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

DC FieldValueLanguage
dc.contributor.author강정현-
dc.contributor.author백승혁-
dc.contributor.author이강영-
dc.date.accessioned2017-11-02T08:27:01Z-
dc.date.available2017-11-02T08:27:01Z-
dc.date.issued2017-
dc.identifier.issn0179-1958-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154481-
dc.description.abstractINTRODUCTION: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF COLORECTAL DISEASE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHColonic Neoplasms/pathology*-
dc.subject.MESHColonic Neoplasms/surgery*-
dc.subject.MESHDemography-
dc.subject.MESHDisease-Free Survival-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local/pathology-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHTreatment Outcome-
dc.titleOutcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery-
dc.typeArticle-
dc.publisher.locationGermany-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorJeonghyun Kang-
dc.contributor.googleauthorSeung Hyuk Baik-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorSeung-Kook Sohn-
dc.identifier.doi10.1007/s00384-016-2720-5.-
dc.contributor.localIdA01827-
dc.contributor.localIdA02640-
dc.contributor.localIdA00080-
dc.relation.journalcodeJ01100-
dc.identifier.eissn1432-1262-
dc.identifier.pmid27882405-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00384-016-2720-5-
dc.subject.keywordColon cancer-
dc.subject.keywordLaparoscopy-
dc.subject.keywordSurvival-
dc.subject.keywordT4-
dc.contributor.alternativeNameKang, Jeong Hyun-
dc.contributor.alternativeNameBaik, Seung Hyuk-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.affiliatedAuthorBaik, Seung Hyuk-
dc.contributor.affiliatedAuthorLee, Kang Young-
dc.contributor.affiliatedAuthorKang, Jeong Hyun-
dc.citation.titleInternational Journal of Colorectal Disease-
dc.citation.volume32-
dc.citation.number4-
dc.citation.startPage531-
dc.citation.endPage538-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF COLORECTAL DISEASE, Vol.32(4) : 531-538, 2017-
dc.date.modified2017-11-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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