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International Journal of Colorectal Disease

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01-06-2017 | Original Article

Right versus left laparoscopic colectomy for colon cancer: does side make any difference?

Authors: Juan P. Campana, Pablo A. Pellegrini, Gustavo L. Rossi, Guillermo Ojea Quintana, Ricardo E. Mentz, Carlos A. Vaccaro

Published in: International Journal of Colorectal Disease | Issue 6/2017

Abstract

Purpose

To compare the intraoperative and postoperative outcomes between right laparoscopic colectomy (RLC) and left laparoscopic colectomy (LLC) for colon cancer.

Method

Patients who underwent elective RLC or LLC for colon cancer between January 2004 and December 2014 were identified and elected for a retrospective analysis. Primary outcomes were technical difficulty (including operative time, intraoperative complications, and conversion rate) and postoperative outcome (including postoperative complications, length of hospital stay, reinterventions, readmissions, and mortality).

Results

A total of 547 patients (mean age: 68.5 years old; 48.4% males) were analyzed. The RLC group had a higher mean age (71 vs 65; p < 0.001), ASA 3/4 grade (36 vs 26%; p = 0.02), and comorbidity rate (61 vs 48%, p = 0.003). Regarding technical difficulty, no difference was found between the groups in intraoperative complications (4.1 vs 5.9%; p = 0.34) or conversion rate (6.2 vs 3.9%, p = 0.24). Mean operative time was significantly shorter for RLC (162 vs 185 min, p < 0.001). Regarding postoperative outcome, the RLC group had a higher overall morbidity (20.5 vs 13.3%, p = 0.03), ileus (10.6 vs 2.4%, p < 0.001), and a longer hospital stay (4.7 vs 3.9 days, p = 0.003), with no differences regarding reoperations, readmissions, or mortality. The multivariate analysis showed that RLC were independently associated with a longer operative time and postoperative ileus.

Conclusions

RLC for colon cancer was independently associated with a shorter operative time, an increased risk of ileus, and a longer hospital stay than left laparoscopic colectomy in high-volume centers.

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Title: Right versus left laparoscopic colectomy for colon cancer: does side make any difference?
Authors: Juan P. Campana
Pablo A. Pellegrini
Gustavo L. Rossi
Guillermo Ojea Quintana
Ricardo E. Mentz
Carlos A. Vaccaro
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 6/2017
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-017-2776-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Right versus left laparoscopic colectomy for colon cancer: does side make any difference?

Abstract

Purpose

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusions

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