Laparoscopic versus transverse Incision right colectomy for colon carcinoma.
Colorectal Dis
; 13(1): e1-5, 2011 Jan.
Article
em En
| MEDLINE
| ID: mdl-20854441
ABSTRACT
AIM:
We investigated whether laparoscopic right colectomy has short-term and / or oncological advantages compared with transverse incision right colectomy.METHOD:
Patients who underwent an elective laparoscopic right colectomy or an open right colectomy through a transverse incision at the VU University Medical Center or Zaans Medical Center from 2005 to 2009 were prospectively followed.RESULTS:
Patient groups were comparable in terms of gender, body mass index and American Society of Anesthesiology classification. Patients in the transverse incision group were older (68 years vs 75 years, P = 0.07) and blood loss was greater during this procedure (60 ml vs 130 ml, P = 0.001), which cost less than the laparoscopic procedure (6.033 vs 7.221, P = 0.03). Hospital stay for the laparoscopic group was shorter (8 days vs 9 days, P = 0.04), but laparoscopic procedures took longer (155 min vs 77 min, P < 0.001) and 8% of patients in the laparoscopic group were converted to a median laparotomy. Postoperative complications were comparable for both groups (28% vs 32%, P = 0.74), and in both groups a radical resection rate of 96% (P = 0.94) was achieved. At a median follow up of 20 months the incidence of incisional hernia was similar in both groups and no patient required additional surgery as a result. Overall survival at 60 months was 70% for the laparoscopic group and 67% for the transverse incision group (P = 0.84).CONCLUSION:
There a re few clinically relevant differences between a laparoscopic right colectomy and a transverse incision right colectomy. Transverse incision right colectomy is cheaper. The study may be the first to compare these two techniques, but it is a nonrandomized trial and therefore has its limitations.
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Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Colectomia
/
Neoplasias do Colo
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article