scholarly journals Laparoscopic modified mesocolic excision with central vascular ligation in right-sided colon cancer shows better short- and long-term outcomes compared with the open approach in propensity score analysis

2017 ◽  
Vol 32 (6) ◽  
pp. 2721-2731 ◽  
Author(s):  
Jung Kyong Shin ◽  
Hee Cheol Kim ◽  
Woo Yong Lee ◽  
Seong Hyeon Yun ◽  
Yong Beom Cho ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Propensity Score Analysis ◽  
Open Approach ◽  
Long Term Outcomes ◽  
Central Vascular Ligation ◽  
Score Analysis ◽  
Vascular Ligation ◽  
Mesocolic Excision ◽  
Short And Long Term

scholarly journals Laparoscopic complete mesocolic excision with central vascular ligation for splenic flexure colon cancer: short- and long-term outcomes

2021 ◽  
Author(s):  
Kazuki Ueda ◽  
Koji Daito ◽  
Hokuto Ushijima ◽  
Yoshinori Yane ◽  
Yasumasa Yoshioka ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Splenic Flexure ◽  
Complete Mesocolic Excision ◽  
Middle Colic Artery ◽  
Long Term Outcomes ◽  
Central Vascular Ligation ◽  
Vascular Ligation ◽  
Mesocolic Excision ◽  
Short And Long Term

Abstract Background Complete mesocolic excision (CME) with central vascular ligation (CVL) for colon cancer is an essential procedure for improved oncologic outcomes after surgery. Laparoscopic surgery for splenic flexure colon cancer was recently adopted due to a greater understanding of surgical anatomy and improvements in surgical techniques and innovative surgical devices. Methods We retrospectively analyzed the data of patients with splenic flexure colon cancer who underwent laparoscopic CME with CVL at our institution between January 2005 and December 2017. Results Forty-five patients (4.8%) were enrolled in this study. Laparoscopic CME with CVL was successfully performed in all patients. The median operative time was 178 min, and the median estimated blood loss was 20 g. Perioperative complications developed in 6 patients (13.3%). The median postoperative hospital stay was 9 days. According to the pathological report, the median number of harvested lymph nodes was 15, and lymph node metastasis developed in 14 patients (31.1%). No metastasis was observed at the root of the middle colic artery or the inferior mesenteric artery. The median follow-up period was 49 months. The cumulative 5-year overall survival and disease-free survival rates were 85.9% and 84.7%, respectively. The cancer-specific survival rate in stage I-III patients was 92.7%. Recurrence was observed in 5 patients (11.1%), including three patients with peritoneal dissemination and two patients with distant metastasis. Conclusions Laparoscopic CME with CVL for splenic flexure colon cancer appears to be oncologically safe and feasible based on the short- and long-term outcomes in our study. However, it is careful to introduce this procedure to necessitate the anatomical understandings and surgeon’s skill. The appropriate indications must be established with more case registries because our experience is limited.

scholarly journals Short and long-term outcomes in patient cohort with gastric stump cancer: A propensity score analysis

2021 ◽  
Author(s):  
Povilas Kavaliauskas ◽  
Audrius Dulskas ◽  
Ramune Kavaliauskaite ◽  
Sarunas Dailidenas ◽  
Marius Petrulionis ◽  
...  
Keyword(s):  
Propensity Score ◽  
Propensity Score Analysis ◽  
Gastric Stump ◽  
Long Term Outcomes ◽  
Gastric Stump Cancer ◽  
Patient Cohort ◽  
Score Analysis ◽  
Short And Long Term

scholarly journals Laparoscopic vs open approach for transverse colon cancer. A systematic review and meta-analysis of short and long term outcomes

2017 ◽  
Vol 41 ◽  
pp. 78-85 ◽  
Author(s):  
Christos D. Athanasiou ◽  
Jonathan Robinson ◽  
Marina Yiasemidou ◽  
Sonia Lockwood ◽  
Georgios A. Markides
Keyword(s):  
Systematic Review ◽  
Colon Cancer ◽  
Transverse Colon ◽  
Meta Analysis ◽  
Open Approach ◽  
Transverse Colon Cancer ◽  
Long Term Outcomes ◽  
Short And Long Term

scholarly journals Propensity Score Analysis in the Comparison of Long-Term Outcomes for Locally Advanced Colon Cancer Between Laparoscopic Colectomy and Open Colectomy

2017 ◽  
Vol 63 (4) ◽  
pp. 264-272 ◽  
Author(s):  
KIICHI SUGIMOTO ◽  
KAZUHIRO SAKAMOTO ◽  
RYOSUKE ICHIKAWA ◽  
KAZUMASA KURE ◽  
KUMPEI HONJO ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Propensity Score ◽  
Laparoscopic Colectomy ◽  
Propensity Score Analysis ◽  
Locally Advanced ◽  
Open Colectomy ◽  
Long Term Outcomes ◽  
Advanced Colon Cancer ◽  
Score Analysis
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