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首页> 外文期刊>Surgical Endoscopy >Conversion of laparoscopic colon resection does not affect survival in colon cancer.
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Conversion of laparoscopic colon resection does not affect survival in colon cancer.

机译：腹腔镜结肠切除术的转换不影响结肠癌的生存。

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BACKGROUND: Laparoscopic and open resections of colon cancer are considered oncologically equivalent treatment methods. Conversion of laparoscopic procedures, however, was associated with decreased survival in colon cancer patients in the only prior study examining this question. We conducted this study to evaluate the effect of conversion on survival. METHODS: A series of consecutive patients treated with laparoscopic resection of colorectal cancer (n = 174) in the period 1998-2003 was evaluated retrospectively. Median follow-up was 51 months with a minimum of 3 years. RESULTS: There was no statistically significant difference in all-cause mortality between laparoscopically completed and converted groups (22/143, 15.4% versus 8/31, 25.8%; OR 1.9, p = 0.164). Kaplan-Meier survival analysis did not show any survival difference between the two groups (p = 0.266). CONCLUSIONS: The results of our study suggest there is no survival difference in patients requiring conversion of laparoscopic resection indicated for colorectal cancer. Further examination of this question is warranted to determine whether laparoscopic resection of colorectal cancer should be offered to all patients, including those at high risk for conversion.
机译：背景：腹腔镜和大肠切除术被认为是肿瘤学上等效的治疗方法。然而，在唯一一个研究该问题的先前研究中，腹腔镜手术的转换与结肠癌患者生存率降低相关。我们进行了这项研究，以评估转化对生存的影响。方法：回顾性分析1998年至2003年期间接受腹腔镜切除结直肠癌的174例患者。中位随访时间为51个月，至少3年。结果：在腹腔镜完成组和转换组之间，全因死亡率之间差异无统计学意义（22 / 143，15.4％vs 8 / 31，25.8％; OR 1.9，p = 0.164）。 Kaplan-Meier生存分析未显示两组之间的任何生存差异（p = 0.266）。结论：我们的研究结果表明，对于大肠癌需要进行腹腔镜切除术的患者，生存率没有差异。必须进一步检查该问题，以确定是否应向所有患者（包括高转换风险患者）进行腹腔镜切除结直肠癌。

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