fopen+abdominoperineal+resection%3a+is+there+a+real+difference%3f&st2=&sid=1ba680b1c5217b0ec" target="_blank" >https://www.scopus.com/record/display.uri?eid=2-s2.0-85053676790&origin=resultslist&sort=plf-f&src=s&st1=Parastomal+and+incisional+hernia+following+laparoscopic%2fopen+abdominoperineal+resection%3a+is+there+a+real+difference%3f&st2=&sid=1ba680b1c5217b0ec</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s00464-018-6453-0" target="_blank" >10.1007/s00464-018-6453-0</a>

Alternativní jazyky

  • Jazyk výsledku

    angličtina

  • Název v původním jazyce

    Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?

  • Popis výsledku v původním jazyce

    Background: The aim of the present study was to explore incidence and severity of parastomal hernia (PSH) formation during the first 2 years after open/laparoscopic abdominoperineal resection (APR). Methods: This was a retrospective cohort study conducted in a single institution. All patients who underwent laparoscopic/open APR for low rectal cancer within a 10-year study period were assessed for study eligibility. Results: In total, 148 patients were included in the study (97 patients after laparoscopic APR; 51 patients after open APR). There were no statistically significant differences between study subgroups regarding demographic and clinical features. The incidence of PSH detected by physical examination was significantly higher in patients after laparoscopic APR 1 year after the surgery (50.5% vs. 19.6%, p &lt; 0.001) and 2 years after the surgery (57.7% vs. 29.4%, p = 0.001). The incidence of radiologically detected PSH was significantly higher in laparoscopically operated patients after 1 year (58.7% vs. 35.3%, p = 0.007) and after 2 years (61.8% vs. 37.2%, p = 0.004). The mean diameter of PSH was similar in both study subgroups. The incidence of incisional hernia was significantly higher in patients who underwent open APR after 1 year (25.5% vs. 7.2%, p = 0.002) and after 2 years (31.3% vs. 7.2%, p &lt; 0.001). Conclusions: The risk of PSH development after laparoscopic APR appears to be significantly higher in comparison with patients undergoing open APR. Higher incidence of PSH should be considered a potential disadvantage of minimally invasive approach to patients with low rectal cancer. &#169; 2018, Springer Science+Business Media, LLC, part of Springer Nature.

  • Název v anglickém jazyce

    Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?

  • Popis výsledku anglicky

    Background: The aim of the present study was to explore incidence and severity of parastomal hernia (PSH) formation during the first 2 years after open/laparoscopic abdominoperineal resection (APR). Methods: This was a retrospective cohort study conducted in a single institution. All patients who underwent laparoscopic/open APR for low rectal cancer within a 10-year study period were assessed for study eligibility. Results: In total, 148 patients were included in the study (97 patients after laparoscopic APR; 51 patients after open APR). There were no statistically significant differences between study subgroups regarding demographic and clinical features. The incidence of PSH detected by physical examination was significantly higher in patients after laparoscopic APR 1 year after the surgery (50.5% vs. 19.6%, p &lt; 0.001) and 2 years after the surgery (57.7% vs. 29.4%, p = 0.001). The incidence of radiologically detected PSH was significantly higher in laparoscopically operated patients after 1 year (58.7% vs. 35.3%, p = 0.007) and after 2 years (61.8% vs. 37.2%, p = 0.004). The mean diameter of PSH was similar in both study subgroups. The incidence of incisional hernia was significantly higher in patients who underwent open APR after 1 year (25.5% vs. 7.2%, p = 0.002) and after 2 years (31.3% vs. 7.2%, p &lt; 0.001). Conclusions: The risk of PSH development after laparoscopic APR appears to be significantly higher in comparison with patients undergoing open APR. Higher incidence of PSH should be considered a potential disadvantage of minimally invasive approach to patients with low rectal cancer. &#169; 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Klasifikace

  • Druh

    J<sub>SC</sub> - Článek v periodiku v databázi SCOPUS

  • CEP obor

  • OECD FORD obor

    30212 - Surgery

Návaznosti výsledku

  • Projekt

  • Návaznosti

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Ostatní

  • Rok uplatnění

    2018

  • Kód důvěrnosti údajů

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Údaje specifické pro druh výsledku

  • Název periodika

    Surgical Endoscopy and Other Interventional Techniques

  • ISSN

    0930-2794

  • e-ISSN

  • Svazek periodika

  • Číslo periodika v rámci svazku

    9/2018

  • Stát vydavatele periodika

    US - Spojené státy americké

  • Počet stran výsledku

    6

  • Strana od-do

  • Kód UT WoS článku

  • EID výsledku v databázi Scopus

    2-s2.0-85053676790