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Laparoscopic versus open radical resection for transverse colon cancer: evidence from multi-center databases

机译：腹腔镜对横向结肠癌的开放性切除术：来自多中心数据库的证据

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摘要

Background The role of laparoscopic approach is still a controversy for transverse colon cancer. Our investigation aimed to evaluate the perioperative and oncologic outcomes of laparoscopic versus open radical resection for transverse colon cancer based on evidence from multi-center databases. Methods 416 patients with transverse colon cancer undergoing radical surgery were analyzed including 181 laparoscopic resections and 235 open resections from January 2004 to May 2017 based on multi-center databases. Perioperative and oncologic outcomes were compared. Results No statistical differences regarding the baseline characteristics were observed between the two groups except the procedure type. Compared with open approach, laparoscopic approach was associated with statistically longer operation time (209.96 vs. 173.31 min, P = 0.002), significantly shorter time to soft food intake (4.73 vs. 6.01 days, P = 0.034), and shorter postoperative hospitalization (12.05 vs. 14.44 days, P = 0.001). In terms of oncologic outcomes, laparoscopic resection was correlated with statistically more lymph node retrieval (13.52 vs. 15.91, P = 0.002) and similar 5-year overall survival (91.2% vs. 89.1%, P = 0.356) and disease-free survival (89.6% vs. 86.0%, P = 0.873), compared with open resection. Conclusions For patients with transverse colon cancer, laparoscopic approach can achieve several short-term advantages without decreasing long-term oncologic survival.
机译：背景：对于横结肠癌，腹腔镜手术的作用仍然存在争议。我们的研究旨在根据多中心数据库的证据，评估腹腔镜与开放式横结肠根治术的围手术期和肿瘤学结果。方法利用多中心数据库，对2004年1月至2017年5月416例横结肠根治术患者进行分析，其中腹腔镜手术181例，开放手术235例。比较围手术期和肿瘤预后。结果除手术类型外，两组患者的基线特征无统计学差异。与开腹手术相比，腹腔镜手术与更长的手术时间（209.96 vs.173.31 min，P=0.002）和更短的软食物摄入时间（4.73 vs.6.01 d，P=0.034）以及更短的术后住院时间（12.05 vs.14.44 d，P=0.001）相关。在肿瘤学结果方面，与开放性切除术相比，腹腔镜切除术与统计上更多的淋巴结取出（13.52对15.91，P=0.002）和相似的5年总生存率（91.2%对89.1%，P=0.356）以及无病生存率（89.6%对86.0%，P=0.873）相关。结论对于横结肠癌患者，腹腔镜手术可以在不降低长期肿瘤生存率的情况下获得一些短期优势。

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  • 来源
    《Surgical Endoscopy》 |2021年第3期|共7页
  • 作者

    Li Zhenjia; Zou Zhenhong; Lang Zhiquan; Sun Yuting; Zhang Xuerui; Dai Min; Mao Shengxun; Han Zelong;

  • 作者单位

    Nanchang Univ Affiliated Hosp 2 Dept Gen Surg 1 Minde Rd Nanchang Jiangxi Peoples R China;

    Nanchang Univ Affiliated Hosp 2 Dept Gen Surg 1 Minde Rd Nanchang Jiangxi Peoples R China;

    Nanchang Univ Nanchang Jiangxi Peoples R China;

    Nanchang Univ Nanchang Jiangxi Peoples R China;

    Nanchang Univ Nanchang Jiangxi Peoples R China;

    Nanchang Univ Affiliated Hosp 1 Dept Gen Surg Nanchang 330006 Jiangxi Peoples R China;

    Nanchang Univ Affiliated Hosp 2 Dept Gen Surg 1 Minde Rd Nanchang Jiangxi Peoples R China;

    Southern Med Univ Nanfang Hosp Dept Gastroenterol Guangzhou 510515 Guangdong Peoples R China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 诊断学;
  • 关键词

    Laparoscopic; Transverse colon cancer; Radical resection;

    机译：腹腔镜;横结肠癌;根治性切除术;

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