Comparison of efficacy between laparoscopic versus open complete mesocolic excision for colon cancer.
- Author:
Yan-wu SUN
1
;
Pan CHI
;
Hui-ming LIN
;
Xing-rong LU
;
Ying HUANG
;
Zong-bin XU
;
Sheng-hui HUANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Colectomy; methods; Female; Humans; Laparoscopy; Laparotomy; Male; Mesocolon; surgery; Middle Aged; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(1):24-27
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the differences in long-term outcomes between laparoscopic and open complete mesocolic excision(CME) for colon cancer.
METHODSA total of 273 patients with colon cancer who underwent CME at the Fujian Medical University Union Hospital from September 2000 to December 2008 were divided into laparoscopic(LP, n=147) and open(OP, n=126) groups in a non-random manner. The oncologic and long-term outcomes were compared.
RESULTSNo significant differences were seen in the length of distal and proximal margin, and number of lymph nodes(all P>0.05). Median postoperative follow up was 50 months. Local regional recurrence rates (LP 6.1% vs. OP 7.9%) and distal metastasis rates(LP 23.8% vs. OP 16.7%) were similar between the two groups(all P>0.05). The 5-year overall survival rates (LP 69.4% vs. OP 74.0%, P=0.840) and 5-year disease-free survival rates(LP 68.5% vs. OP 70.9%, P=0.668) between the two groups were not statistically different.
CONCLUSIONSLaparoscopic CME has the same oncologic clearance effects compared with open CME for colon cancer. It might become a new standardized surgery for colon cancer.
