Laparoscopic Surgery for Transverse Colon Cancer: Short- and Long-Term Outcomes in Comparison with Conventional Open Surgery
- Authors
- Kim, Min Ki; Won, Dae-Youn; Lee, Jin-Kwon; Kang, Won-Kyung; Kye, Bong-Hyeon; Cho, Hyeon-Min; Kim, Hyung-Jin; Kim, Jun-Gi
- Issue Date
- Dec-2015
- Publisher
- MARY ANN LIEBERT
- Citation
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.25, no.12, pp.982 - 989
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
- Volume
- 25
- Number
- 12
- Start Page
- 982
- End Page
- 989
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/155594
- DOI
- 10.1089/lap.2015.0122
- ISSN
- 1092-6429
- Abstract
- Background: Published studies on laparoscopic surgery for transverse colon cancer are scarce. More studies are necessary to evaluate the feasibility, safety, and long-term oncologic outcomes of laparoscopic surgery for transverse colon cancer. Subjects and Methods: From April 1996 to December 2010, 102 consecutive patients with stage II or III disease who had undergone curative resection for transverse colon cancer were enrolled. Seventy-nine patients underwent laparoscopy-assisted colectomy (LAC), whereas 23 patients underwent conventional open colectomy (OC). Short- and long-term outcomes of the two groups were compared. Results: The OC group had a larger tumor size (7.63.4cm versus 5.2 +/- 2.3cm, P=.004) and more retrieved lymph nodes (26.4 +/- 11.6 versus 17.5 +/- 9.4, P=.002), without differences in resection margins. In the LAC group, return to diet was faster (4.5 +/- 1.2 days versus 5.4 +/- 1.8 days, P=.013), and postoperative hospital stay was shorter (12.1 +/- 4.2 days versus 15.9 +/- 4.8 days, P=.000). There were no differences in occurrence of intra- or postoperative complications. There were no statistically significant differences in overall survival rate (OS) or disease-free survival rate (DFS) between the two groups (5-year OS, 90.4% versus 90.5%, P=.670; 5-year DFS, 84.2% versus 90.7%, P=.463). Conclusions: Laparoscopic surgery for transverse colon cancer has better short-term outcomes compared with open surgery, with acceptable long-term outcomes. As in colorectal cancer of other sites, laparoscopic surgery can be a feasible alternative to conventional surgery for transverse colon cancer.
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