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Short- and long-term results of laparoscopic surgery for transverse colon cancer

Authors
  • Hirasaki, Yoshinori1
  • Fukunaga, Masaki1
  • Sugano, Masahiko1
  • Nagakari, Kunihiko1
  • Yoshikawa, Seiitirou1
  • Ouchi, Masakazu1
  • 1 Institute for Juntendo University Urayasu Hospital, Department of Surgery, Tomioka 2-1-1, Urayasu, Chiba, 279-0021, Japan , Urayasu (Japan)
Type
Published Article
Journal
Surgery Today
Publisher
Springer Japan
Publication Date
Aug 11, 2013
Volume
44
Issue
7
Pages
1266–1272
Identifiers
DOI: 10.1007/s00595-013-0682-6
Source
Springer Nature
Keywords
License
Yellow

Abstract

PurposesWe investigated the feasibility of laparoscopic surgery for transverse colon cancer (TCC) by examining the results of this procedure, and comparing the short- and long-term outcomes with those for right-sided and sigmoid colon cancer (OSCC).MethodsThe subjects consisted of 117 patients with TCC. Their complications, forms of recurrence and disease-free and 5-year survival rates were compared to those of 564 patients with OSCC.ResultsThere were no significant between-group differences in the patient background. The average length of the operation in the TCC group was 215 min and that in the OSCC group was 184 min (p < 0.05). There were also no significant between-group differences in the average blood loss, which was 83.9 and 70.5 g, respectively. No significant difference was observed between groups by stage in terms of the disease-free survival rates, which were 94.4 and 79.1 % for stage II and III in the TCC group, and 92.4 and 78.8 % for stage II and III in the OSCC group. The incidence of intraoperative and postoperative complications was low, and the five-year survival rate was favorable. As favorable results of laparoscopic colectomy (LAC) for TCC were also obtained at other sites in a multicenter randomized controlled trial, LAC is expected to become a standard therapy for TCC.

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