Survival and outcomes after laparoscopic versus open curative resection for colon cancer

Autor: Riyadh Hakami, Ali Alsaffar, Khayal A. AlKhayal, Nahla Arab, Turki Alshammari, Eman D. Almotairi, Neamat Alturki, Salah Addin Falah, Naif Ali Albati, Marwah Hussain, Maha Abdullah, Nadia Abd Aljomah, Samar Al Homoud, Luai Ashari, Alaa Abduljabbar, Fatima Ahmed Badahdah, Saeed Albalawi, Omar Alobaid, Ahmad Zubaidi, Thamer Bin Traiki, Nasser Alsanea, Faroq Walid Abdulfattah, Abdullah Mohammed Abduldaem, Saad Alqahtani, Reem Alharbi
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Annals of Saudi Medicine, Vol 39, Iss 3, Pp 137-142 (2019)
Druh dokumentu: article
ISSN: 0256-4947
0975-4466
DOI: 10.5144/0256-4947.2019.137
Popis: BACKGROUND: Many studies have shown that open and laparoscopicsurgery for resection of colonic cancers produce similar short- and long-term results, but no data have been reported from Saudi Arabia. OBJECTIVE: Compare 3-year disease-free and overall survival after laparoscopic versus open curative resection for potentially curable colon cancer. DESIGN: Multicenter retrospective cohort study. SETTING: Tertiary academic hospital. PATIENTS AND METHODS: We analyzed data of patients who underwent curative resection for potentially curable colon cancer using the laparoscopic or open approach at three tertiary care centers during the period 2000-2015. MAIN OUTCOME MEASURES: Overall and disease-free 3-year survival were the primary endpoints. Secondary endpoints included conversion rate, duration of surgery, length of hospital stay, rate of wound infection, resumption of bowel function, number of lymph nodes retrieved, adequacy of resection and rate of recurrence. Risk factors for recurrence, including complete mesocolic excision, were assessed. SAMPLE SIZE: 721. RESULTS: Patient and tumor characteristics were similar in the two groups except for ASA class (P
Databáze: Directory of Open Access Journals