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Safe implementation of minimally invasive surgery in a specialized colorectal unit
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Objetivos Este estudo tem como objetivo analisar a experiência da implementação da cirurgia minimamente invasiva na unidade de cirurgia colorretal de um centro especializado em tratamento de cancro colorrectal . Serão relatados e comparados os resultados clínicos a curto prazo dos pacientes submetidos às diferentes abordagens cirúrgicas, refletindo a importância da formação cirúrgica em laparoscopia e robótica Métodos Este estudo envolveu uma análise retrospectiva de dados recolhidos de uma base de dados prospectiva na unidade de cirurgia colorretal da Fundação Champalimaud entre 2012 e 2022. Os dados foram colhidos como parte da documentação clínica de rotina e incluíram dados demográficos , estadiamento , características da resseção tumoral , resultados a curto prazo e acompanhamento dos doentes. Resultados Este estudo incluiu 555 doentes seguidos na Fundação Champalimaud entre 2012 e 202 2, dos quais 329 tinham cancro do cólon e 226 tinham cancro do reto. A maioria foi submetida a cirurgia eletiva, com uma abordagem minimamente invasiva em 93% e 90,3% dos casos , respetivamente, e uma resseção completa (R0) em 87% e 92,7% dos casos, respetivamente . No total, 15 pacientes (2,7%) foram submetidos a conversão intraoperatória de cirurgia laparoscópica para cirurgia aberta e 11,3% dos pacientes apresentaram complicações classificadas como CD ≥3 Conclusão Este estudo demonstra a segurança da implementação da cirurgia minimamente invasiva na cirurgia do cancro colorretal , com resultados pós operatórios a curto prazo e qualidade cirúrgica comparáveis aos d a literatura, reforçando a importância do treino cirúrgico , bem como a necessidade de investigação adicional sobre resultados a longo prazo e qualidade de vida d os doentes.
Objectives: This study aims to analyze the experience of the implementation of minimally invasive surgery in the colorectal unit in a specialized colorectal cancer center. We will report and compare the clinical outcomes of the patients submitted to the different surgical approaches, reflecting the importance of surgical training in laparoscopic and robotic field for the reduction of surgical complications and short-term outcomes. Methods: This study involved a retrospective analysis of data collected from a prospectively maintained database at the colorectal unit of Champalimaud Foundation between 2012 and 2022. Data were collected as part of routine clinical documentation and encompassed variables on patient’s demographics, staging, short-term outcomes and follow-up. Results: This study included 555 patients treated in Champalimaud Foundation between 2012 and 2022, of which 329 with colon and 226 with rectal cancer. Most of the patients underwent elective surgery, with a minimally invasive approach performed in 93% of colon and 90,3% of rectal cancers. A complete resection (R0) was achieved in 87% of colon and 92,7% of rectal resections, 15 patients (2,7%) underwent intraoperative conversion from laparoscopic to open surgery and 11,3% of patients had complications classified as CD ≥3. Conclusion: This study supports the safety of the implementation of minimally invasive surgery in colorectal cancer care, with comparable postoperative outcomes and surgical quality to established practices, supporting the importance of surgical training in this field and further research on long-term outcomes and patient quality of life.
Objectives: This study aims to analyze the experience of the implementation of minimally invasive surgery in the colorectal unit in a specialized colorectal cancer center. We will report and compare the clinical outcomes of the patients submitted to the different surgical approaches, reflecting the importance of surgical training in laparoscopic and robotic field for the reduction of surgical complications and short-term outcomes. Methods: This study involved a retrospective analysis of data collected from a prospectively maintained database at the colorectal unit of Champalimaud Foundation between 2012 and 2022. Data were collected as part of routine clinical documentation and encompassed variables on patient’s demographics, staging, short-term outcomes and follow-up. Results: This study included 555 patients treated in Champalimaud Foundation between 2012 and 2022, of which 329 with colon and 226 with rectal cancer. Most of the patients underwent elective surgery, with a minimally invasive approach performed in 93% of colon and 90,3% of rectal cancers. A complete resection (R0) was achieved in 87% of colon and 92,7% of rectal resections, 15 patients (2,7%) underwent intraoperative conversion from laparoscopic to open surgery and 11,3% of patients had complications classified as CD ≥3. Conclusion: This study supports the safety of the implementation of minimally invasive surgery in colorectal cancer care, with comparable postoperative outcomes and surgical quality to established practices, supporting the importance of surgical training in this field and further research on long-term outcomes and patient quality of life.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2024
Palavras-chave
Cancro colorretal Cirurgia minimamente invasiva Laparoscopia Robótica Implementação segura