Surgical Outcomes of Laparoscopic and Open D3 Dissection for Clinical Stage II/III Descending Colon Cancer
| Autor: | Hiroyasu Kagawa, Shoichi Manabe, Marie Hanaoka, Shunichiro Kato, Tadahiro Kojima, Akio Shiomi, Yusuke Yamaoka, Hitoshi Hino |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Open colectomy Stage ii Laparoscopic colectomy 03 medical and health sciences 0302 clinical medicine Blood loss medicine Humans Complication rate Descending colon cancer Aged Neoplasm Staging Retrospective Studies Aged 80 and over business.industry Treatment options General Medicine Middle Aged Surgery Colon Descending Dissection Oncology 030220 oncology & carcinogenesis Colonic Neoplasms Female Laparoscopy business |
| Zdroj: | Anticancer Research. 40:1731-1737 |
| ISSN: | 1791-7530 0250-7005 |
| DOI: | 10.21873/anticanres.14126 |
| Popis: | Aim To compare the surgical outcomes of laparoscopic colectomy (LAC) with Japanese D3 dissection for descending colon cancer (DCC) with those of open colectomy (OC). Patients and methods Seventy-two patients who underwent OC or LAC with D3 dissection for clinical stage II/III DCC between September 2002 and June 2019 were evaluated in terms of short-term outcomes. The long-term outcomes of the 59 patients who underwent surgery between September 2002 and June 2016 were evaluated. Results Twenty-six patients underwent OC and 46 patients underwent LAC. The blood loss was significantly less in the LAC group. The complication rate was similar in both groups. The rates of 5-year overall survival (95.8% in the OC group vs. 89.9% in the LAC group) and relapse-free survival (79.2% in the OC group vs. 82.1% in the LAC group) were similar in both groups. Conclusion LAC is an acceptable treatment option for stage II/III DCC. |
| Databáze: | OpenAIRE |
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