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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2021

01-03-2021 | Hemicolectomy | Endoluminal Surgery

Laparoscopic versus open radical resection for transverse colon cancer: evidence from multi-center databases

Authors: Zhenjia Li, Zhenhong Zou, Zhiquan Lang, Yuting Sun, Xuerui Zhang, Min Dai, Shengxun Mao, Zelong Han

Published in: Surgical Endoscopy | Issue 3/2021

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Abstract

Background

The role of laparoscopic approach is still a controversy for transverse colon cancer. Our investigation aimed to evaluate the perioperative and oncologic outcomes of laparoscopic versus open radical resection for transverse colon cancer based on evidence from multi-center databases.

Methods

416 patients with transverse colon cancer undergoing radical surgery were analyzed including 181 laparoscopic resections and 235 open resections from January 2004 to May 2017 based on multi-center databases. Perioperative and oncologic outcomes were compared.

Results

No statistical differences regarding the baseline characteristics were observed between the two groups except the procedure type. Compared with open approach, laparoscopic approach was associated with statistically longer operation time (209.96 vs. 173.31 min, P = 0.002), significantly shorter time to soft food intake (4.73 vs. 6.01 days, P = 0.034), and shorter postoperative hospitalization (12.05 vs. 14.44 days, P = 0.001). In terms of oncologic outcomes, laparoscopic resection was correlated with statistically more lymph node retrieval (13.52 vs. 15.91, P = 0.002) and similar 5-year overall survival (91.2% vs. 89.1%, P = 0.356) and disease-free survival (89.6% vs. 86.0%, P = 0.873), compared with open resection.

Conclusions

For patients with transverse colon cancer, laparoscopic approach can achieve several short-term advantages without decreasing long-term oncologic survival.
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Metadata
Title
Laparoscopic versus open radical resection for transverse colon cancer: evidence from multi-center databases
Authors
Zhenjia Li
Zhenhong Zou
Zhiquan Lang
Yuting Sun
Xuerui Zhang
Min Dai
Shengxun Mao
Zelong Han
Publication date
01-03-2021
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 3/2021
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-021-08285-5

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