Laparoscopic vs. open resection for colon cancer-quality of oncologic resection evaluation in a medium volume center.
colon cancer
laparoscopic surgery
oncologic resection
Journal
Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
received:
31
01
2022
accepted:
20
04
2022
entrez:
24
6
2022
pubmed:
25
6
2022
medline:
25
6
2022
Statut:
epublish
Résumé
Despite concerns regarding oncologic safety, laparoscopic surgery for colon cancer has been proven in several trials in the lasts decades to be superior to open surgery. In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non-metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non-metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14±6.56), OG 17.31 (15±8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center.
Identifiants
pubmed: 35747155
doi: 10.3892/etm.2022.11382
pii: ETM-24-1-11382
pmc: PMC9204561
doi:
Types de publication
Journal Article
Langues
eng
Pagination
455Informations de copyright
Copyright: © Enciu et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Med J Aust. 2011 May 2;194(9):443-7
pubmed: 21534898
Dis Colon Rectum. 2009 Jul;52(7):1244-50
pubmed: 19571700
Surg Laparosc Endosc. 1991 Sep;1(3):144-50
pubmed: 1688289
Surg Endosc. 2009 Jul;23(7):1603-8
pubmed: 19452217
Surg Endosc. 2004 Aug;18(8):1163-85
pubmed: 15457376
CA Cancer J Clin. 2009 May-Jun;59(3):192-211
pubmed: 19414631
Br J Surg. 2004 Sep;91(9):1111-24
pubmed: 15449261
Colorectal Dis. 2009 May;11(4):354-64; discussion 364-5
pubmed: 19016817
N Engl J Med. 2003 Nov 27;349(22):2117-27
pubmed: 14645640
J Clin Oncol. 2010 Jan 10;28(2):272-8
pubmed: 19949013
Ann Surg. 2006 Dec;244(6):1003-11
pubmed: 17122626
J Gastrointest Oncol. 2017 Jun;8(3):534-546
pubmed: 28736640
Ann Surg. 2007 Oct;246(4):655-62; discussion 662-4
pubmed: 17893502
Ann Surg. 2005 Jul;242(1):83-91
pubmed: 15973105
Dis Colon Rectum. 1996 Feb;39(2):200-7
pubmed: 8620788
Arch Surg. 1998 Aug;133(8):894-9
pubmed: 9711965
Colorectal Dis. 2006 Jul;8(6):460-70
pubmed: 16784464
Dis Colon Rectum. 2001 Feb;44(2):217-22
pubmed: 11227938
Br J Cancer. 2009 May 19;100(10):1530-3
pubmed: 19401684
Lancet Oncol. 2009 Jan;10(1):44-52
pubmed: 19071061
Br J Surg. 1988 May;75(5):409-15
pubmed: 3292002
Arch Surg. 1997 Jan;132(1):41-4; discussion 45
pubmed: 9006551
Dig Surg. 2000;17(6):617-622
pubmed: 11155008
Lancet Oncol. 2005 Jul;6(7):477-84
pubmed: 15992696
J Natl Cancer Inst. 2007 Mar 21;99(6):433-41
pubmed: 17374833