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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 7/2008

Open Access 01-07-2008 | Original Article

Surgical and pathological outcomes of laparoscopic surgery for transverse colon cancer

Authors: Y. S. Lee, I. K. Lee, W. K. Kang, H. M. Cho, J. K. Park, S. T. Oh, J. G. Kim, Y. H. Kim

Published in: International Journal of Colorectal Disease | Issue 7/2008

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Abstract

Purpose

Several multi-institutional prospective randomized trials have demonstrated short-term benefits using laparoscopy. Now the laparoscopic approach is accepted as an alternative to open surgery for colon cancer. However, in prior trials, the transverse colon was excluded. Therefore, it has not been determined whether laparoscopy can be used in the setting of transverse colon cancer. This study evaluated the peri-operative clinical outcomes and oncological quality by pathologic outcomes of laparoscopic surgery for transverse colon cancer.

Materials and methods

Analysis of the medical records of patients who underwent laparoscopic colorectal resection from August 2004 to November 2007 was made. Computed tomography, barium enema, and colonoscopy were performed to localize the tumor preoperatively. Extended right hemicolectomy, transverse colectomy, and extended left hemicolectomy were performed for transverse colon cancer. Surgical outcomes and pathologic outcomes were compared between transverse colon cancer (TCC) and other site colon cancer (OSCC).

Results

Of the 312 colorectal cancer patients, 94 patients underwent laparoscopic surgery for OSCC, and 34 patients underwent laparoscopic surgery for TCC. Patients with TCC were similar to patients with OSCC in age, gender, body mass index, operating time, blood loss, time to pass flatus, start of diet, hospital stay, tumor size, distal resection margin, proximal resection margin, number of lymph nodes, and radial margin. One case in TCC and three cases in OSCC were converted to open surgery.

Conclusions

Laparoscopic surgery for transverse colon cancer and OSCC had similar peri-operative clinical and acceptable pathological outcomes.
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Metadata
Title
Surgical and pathological outcomes of laparoscopic surgery for transverse colon cancer
Authors
Y. S. Lee
I. K. Lee
W. K. Kang
H. M. Cho
J. K. Park
S. T. Oh
J. G. Kim
Y. H. Kim
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 7/2008
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-008-0471-7

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