Best surgical approach for splenic flexure colon cancers: Extended versus segmental resection?
Am J Surg
; 225(3): 454-459, 2023 03.
Article
em En
| MEDLINE
| ID: mdl-36404169
ABSTRACT
BACKGROUND:
The optimal surgical treatment approach for splenic flexure colon cancers remains controversial regarding the type of resection.METHODS:
We hypothesized that both extended and segmental resections have similar surgical and oncologic outcomes. A retrospective review of prospectively collected database was performed on all patients who had colectomy for splenic flexure colon cancer between 1996 and 2018.RESULTS:
Of 142 patients, 119 underwent extended resection; therefore, this group was compared with the group which underwent segmental resection (n = 23). The groups were similar in age, sex, ASA scores, operative times, estimated blood loss, hospital length of stay, and postoperative complication rates (p > 0.05). Median follow-up was 9.58 years (IQR5.46-16.48). Multivariable regression models demonstrated no significant association between resection approach and disease-free survival (HR 1.63 [95%CI0.91-2.92]), as well as overall survival (HR 1.80 [95%CI0.97; 3.36]).CONCLUSION:
In the treatment of splenic flexure colon cancer, segmental colon resections have similar oncologic outcomes when compared to extended colectomies.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Laparoscopia
/
Neoplasias do Colo
/
Colo Transverso
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos