Marc Beisani1, Francesc Vallribera2, Albert García3, Laura Mora4, Sebastiano Biondo5, Jaime Lopez-Borao6, Ramon Farrés7, Júlia Gil8, Eloy Espin9. 1. Department of Surgery, Colorectal Unit, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain. Electronic address: mbeisani@gmail.com. 2. Department of Surgery, Colorectal Unit, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain. Electronic address: 20412fvv@comb.cat. 3. Department of Surgery, Corporació Sanitària Parc Taulí, Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain. Electronic address: agarcian@tauli.cat. 4. Department of Surgery, Corporació Sanitària Parc Taulí, Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain. Electronic address: lmoral@tauli.cat. 5. Department of Surgery, Colorectal Unit, Hospital Universitari de Bellvitge, Carrer de la Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address: sbn.biondo@gmail.com. 6. Department of Surgery, Colorectal Unit, Hospital Universitari de Bellvitge, Carrer de la Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address: jlopezb@bellvitgehospital.cat. 7. Department of Surgery, Hospital Universitari de Girona Ramon Trueta, Avinguda de França, s/n, 17007, Girona, Spain. Electronic address: farres@ono.com. 8. Department of Surgery, Hospital Universitari de Girona Ramon Trueta, Avinguda de França, s/n, 17007, Girona, Spain. Electronic address: juliagilg@gmail.com. 9. Department of Surgery, Colorectal Unit, Hospital Universitari Vall d'Hebron, Autonomous University of Barcelona, Passeig Vall d'Hebrón 119-129, 08035, Barcelona, Spain. Electronic address: eespin@me.com.
Abstract
BACKGROUND: Optimal elective surgical treatment for splenic flexure neoplasm (SFN) is unclear. Subtotal colectomy (STC) and left hemicolectomy (LHC) are the two more common strategies used. METHODS: Observational multicentric study comparing postoperative morbidity, mortality and long-term survival on patients with SFN electively operated by STC versus LHC between 2003 and 2014. RESULTS: After revision of the databases, 144 patients were included (STC group, n = 68; LHC group, n = 76). No differences were found on epidemiological and surgical data. A higher global morbidity (58%vs37%, p = 0.014), surgical morbidity (50%vs33%, p = 0.037), postoperative ileus (37%vs20%, p = 0.023) and harvested lymph nodes (26vs18, p = 0.0001) were found on the STC group. No significant differences in complications according to severity, reoperation rate, hospital stay, mortality, recurrence or long-term survival were found between groups. CONCLUSIONS: A higher surgical morbidity was found on the STC group, mainly due to mild postoperative ileus. No differences on long-term oncological results were found.
BACKGROUND: Optimal elective surgical treatment for splenic flexure neoplasm (SFN) is unclear. Subtotal colectomy (STC) and left hemicolectomy (LHC) are the two more common strategies used. METHODS: Observational multicentric study comparing postoperative morbidity, mortality and long-term survival on patients with SFN electively operated by STC versus LHC between 2003 and 2014. RESULTS: After revision of the databases, 144 patients were included (STC group, n = 68; LHC group, n = 76). No differences were found on epidemiological and surgical data. A higher global morbidity (58%vs37%, p = 0.014), surgical morbidity (50%vs33%, p = 0.037), postoperative ileus (37%vs20%, p = 0.023) and harvested lymph nodes (26vs18, p = 0.0001) were found on the STC group. No significant differences in complications according to severity, reoperation rate, hospital stay, mortality, recurrence or long-term survival were found between groups. CONCLUSIONS: A higher surgical morbidity was found on the STC group, mainly due to mild postoperative ileus. No differences on long-term oncological results were found.
Authors: J Martín Arévalo; D Moro-Valdezate; S A García-Botello; V Pla-Martí; M Garcés-Albir; L Pérez Santiago; A Vargas-Durán; A Espí-Macías Journal: Int J Colorectal Dis Date: 2018-05-29 Impact factor: 2.571
Authors: G Manceau; S Benoist; Y Panis; A Rault; M Mathonnet; D Goere; J J Tuech; D Collet; C Penna; M Karoui Journal: Tech Coloproctol Date: 2020-01-14 Impact factor: 3.781
Authors: Lieve G J Leijssen; Anne M Dinaux; Ramzi Amri; Hiroko Kunitake; Liliana G Bordeianou; David L Berger Journal: World J Surg Date: 2018-10 Impact factor: 3.352