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Right vs Left Colon Cancers Have Comparable Survival: a Decade’s Experience

The aim of this study is to compare survival rates between right and left colon cancers following curative intent oncologic resection. The data of right- (between cecum and proximal two-thirds of the transverse colon) and left-sided (between distal one-third of the transverse colon and distal sigmoi...

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Published in:Indian journal of surgery 2020-04, Vol.82 (2), p.134-141
Main Authors: Keskin, Metin, Sivrikoz, Emre, Yeğen, Gülçin, Bayraktar, Adem, Kulle, Cemil Burak, Buğra, Dursun, Bulut, Mehmet Türker, Balık, Emre
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cited_by cdi_FETCH-LOGICAL-c402t-c98613a9059613188e45a46ec86457dfd4ce5dc66b948ca6f931c02b98991b0a3
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container_title Indian journal of surgery
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creator Keskin, Metin
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Yeğen, Gülçin
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Balık, Emre
description The aim of this study is to compare survival rates between right and left colon cancers following curative intent oncologic resection. The data of right- (between cecum and proximal two-thirds of the transverse colon) and left-sided (between distal one-third of the transverse colon and distal sigmoid colon) colon cancer patients, operated with curative intent including central vascular ligation between January 2005 and 2015, were recorded in a prospectively compiled database. Epidemiologic and clinical characteristics (laparoscopic resection, multivisceral resection, lymph node yield, metastatic lymph node yield, pathologic stage, duration of operation), early post-operative results, and overall 5-year survival rates were abstracted. A total of 426 patients were included. There were no differences in epidemiologic and clinical characteristics between two groups ( p  > 0.05), except a higher median lymph node yield in right-sided colon cancers (31 vs 24, p  ˂ 0.001). Cox regression analysis identified no differences in overall 5-year survival rates between right (76.9%) and left colon (76.4%) cancers ( p  = 0.752). In right-sided colon cancer group, 5-year overall survival was significantly higher with laparoscopic resection (60.5% vs 78.9%, p  = 0.008). There were no significant differences in left-sided colon cancer group per surgical approach ( p  = 0.357). Curative intent oncologic resection with central vascular ligation provided similar overall 5-year survival rates in right- vs left-sided colon cancers. Laparoscopic resection provided a significantly increased 5-year overall survival in right colon cancer group.
doi_str_mv 10.1007/s12262-019-01900-9
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subjects Analysis
Cancer patients
Cardiac Surgery
Colon cancer
Medical colleges
Medicine
Medicine & Public Health
Neurosurgery
Original Article
Patient outcomes
Pediatric Surgery
Plastic Surgery
Surgery
Thoracic Surgery
title Right vs Left Colon Cancers Have Comparable Survival: a Decade’s Experience
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