Outcomes of laparoscopic surgery in pathologic T4 colon cancers compared to those of open surgery

Introduction Despite the oncologic safety of laparoscopic surgery in colon cancer management, laparoscopy is not regarded as a standard treatment for T4 colon cancer. The aim of this study was to investigate the short-term and long-term oncologic outcomes of laparoscopic surgery in patients with loc...

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Bibliographic Details
Published in:International journal of colorectal disease 2017-04, Vol.32 (4), p.531-538
Main Authors: Kang, Jeonghyun, Baik, Seung Hyuk, Lee, Kang Young, Sohn, Seung-Kook
Format: Article
Language:English
Subjects:
Aged
Cancer
Cancer patients
Care and treatment
Colon cancer
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
Demography
Disease-Free Survival
Female
Gastroenterology
Hepatology
Humans
Internal Medicine
Laparoscopic surgery
Laparoscopy
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local - pathology
Neoplasm Staging
Original Article
Patient outcomes
Proctology
Surgery
Treatment Outcome
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Summary:Introduction Despite the oncologic safety of laparoscopic surgery in colon cancer management, laparoscopy is not regarded as a standard treatment for T4 colon cancer. The aim of this study was to investigate the short-term and long-term oncologic outcomes of laparoscopic surgery in patients with locally advanced colon cancer. Material and method From March 2003 to June 2013, a total of 109 consecutive patients with proven pathologic T4 colon cancer were enrolled. These patients were divided into the laparoscopy group (LG, n  = 52) and the open group (OG, n  = 57). Perioperative and long-term oncologic outcomes were compared between the two groups. Results In the LG, open conversion occurred in four patients (7.6%). Combined resection was less commonly performed in the LG (13.5%) than in the OG (36.8%, P  = 0.005). Operation time was similar between the two groups. In the LG, blood loss (129 mL vs. 437 mL, P  
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-016-2720-5