Kristian Eeg Storli1, Geir Egil Eide. 1. Department of Surgery, Haraldsplass Deaconess Hospital, University of Bergen, Bergen, Norway.
Abstract
BACKGROUND/AIM: Laparoscopic complete mesocolic excision (CME) used in the treatment of transverse colon cancer has been questioned on the basis of the technical challenges. The aim of this study was to evaluate the medium- and long-term clinical and survival outcomes after laparoscopic and open CME for transverse colon cancer and to compare the 2 approaches. METHODS: This study was a retrospective non-randomized study of patients with prospectively registered data on open and laparoscopic CME for transverse colon cancer tumour-node-metastasis stages I-III operated on between 2007 and 2014. This was a single-centre study in a community teaching hospital. A total of 56 patients with transverse colon cancer were included, excluding those with tumours in the colonic flexures. The outcome aims were 4-year time to recurrence (TTR) and cancer-specific survival (CSS). Morbidity was also measured. RESULTS: The 4-year TTR was 93.9% in the laparoscopic group and 91.3% in the open group (p = 0.71). The 4-year CSS was 97.0% in the laparoscopic group and 91.3% in the open group (p = 0.42). LIMITATIONS: This was a prospective single-institution study with a small sample size. CONCLUSION: Results of the study suggest that the laparoscopic CME approach might be the preferred approach for transverse colon cancer, especially regarding its benefits in terms of short-term morbidity, length of stay and oncological outcome.
BACKGROUND/AIM: Laparoscopic complete mesocolic excision (CME) used in the treatment of transverse colon cancer has been questioned on the basis of the technical challenges. The aim of this study was to evaluate the medium- and long-term clinical and survival outcomes after laparoscopic and open CME for transverse colon cancer and to compare the 2 approaches. METHODS: This study was a retrospective non-randomized study of patients with prospectively registered data on open and laparoscopic CME for transverse colon cancer tumour-node-metastasis stages I-III operated on between 2007 and 2014. This was a single-centre study in a community teaching hospital. A total of 56 patients with transverse colon cancer were included, excluding those with tumours in the colonic flexures. The outcome aims were 4-year time to recurrence (TTR) and cancer-specific survival (CSS). Morbidity was also measured. RESULTS: The 4-year TTR was 93.9% in the laparoscopic group and 91.3% in the open group (p = 0.71). The 4-year CSS was 97.0% in the laparoscopic group and 91.3% in the open group (p = 0.42). LIMITATIONS: This was a prospective single-institution study with a small sample size. CONCLUSION: Results of the study suggest that the laparoscopic CME approach might be the preferred approach for transverse colon cancer, especially regarding its benefits in terms of short-term morbidity, length of stay and oncological outcome.
Authors: Riyadh Hakami; Ali Alsaffar; Khayal A AlKhayal; Nahla Arab; Turki Alshammari; Eman D Almotairi; Neamat Alturki; Salah Addin Falah; Naif Ali Albati; Marwah Hussain; Maha Abdullah; Nadia Abd Aljomah; Samar Al Homoud; Luai Ashari; Alaa Abduljabbar; Fatima Ahmed Badahdah; Saeed Albalawi; Omar Alobaid; Ahmad Zubaidi; Thamer Bin Traiki; Nasser Alsanea; Faroq Walid Abdulfattah; Abdullah Mohammed Abduldaem; Saad Alqahtani; Reem Alharbi Journal: Ann Saudi Med Date: 2019-05-30 Impact factor: 1.526