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- Oncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer: Results of a 3-Year Follow-up
- Jung Hoon Cho, Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
- J Korean Soc Coloproctol. 2012;28(1):42-48. Published online February 29, 2012
- DOI: https://doi.org/10.3393/jksc.2012.28.1.42
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Abstract
PDF Purpose The purpose of the study is to evaluate the oncologic outcomes of a laparoscopic-assisted right hemicolectomy for the treatment of colon cancer and compare the results with those of previous randomized trials.
Methods From June 2006, to December 2008, 156 consecutive patients who underwent a laparoscopic right hemicolectomy with a curative intent for colon cancer were evaluated. The clinicopatholgic outcomes and the oncologic outcomes were evaluated retrospectively by using electronic medical records.
Results There were 84 male patients and 72 female patients. The mean possible length of stay was 7.0 ± 1.5 days (range, 4 to 12 days). The conversion rate was 3.2%. The total number of complications was 30 (19.2%). Anastomotic leakage was not noted. There was no mortality within 30 days. The 3-year overall survival rate of all stages was 93.3%. The 3-year overall survival rates according to stages were 100% in stage I, 97.3% in stage II, and 84.8% in stage III. The 3-year disease-free survival rate of all stages was 86.1%. The 3-year disease-free survival rates according to stage were 96.2% in stage I, 90.3% in stage II, and 75.6% in stage III. The mean follow-up period was 36.3 (3 to 60) months.
Conclusion A laparoscopic right hemicolectomy for the treatment of colon cancer is technically feasible and safe to perform in terms of oncologic outcomes. The present data support previously reported randomized trials.
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Citations
Citations to this article as recorded by
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International Journal of Colorectal Disease.2015; 30(9): 1209. CrossRef - Feasibility and safety of laparoscopic resection following stent insertion for obstructing left-sided colon cancer
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Journal of the Korean Surgical Society.2013; 85(6): 290. CrossRef - Totally Laparoscopic Right Hemicolectomy with Intracorporeal Anastomosis is a Technically and Oncologically Safe Procedure
V. N. N. Kornmann, J. Hagendoorn, S.van Koeverden, B.van Ramshorst, A. B. Smits
Acta Chirurgica Belgica.2013; 113(6): 439. CrossRef
- Short-term outcomes and the learning curve for laparoscopic right hemicolectomy using the ArtiSential: a multicenter pooled analysis
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