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International Journal of Colorectal Disease

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01-02-2019 | Review

Short- and long-term outcomes after transverse versus extended colectomy for transverse colon cancer. A systematic review and meta-analysis

Authors: Marco Milone, Michele Manigrasso, Ugo Elmore, Francesco Maione, Nicola Gennarelli, Fabio Rondelli, Nunzio Velotti, Giovanni Domenico De Palma

Published in: International Journal of Colorectal Disease | Issue 2/2019

Abstract

Background

Provide the surgeon with a tool to decide the best surgical approach to transverse colon cancer.

Objective

To compare the surgical and oncological outcomes between transverse colectomy and extended hemicolectomy for patients with tumours of the transverse colon.

Data sources

A systematic search was performed in the electronic databases (PubMed, Web of Science, Scopus, EMBASE), using the following search terms and/or MeSH terms in all possible combinations: transverse, transversus, colectomy, hemicolectomy, segmental resection, transverse colon cancer. The last search was performed on 10 May 2018.

Study selection

Two independent authors (Mi.M. and N.V.) analysed each article and performed the data extraction independently. In case of disagreement, a third investigator was consulted (Ma.M.). Discrepancies were resolved by consensus.

Data extraction and synthesis

Data regarding sample size, major clinical and demographic variables, oncologic outcomes and postoperative recovery and complications were extracted.

Main outcome measures

Main outcomes analysed were anastomotic leakage, early mortality, hospital stay, operative time, overall complications rate, wound infection, harvested nodes and disease-free survival.

Results

No statistical differences were found between transverse colectomy and extended hemicolectomy in short- and long-term outcomes; our results revealed no differences in disease-free survival between the two surgical approaches. As expected, a statistically significant difference was found in favour of extended hemicolectomy in terms of number of harvested lymph nodes.

Conclusions

This systematic review with meta-analysis focus on the two major approaches to transverse colon cancer. The reviewed evidence suggests that a conservative approach to transverse colon cancer is feasible and safe and oncological outcomes are comparable between a conservative and an extended surgical procedure.

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Title: Short- and long-term outcomes after transverse versus extended colectomy for transverse colon cancer. A systematic review and meta-analysis
Authors: Marco Milone
Michele Manigrasso
Ugo Elmore
Francesco Maione
Nicola Gennarelli
Fabio Rondelli
Nunzio Velotti
Giovanni Domenico De Palma
Publication date: 01-02-2019
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 2/2019
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-018-3186-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Short- and long-term outcomes after transverse versus extended colectomy for transverse colon cancer. A systematic review and meta-analysis

Abstract

Background

Objective

Data sources

Study selection

Data extraction and synthesis

Main outcome measures

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Objective

Data sources

Study selection

Data extraction and synthesis

Main outcome measures

Results

Conclusions

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