Application of Fast-Track Surgery and Laparoscopy in Treatment for Colorectal Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SHEN Xiongfei , CHENG Yong

Department of Gastrointestinal Surgery, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China;

Corresponding author：

Keywords：

Fast-track surgery; Surgical stress; Minimally invasive surgery; Laparoscopy

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Objective To explore the variation about the application of fast-track surgery and laparoscopy in treatment for colorectal cancer in recent years． To investigate the probability of combining protocols of the two for treatment for colorectal cancer.
Methods The clinical and basic literatures of related researches about colorectal treatment of laparoscopy and fast-track surgery were collected and reviewed.
Results Compared with the traditional treatment modalities, both of fast-track surgery and laparoscopy used for the treatment of colorectal cancer have better clinical effects.
Conclusions Fast-track surgery and laparoscopic techniques used for the treatment of colorectal cancer are feasible, but the combination of the two should be confirmed by further randomized controlled trials.

Citation： SHEN Xiongfei,CHENG Yong. Application of Fast-Track Surgery and Laparoscopy in Treatment for Colorectal Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(5): 504-507. doi: Copy

1.	中国抗癌协会大肠癌专业委员会腹腔镜外科学组，中华医学会外科分会腹腔镜与内镜外科学组．腹腔镜结肠直肠癌根治手术操作指南(2006版) [J]．外科理论与实践， 2006; 11(5)： 462-464．.
2.	Reza MM, Blasco JA, Andradas E, et al. Systematic review of laparoscopic versus open surgery for colorectal cancer [J]. Br J Surg， 2006; 93(8): 921-928.
3.	Lacy AM, García-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [J]. Lancet, 2002; 359(9325): 2224-2229.
4.	Law WL, Poon JT, Fan JK, et al. Comparison of outcome of open and laparoscopic resection for stage Ⅱ and stage Ⅲ rectal cancer [J]. Ann Surg Oncol, 2009; 6(6): 1488-1493.
5.	Shukla PJ, Barreto SG, Hawaldar R, et al. Feasibility of laparoscopic abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases [J]. Indian J Med Sci, 2009; 63(3): 109-114.
6.	Leung KL, Kwok SP, Lam SC, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial [J]. Lancet, 2004; 363(9416): 1187-1192.
7.	Maartense S, Dunker MS, Slors JF, et al. Hand-assisted laparoscopic versus open restorative proctocolectomy with ileal pouch anal anastomosis: a randomized trial [J]. Ann Surg, 2004; 240(6): 984-991; discussion 991-992.
8.	Zutshi M, Delaney CP, Senagore AJ, et al. Randomized controlled trial comparing the controlled rehabilitation with early ambulation and diet pathway versus the controlled rehabilitation with early ambulation and diet with preemptive epidural anesthesia/analgesia after laparotomy and intestinal resection [J]. Am J Surg, 2005; 189(3): 268-272.
9.	Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery [J]. Lancet, 2003; 362(9399): 1921-1928.
10.	Cox PB, Dejong CH, Maessen JM, et al. Quicker recovery from elective colon surgery: anaesthesiological aspects of the fast-track programme [J]. Ned Tijdschr Geneeskd, 2009; 153: B377.
11.	Hensel M, Schwenk W, Bloch A, et al. The role of anesthesiology in fast track concepts in colonic surgery [J]. Anaesthesist, 2006; 55(1): 80-92.
12.	Wind J, Maessen J, Polle SW, et al. Elective colon surgery according to a ‘fast-track’ programme [J]. Ned Tijdschr Geneeskd, 2006; 150(6): 299-304.
13.	Wilmore DW. From Cuthbertson to fast-track surgery: 70 years of progress in reducing stress in surgical patients [J]. Ann Surg, 2002; 236(5): 643-648.
14.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome [J]. Am J Surg, 2002; 183(6): 630-641.
15.	刘展, 汪晓东, 李立. 结直肠外科快速流程内容及依据 [J]. 中国普外基础与临床杂志, 2007; 14(4): 469-473.
16.	Kehlet H. Fast-track colonic surgery: status and perspectives [J]. Recent Results Cancer Res， 2005; 165: 8-13.
17.	Nygren J, Hausel J, Kehlet H, et al. A comparison in five European Centres of case mix, clinical management and outcomes following either conventional or fast-track perioperative care in colorectal surgery [J]. Clin Nutr， 2005; 24(3): 455-461.
18.	Andersen J, Hjort-Jakobsen D, Christiansen PS, et al. Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery [J]. Br J Surg， 2007; 94(7): 890-893.
19.	Holte K, Kehlet H. Postoperative ileus: a preventable event [J]. Br J Surg， 2000; 87(11): 1480-1493.
20.	Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials [J]. BMJ， 2000; 321(7275): 1493.
21.	肖凌，李蔚，麦玲, 等. 快速流程模式下术后限制补液对不同手术方案直肠癌患者康复情况的影响 [J]. 中国普外基础与临床杂志, 2010; 16(2): 190-194.
22.	肖凌，黄真真，李蔚, 等. 快速流程模式中术后限制补液在老年结直肠癌患者中的应用价值 [J]. 中国普外基础与临床杂志, 2010; 16(1): 87-91.
23.	Weeks JC, Nelson H, Gelber S, et al. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial [J]. JAMA, 2002; 287(3): 321-328.
24.	Berends FJ, Kazemier G, Bonjer HJ, et al. Subcutaneous metastases after laparoscopic colectomy [J]. Lancet, 1994; 344(8914): 58.
25.	Stocchi L, Nelson H. Wound recurrences following laparoscopic-assisted colectomy for cancer [J]. Arch Surg, 2000; 135(8): 948-958.
26.	Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer [J]. N Engl J Med, 2004; 350(20): 2050-2059.
27.	Milsom JW, Bhm B, Hammerhofer KA, et al. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report [J]. J Am Coll Surg, 1998; 187(1): 46-54; discussion 54-55.
28.	Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial [J]. Lancet Oncol, 2005; 6(7): 477-484.
29.	Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial [J]. Lancet, 2005; 365(9472): 1718-1726.
30.	Bonjer HJ, Hop WC, Nelson H, et al. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis [J]. Arch Surg, 2007; 142(3): 298-303.
31.	Ng KH, Ng DC, Cheung HY, et al. Laparoscopic resection for rectal cancers: lessons learned from 579 cases. [J]. Ann Surg, 2009; 249(1): 82-86.
32.	Shabbir A, Roslani AC, Wong KS, et al. Is laparoscopic colectomy as cost beneficial as open colectomy? [J]. ANZ J Surg, 2009; 79(4): 265-270.
33.	Kim HJ, Lee IK, Lee YS, et al. A comparative study on the short-term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer [J]. Surg Endosc, 2009; 23(8): 1812-1817.
34.	Braga M, Frasson M, Vignali A, et al. Laparoscopic vs. open colectomy in cancer patients: long-term complications, quality of life, and survival [J]. Dis Colon Rectum, 2005; 48(12): 2217-2223.
35.	范莹, 吴硕东, 于宏, 等. 腹腔镜结直肠癌根治术与同期开腹手术对比的单中心回顾性研究 [J]. 中国普外基础与临床杂志, 2009; 16(5): 384-388.
36.	Color Ⅱ Study Group, Buunen M, Bonjer HJ, Hop WC, et al. COLOR Ⅱ. A randomized clinical trial comparing laparoscopic and open surgery for rectal cancer [J]. Dan Med Bull, 2009; 56(2): 89-91.
37.	Gogalniceanu P, Madani H, Paraskeva PA, et al. A minimally invasive approach to undergraduate anatomy teaching [J]. Anat Sci Educ, 2008; 1(1): 46-47.
38.	Basse L, Jakobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study [J]. Ann Surg, 2005; 241(3): 416-423.
39.	King PM, Blazeby JM, Ewings P, et al. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme [J]. Br J Surg, 2006; 93(3): 300-308.
40.	Wind J, Hofland J, Preckel B, et al. Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial) [J]. BMC Surg, 2006; 6: 16.

1. 中国抗癌协会大肠癌专业委员会腹腔镜外科学组，中华医学会外科分会腹腔镜与内镜外科学组．腹腔镜结肠直肠癌根治手术操作指南(2006版) [J]．外科理论与实践， 2006; 11(5)： 462-464．.
2. Reza MM, Blasco JA, Andradas E, et al. Systematic review of laparoscopic versus open surgery for colorectal cancer [J]. Br J Surg， 2006; 93(8): 921-928.
3. Lacy AM, García-Valdecasas JC, Delgado S, et al. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial [J]. Lancet, 2002; 359(9325): 2224-2229.
4. Law WL, Poon JT, Fan JK, et al. Comparison of outcome of open and laparoscopic resection for stage Ⅱ and stage Ⅲ rectal cancer [J]. Ann Surg Oncol, 2009; 6(6): 1488-1493.
5. Shukla PJ, Barreto SG, Hawaldar R, et al. Feasibility of laparoscopic abdomino-perineal resection for large-sized anorectal cancers: a single-institution experience of 59 cases [J]. Indian J Med Sci, 2009; 63(3): 109-114.
6. Leung KL, Kwok SP, Lam SC, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial [J]. Lancet, 2004; 363(9416): 1187-1192.
7. Maartense S, Dunker MS, Slors JF, et al. Hand-assisted laparoscopic versus open restorative proctocolectomy with ileal pouch anal anastomosis: a randomized trial [J]. Ann Surg, 2004; 240(6): 984-991; discussion 991-992.
8. Zutshi M, Delaney CP, Senagore AJ, et al. Randomized controlled trial comparing the controlled rehabilitation with early ambulation and diet pathway versus the controlled rehabilitation with early ambulation and diet with preemptive epidural anesthesia/analgesia after laparotomy and intestinal resection [J]. Am J Surg, 2005; 189(3): 268-272.
9. Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery [J]. Lancet, 2003; 362(9399): 1921-1928.
10. Cox PB, Dejong CH, Maessen JM, et al. Quicker recovery from elective colon surgery: anaesthesiological aspects of the fast-track programme [J]. Ned Tijdschr Geneeskd, 2009; 153: B377.
11. Hensel M, Schwenk W, Bloch A, et al. The role of anesthesiology in fast track concepts in colonic surgery [J]. Anaesthesist, 2006; 55(1): 80-92.
12. Wind J, Maessen J, Polle SW, et al. Elective colon surgery according to a ‘fast-track’ programme [J]. Ned Tijdschr Geneeskd, 2006; 150(6): 299-304.
13. Wilmore DW. From Cuthbertson to fast-track surgery: 70 years of progress in reducing stress in surgical patients [J]. Ann Surg, 2002; 236(5): 643-648.
14. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome [J]. Am J Surg, 2002; 183(6): 630-641.
15. 刘展, 汪晓东, 李立. 结直肠外科快速流程内容及依据 [J]. 中国普外基础与临床杂志, 2007; 14(4): 469-473.
16. Kehlet H. Fast-track colonic surgery: status and perspectives [J]. Recent Results Cancer Res， 2005; 165: 8-13.
17. Nygren J, Hausel J, Kehlet H, et al. A comparison in five European Centres of case mix, clinical management and outcomes following either conventional or fast-track perioperative care in colorectal surgery [J]. Clin Nutr， 2005; 24(3): 455-461.
18. Andersen J, Hjort-Jakobsen D, Christiansen PS, et al. Readmission rates after a planned hospital stay of 2 versus 3 days in fast-track colonic surgery [J]. Br J Surg， 2007; 94(7): 890-893.
19. Holte K, Kehlet H. Postoperative ileus: a preventable event [J]. Br J Surg， 2000; 87(11): 1480-1493.
20. Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials [J]. BMJ， 2000; 321(7275): 1493.
21. 肖凌，李蔚，麦玲, 等. 快速流程模式下术后限制补液对不同手术方案直肠癌患者康复情况的影响 [J]. 中国普外基础与临床杂志, 2010; 16(2): 190-194.
22. 肖凌，黄真真，李蔚, 等. 快速流程模式中术后限制补液在老年结直肠癌患者中的应用价值 [J]. 中国普外基础与临床杂志, 2010; 16(1): 87-91.
23. Weeks JC, Nelson H, Gelber S, et al. Short-term quality-of-life outcomes following laparoscopic-assisted colectomy vs open colectomy for colon cancer: a randomized trial [J]. JAMA, 2002; 287(3): 321-328.
24. Berends FJ, Kazemier G, Bonjer HJ, et al. Subcutaneous metastases after laparoscopic colectomy [J]. Lancet, 1994; 344(8914): 58.
25. Stocchi L, Nelson H. Wound recurrences following laparoscopic-assisted colectomy for cancer [J]. Arch Surg, 2000; 135(8): 948-958.
26. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer [J]. N Engl J Med, 2004; 350(20): 2050-2059.
27. Milsom JW, Bhm B, Hammerhofer KA, et al. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report [J]. J Am Coll Surg, 1998; 187(1): 46-54; discussion 54-55.
28. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial [J]. Lancet Oncol, 2005; 6(7): 477-484.
29. Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial [J]. Lancet, 2005; 365(9472): 1718-1726.
30. Bonjer HJ, Hop WC, Nelson H, et al. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis [J]. Arch Surg, 2007; 142(3): 298-303.
31. Ng KH, Ng DC, Cheung HY, et al. Laparoscopic resection for rectal cancers: lessons learned from 579 cases. [J]. Ann Surg, 2009; 249(1): 82-86.
32. Shabbir A, Roslani AC, Wong KS, et al. Is laparoscopic colectomy as cost beneficial as open colectomy? [J]. ANZ J Surg, 2009; 79(4): 265-270.
33. Kim HJ, Lee IK, Lee YS, et al. A comparative study on the short-term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer [J]. Surg Endosc, 2009; 23(8): 1812-1817.
34. Braga M, Frasson M, Vignali A, et al. Laparoscopic vs. open colectomy in cancer patients: long-term complications, quality of life, and survival [J]. Dis Colon Rectum, 2005; 48(12): 2217-2223.
35. 范莹, 吴硕东, 于宏, 等. 腹腔镜结直肠癌根治术与同期开腹手术对比的单中心回顾性研究 [J]. 中国普外基础与临床杂志, 2009; 16(5): 384-388.
36. Color Ⅱ Study Group, Buunen M, Bonjer HJ, Hop WC, et al. COLOR Ⅱ. A randomized clinical trial comparing laparoscopic and open surgery for rectal cancer [J]. Dan Med Bull, 2009; 56(2): 89-91.
37. Gogalniceanu P, Madani H, Paraskeva PA, et al. A minimally invasive approach to undergraduate anatomy teaching [J]. Anat Sci Educ, 2008; 1(1): 46-47.
38. Basse L, Jakobsen DH, Bardram L, et al. Functional recovery after open versus laparoscopic colonic resection: a randomized, blinded study [J]. Ann Surg, 2005; 241(3): 416-423.
39. King PM, Blazeby JM, Ewings P, et al. Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme [J]. Br J Surg, 2006; 93(3): 300-308.
40. Wind J, Hofland J, Preckel B, et al. Perioperative strategy in colonic surgery; LAparoscopy and/or FAst track multimodal management versus standard care (LAFA trial) [J]. BMC Surg, 2006; 6: 16.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Fast-Track Surgery and Laparoscopy in Treatment for Colorectal Cancer

Abstract Full text Figures/Tables Video References Cited by

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