TY - JOUR
T1 - Oncological outcome of laparoscopic surgery for advanced colon cancer
T2 - A community hospital's experience
AU - Matsuda, Takeru
AU - Fujita, Hirofumi
AU - Kunimoto, Yukihiro
AU - Kimura, Taisei
AU - Kitaoka, Hironori
AU - Asano, Eisuke
AU - Hayashi, Tomomi
AU - Maeda, Toshiyuki
AU - Yamakawa, Junichi
AU - Mizumoto, Takuya
AU - Ogino, Kazunori
PY - 2012/7
Y1 - 2012/7
N2 - Background/Aims: Similar oncological outcomes of laparoscopic and open surgery for advanced colon cancer have been reported by several large-scale studies. Whether those results are applicable to community hospitals is questionable. Methodology: From January 2007 to December 2010, 95 patients with colon cancer underwent laparoscopic surgery at Seirei Mikatahara General Hospital. Of these, 40 patients with pathological stage II/III colon cancer were subjected to this retrospective analysis (laparoscopic resection (LAP) group). Their outcomes were compared with those of 58 patients with pathological stage II/III colon cancer who underwent open surgery between January 2005 and December 2006 (open resection (OP) group). Results: Surgical complications were significantly less frequent in the LAP group than in the OP group. Three-year disease-free survival (DFS) and overall survival (OS) for stage II colon cancer were 88.9% and 100% in the LAP group, and 90% and 86.7% in the OP group (p=0.976 and p=0.285), respectively. Three-year DFS and OS for stage III colon cancer were 85.4% and 86.9% in the LAP group, and 75.3% and 83.8% in the OP group (p=0.613 and p=0.837), respectively. Conclusions: Laparoscopic surgery for advanced colon cancer seems feasible and the oncological outcome is adequate in a community hospital setting.
AB - Background/Aims: Similar oncological outcomes of laparoscopic and open surgery for advanced colon cancer have been reported by several large-scale studies. Whether those results are applicable to community hospitals is questionable. Methodology: From January 2007 to December 2010, 95 patients with colon cancer underwent laparoscopic surgery at Seirei Mikatahara General Hospital. Of these, 40 patients with pathological stage II/III colon cancer were subjected to this retrospective analysis (laparoscopic resection (LAP) group). Their outcomes were compared with those of 58 patients with pathological stage II/III colon cancer who underwent open surgery between January 2005 and December 2006 (open resection (OP) group). Results: Surgical complications were significantly less frequent in the LAP group than in the OP group. Three-year disease-free survival (DFS) and overall survival (OS) for stage II colon cancer were 88.9% and 100% in the LAP group, and 90% and 86.7% in the OP group (p=0.976 and p=0.285), respectively. Three-year DFS and OS for stage III colon cancer were 85.4% and 86.9% in the LAP group, and 75.3% and 83.8% in the OP group (p=0.613 and p=0.837), respectively. Conclusions: Laparoscopic surgery for advanced colon cancer seems feasible and the oncological outcome is adequate in a community hospital setting.
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U2 - 10.5754/hge11727
DO - 10.5754/hge11727
M3 - Article
C2 - 22155859
AN - SCOPUS:84865191423
SN - 0172-6390
VL - 59
SP - 1433
EP - 1436
JO - Hepato-gastroenterology
JF - Hepato-gastroenterology
IS - 117
ER -
