Conversion of laparoscopic colon resection does not affect survival in colon cancer
| Autor: | Joseph H. Nejman, Masoud Rezvani, Jan Franko, Steven G. Harper, D. Mark Zebley, Brendan G. O’Connell, Steven A. Fassler |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Colorectal cancer medicine.medical_treatment Kaplan-Meier Estimate Adenocarcinoma Disease-Free Survival Internal medicine Humans Medicine Hospital Mortality Laparoscopy Colectomy Survival analysis Aged Proportional Hazards Models Retrospective Studies Aged 80 and over Laparotomy medicine.diagnostic_test business.industry Cancer Length of Stay Middle Aged Hepatology medicine.disease Survival Analysis Endoscopy Surgery Treatment Outcome Female Neoplasm Recurrence Local Colorectal Neoplasms business Follow-Up Studies Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 22:2631-2634 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-008-9812-4 |
| Popis: | Laparoscopic and open resections of colon cancer are considered oncologically equivalent treatment methods. Conversion of laparoscopic procedures, however, was associated with decreased survival in colon cancer patients in the only prior study examining this question. We conducted this study to evaluate the effect of conversion on survival. A series of consecutive patients treated with laparoscopic resection of colorectal cancer (n = 174) in the period 1998–2003 was evaluated retrospectively. Median follow-up was 51 months with a minimum of 3 years. There was no statistically significant difference in all-cause mortality between laparoscopically completed and converted groups (22/143, 15.4% versus 8/31, 25.8%; OR 1.9, p = 0.164). Kaplan–Meier survival analysis did not show any survival difference between the two groups (p = 0.266). The results of our study suggest there is no survival difference in patients requiring conversion of laparoscopic resection indicated for colorectal cancer. Further examination of this question is warranted to determine whether laparoscopic resection of colorectal cancer should be offered to all patients, including those at high risk for conversion. |
| Databáze: | OpenAIRE |
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