Literature DB >> 32606186

Laparoscopic vs. Open Surgery for Stage II/III Colon Cancer Patients With Body Mass Index >25 kg/m2.

Keisuke Kazama1, Masakatsu Numata2, Toru Aoyama2, Atsushi Onodeara2, Kentaro Hara2, Yosuke Atsumi2, Hiroshi Tamagawa2, Teni Godai3, Hiroyuki Saeki4, Yusuke Saigusa5, Hironao Okamoto6, Manabu Shiozawa6, Takashi Oshima6, Norio Yukawa2, Munetaka Masuda2, Yasushi Rino2.   

Abstract

AIM: To compare long- and short-term outcomes of laparoscopic surgery with those of open surgery for patients with colorectal cancer and body mass index over 25 kg/m2 Patients and
Methods: This multicentre, retrospective study analysed clinical records and identified 178 patients with body mass index over 25 kg/m2 who underwent surgery for colon and rectosigmoid cancer between 2000 and 2016. After applying propensity score matching, 96 patients were finally included. The primary outcome was the 3-year recurrence-free survival rate, and the secondary outcomes were short-term results during and after surgery.
RESULTS: The 3-year recurrence-free survival rates were similar for the laparoscopic and open surgery groups. The laparoscopic surgery group had longer operative times but less blood loss and shorter periods of hospital stay. There were no differences in incidence of postoperative complications.
CONCLUSION: Laparoscopic and open surgeries had similar long-term outcomes for obese patients. Laparoscopic surgery is an effective option for this population. Copyright
© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Entities:  

Keywords:  Body mass index; colonic neoplasms; colorectal neoplasms; laparoscopy; obesity

Mesh:

Year:  2020        PMID: 32606186      PMCID: PMC7439910          DOI: 10.21873/invivo.12011

Source DB:  PubMed          Journal:  In Vivo        ISSN: 0258-851X            Impact factor:   2.155


  27 in total

1.  Systemic cytokine response after laparoscopic-assisted resection of rectosigmoid carcinoma: A prospective randomized trial.

Authors:  K L Leung; P B Lai; R L Ho; W C Meng; R Y Yiu; J F Lee; W Y Lau
Journal:  Ann Surg       Date:  2000-04       Impact factor: 12.969

Review 2.  Impact of visceral obesity on outcomes of laparoscopic colorectal surgery: a meta-analysis.

Authors:  Tinghan Yang; Mingtian Wei; Yazhou He; Xiangbing Deng; Ziqiang Wang
Journal:  ANZ J Surg       Date:  2015-04-22       Impact factor: 1.872

3.  The effect of increasing body mass index on laparoscopic surgery for colon and rectal cancer.

Authors:  S Bell; J C Kong; R Wale; M Staples; K Oliva; S Wilkins; P Mc Murrick; S K Warrier
Journal:  Colorectal Dis       Date:  2018-05-04       Impact factor: 3.788

Review 4.  Susceptibility to development of central adiposity among populations.

Authors:  W Y Fujimoto; R W Bergstrom; E J Boyko; D L Leonetti; L L Newell-Morris; P W Wahl
Journal:  Obes Res       Date:  1995-09

Review 5.  The impact of obesity on perioperative outcomes after laparoscopic colorectal resection.

Authors:  Tomoki Makino; Parul J Shukla; Francesco Rubino; Jeffrey W Milsom
Journal:  Ann Surg       Date:  2012-02       Impact factor: 12.969

6.  The impact of visceral obesity on surgical outcomes of laparoscopic surgery for colon cancer.

Authors:  Jun Watanabe; Kenji Tatsumi; Mitsuyoshi Ota; Yusuke Suwa; Shinsuke Suzuki; Akira Watanabe; Atsushi Ishibe; Kazuteru Watanabe; Hirotoshi Akiyama; Yasushi Ichikawa; Satoshi Morita; Itaru Endo
Journal:  Int J Colorectal Dis       Date:  2013-12-03       Impact factor: 2.571

7.  Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group.

Authors:  David G Jayne; Pierre J Guillou; Helen Thorpe; Philip Quirke; Joanne Copeland; Adrian M H Smith; Richard M Heath; Julia M Brown
Journal:  J Clin Oncol       Date:  2007-07-20       Impact factor: 44.544

8.  Risk factors for early postoperative complications after D3 dissection for stage II or III colon cancer: Supplementary analysis of a multicenter randomized controlled trial in Japan (JCOG0404).

Authors:  Yusuke Nishizawa; Tomonori Akagi; Masafumi Inomata; Hiroshi Katayama; Junki Mizusawa; Seiichiro Yamamoto; Masaaki Ito; Tadahiko Masaki; Masahiko Watanabe; Yasuhiro Shimada; Seigo Kitano
Journal:  Ann Gastroenterol Surg       Date:  2019-04-04

9.  Influence of obesity on the short-term outcome of laparoscopic colectomy for colorectal cancer.

Authors:  Kazuhiro Sakamoto; Shinichiro Niwa; Masanobu Tanaka; Michitoshi Goto; Hironobu Sengoku; Yuichi Tomiki
Journal:  J Minim Access Surg       Date:  2007-07       Impact factor: 1.407

Review 10.  Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants.

Authors: 
Journal:  Lancet       Date:  2016-04-02       Impact factor: 79.321

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