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Time to Initiation of Adjuvant Chemotherapy in Colon Cancer: Comparison of Open, Laparoscopic, and Robotic Surgery

Authors
 Jung Yoon Bin  ;  Kang Jeonghyun  ;  Park Eun Jung  ;  Baik Seung Hyuk  ;  Lee Kang Young 
Citation
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, Vol.26(10) : 799-805, 2016 
Journal Title
 JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES 
ISSN
 1092-6429 
Issue Date
2016
MeSH
Aged ; Antineoplastic Agents/administration & dosage* ; Chemotherapy, Adjuvant ; Colectomy/methods* ; Colonic Neoplasms/drug therapy* ; Colonic Neoplasms/surgery* ; Female ; Humans ; Laparoscopy*/adverse effects ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Postoperative Complications/etiology ; Retrospective Studies ; Robotic Surgical Procedures*/adverse effects ; Time Factors ; Treatment Outcome
Keywords
adjuvant chemotherapy ; colonic neoplasm ; laparoscopy ; time to initiation of chemotherapy
Abstract
BACKGROUND: The time to initiation of adjuvant chemotherapy (TIC) can be used as a recovery parameter after surgery. The effect of laparoscopic or robotic surgery on TIC has not been thoroughly studied. This study aimed to compare the impact of open, laparoscopic, and robot-assisted surgery on TIC after colon cancer surgery. MATERIALS AND METHODS: Patients who underwent curative resection for stage II or III colon cancer between January 2007 and June 2013 and who received adjuvant chemotherapy from surgeons capable of performing open, laparoscopic, and robotic surgeries were included in this study. Patient demographics, clinicopathologic variables, and TIC were compared among the three groups. Univariate and multivariate analyses were performed to identify factors affecting TIC. RESULTS: Of the 252 patients, 40, 161, and 51 patients underwent open, laparoscopic, and robotic colectomy, respectively. The postoperative complication rate was lower in the laparoscopic and robotic groups compared to the open group (P?=?.002). The length of hospital stay was shorter in the laparoscopic group compared with the open and robotic groups (P?<?.001). Multivariate analysis revealed that the operation method was the only factor affecting TIC, with laparoscopic and robotic surgery being favorable (regression coefficient -5.1, 95% confidence interval -7.6 to -2.6; P?<?.001). However, there was no difference in TIC between the laparoscopic and robotic group. CONCLUSIONS: Laparoscopic and robotic surgeries were associated with shorter TIC. This study demonstrates another benefit of minimally invasive surgery with regard to early initiation of adjuvant chemotherapy.
Full Text
http://online.liebertpub.com/doi/10.1089/lap.2016.0293
DOI
10.1089/lap.2016.0293
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jeonghyun(강정현) ORCID logo https://orcid.org/0000-0001-7311-6053
Park, Eun Jung(박은정) ORCID logo https://orcid.org/0000-0002-4559-2690
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
Jung, Yoon Bin(정윤빈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152296
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