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- Title
Laparoscopic Surgery for Transverse Colon Cancer: Short- and Long-Term Outcomes in Comparison with Conventional Open Surgery.
- Authors
Kim, Min Ki; Won, Dae-Youn; Lee, Jin-Kwon; Kang, Won-Kyung; Kye, Bong-Hyeon; Cho, Hyeon-Min; Kim, Hyung-Jin; Kim, Jun-Gi
- Abstract
<bold>Background: </bold>Published studies on laparoscopic surgery for transverse colon cancer are scarce. More studies are necessary to evaluate the feasibility, safety, and long-term oncologic outcomes of laparoscopic surgery for transverse colon cancer.<bold>Subjects and Methods: </bold>From April 1996 to December 2010, 102 consecutive patients with stage II or III disease who had undergone curative resection for transverse colon cancer were enrolled. Seventy-nine patients underwent laparoscopy-assisted colectomy (LAC), whereas 23 patients underwent conventional open colectomy (OC). Short- and long-term outcomes of the two groups were compared.<bold>Results: </bold>The OC group had a larger tumor size (7.6 ± 3.4 cm versus 5.2 ± 2.3 cm, P = .004) and more retrieved lymph nodes (26.4 ± 11.6 versus 17.5 ± 9.4, P = .002), without differences in resection margins. In the LAC group, return to diet was faster (4.5 ± 1.2 days versus 5.4 ± 1.8 days, P = .013), and postoperative hospital stay was shorter (12.1 ± 4.2 days versus 15.9 ± 4.8 days, P = .000). There were no differences in occurrence of intra- or postoperative complications. There were no statistically significant differences in overall survival rate (OS) or disease-free survival rate (DFS) between the two groups (5-year OS, 90.4% versus 90.5%, P = .670; 5-year DFS, 84.2% versus 90.7%, P = .463).<bold>Conclusions: </bold>Laparoscopic surgery for transverse colon cancer has better short-term outcomes compared with open surgery, with acceptable long-term outcomes. As in colorectal cancer of other sites, laparoscopic surgery can be a feasible alternative to conventional surgery for transverse colon cancer.
- Subjects
COLON cancer treatment; LAPAROSCOPIC surgery; HEALTH outcome assessment; LENGTH of stay in hospitals; DIETARY supplements; COLON surgery; COLECTOMY; COLON tumors; COMPARATIVE studies; LAPAROSCOPY; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SURGICAL complications; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2015, Vol 25, Issue 12, p982
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2015.0122