Laparoscopic vs. open resection for colon cancer-quality of oncologic resection evaluation in a medium volume center.

Autor: Enciu O; Discipline of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of General Surgery, Elias University Emergency Hospital, Bucharest 11468, Romania., Avino A; Discipline of Plastic and Reconstructive Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of Plastic and Reconstructive Surgery, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania., Calu V; Discipline of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of General Surgery, Elias University Emergency Hospital, Bucharest 11468, Romania., Toma EA; Discipline of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of General Surgery, Elias University Emergency Hospital, Bucharest 11468, Romania., Tulin A; Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of General Surgery, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania., Tulin R; Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of Endocrinology, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania., Slavu I; Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania., Răducu L; Discipline of Plastic and Reconstructive Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of Plastic and Reconstructive Surgery, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania., Balcangiu-Stroescu AE; Discipline of Physiology, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of Dialysis, Emergency University Hospital, Bucharest 050098, Romania., Gheoca Mutu DE; Department of Plastic and Reconstructive Surgery, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania.; Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania., Tomescu LF; Department of Interventional Radiology, Prof. Dr. Agrippa Ionescu Clinical Emergency Hospital, Bucharest 011356, Romania., Miron A; Discipline of General Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest 020021, Romania.; Department of General Surgery, Elias University Emergency Hospital, Bucharest 11468, Romania.
Jazyk: angličtina
Zdroj: Experimental and therapeutic medicine [Exp Ther Med] 2022 May 20; Vol. 24 (1), pp. 455. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
DOI: 10.3892/etm.2022.11382
Abstrakt: Despite concerns regarding oncologic safety, laparoscopic surgery for colon cancer has been proven in several trials in the lasts decades to be superior to open surgery. In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non-metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non-metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14±6.56), OG 17.31 (15±8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center.
Competing Interests: The authors declare that they have no competing interests.
(Copyright: © Enciu et al.)
Databáze: MEDLINE
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