Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center
Despite concerns regarding oncologic safety, laparoscopic surgery for colon cancer has been proven in several trials in the lasts decades to be superior to open surgery. In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present...
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| Veröffentlicht in: | Experimental and therapeutic medicine 2022-07, Vol.24 (1), Article 455 |
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| creator | Enciu, Octavian Avino, Adelaida Calu, Valentin Toma, Elena Adelina Tulin, Adrian Tulin, Raluca Slavu, Iulian Raducu, Laura Balcangiu-Stroescu, Andra-Elena Mutu, Daniela-Elena Gheoca Tomescu, Luminita Florentina Miron, Adrian |
| description | Despite concerns regarding oncologic safety, laparoscopic surgery for colon cancer has been proven in several trials in the lasts decades to be superior to open surgery. In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non-metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non-metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14[+ or -]6.56), OG 17.31 (15[+ or -]8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center. Key words: colon cancer, laparoscopic surgery, oncologic resection |
| doi_str_mv | 10.3892/etm.2022.11382 |
| format | Article |
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In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non-metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non-metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14[+ or -]6.56), OG 17.31 (15[+ or -]8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center. 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In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non-metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non-metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14[+ or -]6.56), OG 17.31 (15[+ or -]8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center. 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While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14[+ or -]6.56), OG 17.31 (15[+ or -]8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non-metastatic colon cancer in a medium volume center. Key words: colon cancer, laparoscopic surgery, oncologic resection</abstract><cop>Athens</cop><pub>Spandidos Publications</pub><pmid>35747155</pmid><doi>10.3892/etm.2022.11382</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Experimental and therapeutic medicine, 2022-07, Vol.24 (1), Article 455 |
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| subjects | Care and treatment Colon cancer Colorectal cancer Colorectal surgery Comparative analysis Hospitals Laparoscopic surgery Laparoscopy Length of stay Lymphatic system Medical care Metastasis Mortality Pathology Quality management Quality standards Surgery Tumors |
| title | Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center |
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