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Surgical Endoscopy
Published in: Surgical Endoscopy 6/2012

Open Access 01-06-2012

Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience

Authors: Masashi Yamamoto, Junji Okuda, Keitaro Tanaka, Keisaku Kondo, Nobuhiko Tanigawa, Kazuhisa Uchiyama

Published in: Surgical Endoscopy | Issue 6/2012

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Abstract

Background

The role of laparoscopic surgery in management of transverse and descending colon cancer remains controversial. The aim of the present study is to investigate the short-term and oncologic long-term outcomes associated with laparoscopic surgery for transverse and descending colon cancer.

Methods

This cohort study analyzed 245 patients (stage II disease, n = 70; stage III disease, n = 63) who underwent resection of transverse and descending colon cancers, including 200 laparoscopic surgeries (LAC) and 45 conventional open surgeries (OC) from December 1996 to December 2010. Short-term and oncologic long-term outcomes were recorded.

Results

The operative time was longer in the LAC group than in the OC group. However, intraoperative blood loss was significantly lower and postoperative recovery time was significantly shorter in the LAC group than in the OC group. The 5-year overall and disease-free survival rates for patients with stage II were 84.9% and 84.9% in the OC group and 93.7% and 90.0% in the LAC group, respectively. The 5-year overall and disease-free survival rates for patients with stage III disease were 63.4% and 54.6% in the OC group and 66.7% and 56.9% in the LAC group, respectively.

Conclusion

Use of laparoscopic surgery resulted in acceptable short-term and oncologic outcomes in patients with advanced transverse and descending colon cancer.
Literature
1.
Jacobs M, Verdeja JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1:144–150PubMed
2.
Schwenk W, Haase O, Neudecker J, Müller JM (2005) Short term benefits for laparoscopic colorectal resection. Chochrane Database Syst Rev 20(3):CD003145
3.
Harmon GD, Senegore AJ, Kilbride MJ, Warzynski MJ (1994) Interleukin-6 response to laparoscopic and open colectomy. Dis Colon Rectum 37:754–759PubMedCrossRef
4.
Nishiguti K, Okuda J, Toyoda M, Tanaka K, Tanigawa N (2001) Comparative evaluation of surgical stress of laparoscopic and open surgeries for colorectal carcinoma. Dis Colon Rectum 44:223–230CrossRef
5.
Lacy AM, Gracia-Valdecasas JC, Delgango S, Castells A, Taura P, Pique JM, Visa J (2002) Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet 359:2224–2229PubMedCrossRef
6.
Hazebroec EJ, Colon study group (2002) A randomized clinical trial comparing laparoscopic and open resection for colon cancer. Surg Endsc 16:949–953CrossRef
7.
Leung KL, Kwok SP, Lam SC, Lee JF, Yiu RY, Ng SS, Lai PB, Lau WY (2004) Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 363:1187–1192PubMedCrossRef
8.
Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059CrossRef
9.
Braga M, Frasson M, Zuliani W, Civelli V, Di Carlo V (2005) laparoscopic vs. open colectomy in cancer patients: long term complications, quality of life, and survival. Dis Colon Rectum 48:2217–2223PubMedCrossRef
10.
Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J, Smith AM, Heath RM, Brown JM (2007) Randomized trial of laparoscopic-assisted resection of colorectal carcinoma:3-year result of UK MRC CLASSICC trial group. J Clin Oncol 25:3061–3068PubMedCrossRef
11.
Clinical Outcomes of Surgical Therapy Study Group (2007) Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST study group trial. Ann Surg 246:655–664CrossRef
12.
The Colon Cancer Laparoscopic or Open Resection Study Group (2009) Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomized clinical trial. Lancet Oncol 10:44–52PubMedCrossRef
13.
Jayne DG, Thorpe HC, Copeland J, Quirke P, Brown JM, Guillou PJ (2010) Five-year follow-up of the medical research council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg 97:1638–1645PubMedCrossRef
14.
Jamali FR, Soweid AM, Dimassi H, Bailey C, Leroy J, Marescaux J (2008) Evaluating the degree the difficulty of laparoscopic colorectal surgery. Arch Surg 143(8):762–767PubMedCrossRef
15.
Schlachta CM, Mamazza J, Poulin EC (2007) Are transverse colon cancers suitable for laparoscopic resection? Surg Endosc 21:396–399PubMedCrossRef
16.
Lee YS, Lee IK, Kang WK, Cho HM, Park JK, Oh ST, Kim JG, Kim YH (2008) Surgical and pathological outcome of laparoscopic surgery for transverse colon cancer. Int J Colorectal Dis 23:669–673PubMedCrossRef
17.
Yamamoto S, Fujita S, Akasu T, Yamaguchi T, Moriya Y (2009) Laparoscopic surgery for transverse and descending colon carcinomas has comparable safety to laparoscopic surgery for colon carcinomas at other sites. Dig Surg 26:487–492PubMedCrossRef
18.
Zmora O, Bar-Dayan A, Khaikin M, Lebeydev A, Shabtai M, Ayalon A, Rosin D (2010) Laparoscopic colectomy for transverse colon cancer. Tech Coloproctol 14:25–30PubMedCrossRef
19.
Akiyoshi T, Kuroyanagi H, Fujimoto Y, Konishi T, Ueno M, Oya M, Yamaguchi T (2010) Short-term outcomes of laparoscopic colectomy for transverse colon cancer. J Gastrointest Surg 14:818–823PubMedCrossRef
20.
Japanese Society for Cancer of the Colon and Rectum (2009) Guidelines for Therapy of Colorectal Cancer. Kanehara Shuppan, Tokyo
Metadata
Title
Clinical outcomes of laparoscopic surgery for advanced transverse and descending colon cancer: a single-center experience
Authors
Masashi Yamamoto
Junji Okuda
Keitaro Tanaka
Keisaku Kondo
Nobuhiko Tanigawa
Kazuhisa Uchiyama
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 6/2012
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-011-2071-9

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