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Outcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery

Authors
 Jeonghyun Kang  ;  Seung Hyuk Baik  ;  Kang Young Lee  ;  Seung-Kook Sohn 
Citation
 INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, Vol.32(4) : 531-538, 2017 
Journal Title
 INTERNATIONAL JOURNAL OF COLORECTAL DISEASE 
ISSN
 0179-1958 
Issue Date
2017
MeSH
Aged ; Colonic Neoplasms/pathology* ; Colonic Neoplasms/surgery* ; Demography ; Disease-Free Survival ; Female ; Humans ; Laparoscopy* ; Male ; Middle Aged ; Neoplasm Recurrence, Local/pathology ; Neoplasm Staging ; Treatment Outcome
Keywords
Colon cancer ; Laparoscopy ; Survival ; T4
Abstract
INTRODUCTION: Despite the oncologic safety of laparoscopic surgery in colon cancer management, laparoscopy is not regarded as a standard treatment for T4 colon cancer. The aim of this study was to investigate the short-term and long-term oncologic outcomes of laparoscopic surgery in patients with locally advanced colon cancer. MATERIAL AND METHOD: From March 2003 to June 2013, a total of 109 consecutive patients with proven pathologic T4 colon cancer were enrolled. These patients were divided into the laparoscopy group (LG, n = 52) and the open group (OG, n = 57). Perioperative and long-term oncologic outcomes were compared between the two groups. RESULTS: In the LG, open conversion occurred in four patients (7.6%). Combined resection was less commonly performed in the LG (13.5%) than in the OG (36.8%, P = 0.005). Operation time was similar between the two groups. In the LG, blood loss (129 mL vs. 437 mL, P < 0.001) and overall complication rate (13.5 vs. 36.8%, P = 0.005) were lower and length of hospital stay was shorter (median 7 vs. 17 days, P < 0.001) than in the OG. The 5-year overall survival rate was 60.7% for the LG and 61.9% for the OG (P = 0.817). Local recurrence-free survival did not differ between the groups (88.9% in LG vs. 88.1% in OG, P = 0.725). CONCLUSION: Considering the benefits of early recovery and similar oncologic outcomes, laparoscopic surgery in T4 colon cancer could be a viable option in selected patients.
Full Text
https://link.springer.com/article/10.1007%2Fs00384-016-2720-5
DOI
10.1007/s00384-016-2720-5.
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
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154481
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