Is Segmental Colon Resection an Alternative Treatment for Splenic Flexure Cancer?
J Laparoendosc Adv Surg Tech A
; 29(5): 621-626, 2019 May.
Article
em En
| MEDLINE
| ID: mdl-30950767
ABSTRACT
Background:
Optimal elective surgery for splenic flexure cancer is unclear. Three types of surgical treatment methods are commonly used, subtotal colectomy (STC), left hemicolectomy (LHC), and segmental colon resection (SCR), but consensus is lacking as to which is the optimal method. Materials andMethods:
We retrospectively compared clinicopathological and operative results, morbidity, mortality, and long-term survival in patients with splenic flexure cancer who underwent surgery between 1998 and 2018.Results:
The study included 124 patients in the study. Following retrospective evaluation of the database, patients were classified into one of three groups according to the surgicalapproach:
(1) STC (n 41), (2) LHC (n 55), and (3) SCR (n 28). No statistically significant differences were found between groups regarding operative results, hospital stay, pathological data, mortality, recurrence, or long-term survival outcomes.Conclusion:
Our results suggest that surgical procedures such as STC and LHC have no statistically significant clinical benefits over less aggressive approaches such as SCR. We thus conclude that SCR seems both a safe and effective alternative for splenic flexure tumors.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anastomose Cirúrgica
/
Colectomia
/
Neoplasias do Colo
/
Colo Transverso
/
Recidiva Local de Neoplasia
Tipo de estudo:
Observational_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article