The effect of laparoscopic surgery in stage II and III right-sided colon cancer: a retrospective study

World Journal of Surgical Oncology

Chung-Soo Chun¹  Young-Jin Suh¹  Hyung-Jin Kim¹  Jung Hwan Lee¹  Hyeon-Min Cho¹  Jun-Gi Kim²  Bong-Hyeon Kye¹ 

[1] St. Vincent's Hospital, The Catholic University of Korea, 3-6 Ji-dong, Paldal-gu, Suwon-Si, Gyeonggi-do, 442-723, South Korea;Seoul St. Mary’s Hospital, Department of Surgery, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seoul, Seocho-gu, 137-701, South Korea

关键词: Right sided colon cancer;    Long-term outcome;    Learning curve;    Laparoscopic surgery;   

Others  :  827756
DOI  :  10.1186/1477-7819-10-89

 received in 2012-01-25, accepted in 2012-04-08,  发布年份 2012

【 摘 要 】

Background

This retrospective study compared the clinicopathological results among three groups divided by time sequence to evaluate the impact of introducing laparoscopic surgery on long-term oncological outcomes for right-sided colon cancer.

Methods

From April 1986 to December 2006, 200 patients who underwent elective surgery with stage II and III right-sided colon cancer were analyzed. The period for group I referred back to the time when laparoscopic approach had not yet been introduced. The period for group II was designated as the time when first laparoscopic approach for right colectomy was carried out until we overcame its learning curve. The period for group III was the period after overcoming this learning curve.

Results

When groups I and II, and groups II and III were compared, overall survival (OS) did not differ significantly whereas disease-free survival (DFS) in groups I and III were statistically higher than in group II (P = 0.042 and P = 0.050). In group III, laparoscopic surgery had a tendency to provide better long-term OS ( P = 0.2036) and DFS ( P = 0.2356) than open surgery. Also, the incidence of local recurrence in group III (2.6%) was significantly lower than that in groups II (7.4%) and I (12.1%) ( P = 0.013).

Conclusions

Institutions should standardize their techniques and then provide fellowship training for newcomers of laparoscopic colon cancer surgery. This technique once mastered will become the gold standard approach to colon surgery as it is both safe and feasible considering the oncological and technical aspects.

【 授权许可】

   
2012 Kye et al.; licensee BioMed Central Ltd.

【 图 表 】

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