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KMID : 0371420170930010035
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Annals of Surgical Treatment and Research
2017 Volume.93 No. 1 p.35 ~ p.42
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Long-term oncologic outcomes of laparoscopic surgery for splenic flexure colon cancer are comparable to conventional open surgery
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Kim Min-Ki
Lee In-Kyu
Kang Won-Kyung
Cho Hyeon-Min
Kye Bong-Hyeon
Jalloun Heba Essam
Kim Jun-Gi
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Abstract
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Purpose: Few studies about laparoscopic surgery for splenic flexure colon cancer have been published. This study aims to compare the short- and long-term outcomes of laparoscopic surgery for splenic flexure colon cancer with those of conventional open surgery.
Methods: From January 2004 to December 2010, 51 consecutive patients who underwent curative resection for stages I?III splenic flexure colon cancer were enrolled. Thirty-three patients underwent laparoscopy-assisted colectomy, while 18 patients underwent conventional open colectomy. Short- and long-term outcomes of the 2 groups were compared.
Results: There were no differences in baseline characteristics, intra- and postoperative complications. The laparoscopy group showed longer operation time (median [interquartile range, IQR]: 295.0 [255.0?362.5] minutes vs. 180.0 [168.8?206.3] minutes, P < 0.001). In the laparoscopy group, return of bowel function was faster (median [IQR]: 3 [2?4] vs. 4 [3?5], P = 0.007) and postoperative hospital stay was shorter (median [IQR]: 9 [8?11] vs. 10.5 [9?19], P = 0.026). There were no statistically significant differences in overall survival rate (84.3% vs. 76.0%, P = 0.560) or disease-free survival rate (93.8% vs. 74.5%, P = 0.078) between the 2 groups.
Conclusion: Laparoscopic surgery for splenic flexure colon cancer has better short-term outcomes than open surgery, as well as acceptable long-term outcomes. Laparoscopic surgery can be a safe and feasible alternative to conventional open surgery for splenic flexure colon cancer.
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KEYWORD
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Laparoscopy, Colonic neoplasms, Treatment outcome, Transverse colon
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