Comparison of Short- and Long-term Outcomes of Laparoscopic and Open Right Hemicolectomy for Colon Cancer-Reference-Cited by-同舟云学术

Comparison of Short- and Long-term Outcomes of Laparoscopic and Open Right Hemicolectomy for Colon Cancer

Published:2022-02-11 Issue:3 Volume:94 Page:45-50
ISSN:0032-373X
Container-title:Polish Journal of Surgery
language:
Short-container-title:Pol Przegl Chir

Author:

Gojayev Afig¹,Mercan Ümit²,Çetindağ Özhan¹,Akbulut Serkan¹,Ünal Ali Ekrem¹,Demirci Salim¹

Affiliation:

1. Clinic of Surgical Oncology, Department of General Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey

2. Department of Surgical Oncology, Sanliurfa Mehmet Akif Inan Traninig and Research Hospital, Sanliurfa, Turkey

Abstract

Introduction: Colorectal cancer is still among the most common malignancies in the world. Aim: The aim of this study is to compare the outcomes of open and laparoscopic right hemicolectomy for colon cancer. Materials and methods: This retrospective study included 87 patients who underwent laparoscopic and open right hemicolectomy for colon cancer between January 2014 and January 2020. Patients were categorized into two groups according to the surgical technique: laparoscopic (46 cases) and open (41 cases). Patient characteristics and clinicopathological findings, surgical findings, short- and long-term results were included in the evaluation parameters. Patients with pathological diagnosis other than adenocarcinoma, distant metastases, and incomplete file datas were excluded from the study. Results: Forty-six (52.9%) patients underwent laparoscopic and 41 (47.1%) patients underwent open right hemicolectomy. The operation time of the laparoscopic group was found to be significantly higher (P<0.001). The amount of blood loss was significantly higher in the open group (P < 0.001). The incidence of post-operative complications in the open group (26.8%) was higher than in the laparoscopic group (6.5%) (P = 0.010). The rate of anastomotic leakage (9.8%) was higher in patients who underwent open surgery compared to laparoscopic group (0%) (P = 0.045). It was found that the laparoscopic group had a shorter hospital stay (P = 0.009). No statistically significant differences were found between the groups in terms of overall overall survival (OS) rate (P = 0.400) and disease-free survival (DFS) rate (P = 0.781). Conclusion: Laparoscopic right hemicolectomy for colon cancer is a feasible and reliable method with lower postoperative morbidity and similar long-term results to the open method.

Publisher

Index Copernicus

Subject

General Medicine,Surgery

Link

https://ppch.pl/gicid/pdf/01.3001.0015.7344

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