dc.creator | Magouliotis D.E., Baloyiannis I., Mamaloudis I., Bompou E., Papacharalampous C., Tzovaras G.A. | en |
dc.date.accessioned | 2023-01-31T08:55:42Z | |
dc.date.available | 2023-01-31T08:55:42Z | |
dc.date.issued | 2021 | |
dc.identifier | 10.1089/lap.2020.0508 | |
dc.identifier.issn | 10926429 | |
dc.identifier.uri | http://hdl.handle.net/11615/76076 | |
dc.description.abstract | Background: Colectomies performed according to complete mesocolic excision with central vascular ligation (CME-CVL) principles have been associated with enhanced oncologic outcomes. Nonetheless, laparoscopic CME-CVL right hemicolectomy has not been widely adopted. We aimed to compare the perioperative and pathology outcomes of laparoscopic and open CME-CVL right hemicolectomy. Materials and Methods: We compared data from a prospectively collected database regarding patients who underwent either laparoscopic or open CME-CVL right hemicolectomy for nonmetastatic right colon cancer in a University Hospital, between January 2012 and December 2018. Results: A total of 130 consecutive patients were included in the study. Of them, 73 patients underwent laparoscopic and 57 patients open right colectomy, following the CME-CVL principles. The laparoscopic approach was associated with less hospital stay (6.6 versus 9.1 days; P < .001) and septic complications (P = .046), at a cost of an increased operative time (180 versus 125.1 minutes; P < .001). Patients treated with either open or laparoscopic approach presented similar outcomes regarding pathology endpoints. In fact, both groups demonstrated similar R0 resection rate (P = .202), number of harvested and positive lymph nodes (P = .751 and P = .734, respectively), number of harvested lymph nodes at the level of D1 and D2 lymph node dissection (P > .05), rate of vascular (P = .501), and perineural infiltration (P = .956). Furthermore, no difference was found regarding the rate of intact mesocolic plane (P = .799), along with the tumor diameter (P = .154) and the length of specimen (P = .163). Conclusion: Laparoscopic CME-CVL right hemicolectomy appears to offer certain advantages in short-term outcomes compared to open procedure. Pathology outcomes did not differ between the two approaches. Future studies should further evaluate their long-term outcomes. © Copyright 2021, Mary Ann Liebert, Inc., publishers 2021. | en |
dc.language.iso | en | en |
dc.source | Journal of Laparoendoscopic and Advanced Surgical Techniques | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85119962488&doi=10.1089%2flap.2020.0508&partnerID=40&md5=59c71b44155cc436e3a9bdde88b29f90 | |
dc.subject | aged | en |
dc.subject | anastomosis leakage | en |
dc.subject | Article | en |
dc.subject | cancer staging | en |
dc.subject | cancer surgery | en |
dc.subject | colon cancer | en |
dc.subject | comparative study | en |
dc.subject | complete mesocolic excision with central vascular ligation | en |
dc.subject | controlled study | en |
dc.subject | erythrocyte transfusion | en |
dc.subject | female | en |
dc.subject | health care cost | en |
dc.subject | hemicolectomy | en |
dc.subject | hospitalization | en |
dc.subject | human | en |
dc.subject | intensive care unit | en |
dc.subject | laparoscopic surgery | en |
dc.subject | lung embolism | en |
dc.subject | lymph node dissection | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | open surgery | en |
dc.subject | operation duration | en |
dc.subject | perioperative period | en |
dc.subject | postoperative hemorrhage | en |
dc.subject | postoperative ileus | en |
dc.subject | retrospective study | en |
dc.subject | single blind procedure | en |
dc.subject | surgical infection | en |
dc.subject | surgical margin | en |
dc.subject | surgical mortality | en |
dc.subject | surgical technique | en |
dc.subject | tumor volume | en |
dc.subject | urinary tract infection | en |
dc.subject | colon resection | en |
dc.subject | colon tumor | en |
dc.subject | laparoscopy | en |
dc.subject | ligation | en |
dc.subject | mesocolon | en |
dc.subject | treatment outcome | en |
dc.subject | Colectomy | en |
dc.subject | Colonic Neoplasms | en |
dc.subject | Humans | en |
dc.subject | Laparoscopy | en |
dc.subject | Ligation | en |
dc.subject | Lymph Node Excision | en |
dc.subject | Mesocolon | en |
dc.subject | Treatment Outcome | en |
dc.subject | Mary Ann Liebert Inc. | en |
dc.title | Laparoscopic Versus Open Right Colectomy for Cancer in the Era of Complete Mesocolic Excision with Central Vascular Ligation: Pathology and Short-Term Outcomes | en |
dc.type | journalArticle | en |