Cited 30 times in
Outcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강정현 | - |
dc.contributor.author | 백승혁 | - |
dc.contributor.author | 이강영 | - |
dc.date.accessioned | 2017-11-02T08:27:01Z | - |
dc.date.available | 2017-11-02T08:27:01Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0179-1958 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/154481 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer International | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Colonic Neoplasms/pathology* | - |
dc.subject.MESH | Colonic Neoplasms/surgery* | - |
dc.subject.MESH | Demography | - |
dc.subject.MESH | Disease-Free Survival | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Recurrence, Local/pathology | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Outcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery | - |
dc.type | Article | - |
dc.publisher.location | Germany | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Surgery | - |
dc.contributor.googleauthor | Jeonghyun Kang | - |
dc.contributor.googleauthor | Seung Hyuk Baik | - |
dc.contributor.googleauthor | Kang Young Lee | - |
dc.contributor.googleauthor | Seung-Kook Sohn | - |
dc.identifier.doi | 10.1007/s00384-016-2720-5 | - |
dc.contributor.localId | A01827 | - |
dc.contributor.localId | A02640 | - |
dc.contributor.localId | A00080 | - |
dc.relation.journalcode | J01100 | - |
dc.identifier.eissn | 1432-1262 | - |
dc.identifier.pmid | 27882405 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00384-016-2720-5 | - |
dc.subject.keyword | Colon cancer | - |
dc.subject.keyword | Laparoscopy | - |
dc.subject.keyword | Survival | - |
dc.subject.keyword | T4 | - |
dc.contributor.alternativeName | Kang, Jeong Hyun | - |
dc.contributor.alternativeName | Baik, Seung Hyuk | - |
dc.contributor.alternativeName | Lee, Kang Young | - |
dc.contributor.affiliatedAuthor | Baik, Seung Hyuk | - |
dc.contributor.affiliatedAuthor | Lee, Kang Young | - |
dc.contributor.affiliatedAuthor | Kang, Jeong Hyun | - |
dc.citation.title | International Journal of Colorectal Disease | - |
dc.citation.volume | 32 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 531 | - |
dc.citation.endPage | 538 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, Vol.32(4) : 531-538, 2017 | - |
dc.date.modified | 2017-11-01 | - |
dc.identifier.rimsid | 43055 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.