Journal of Gastrointestinal & Digestive System
Open Access

Abstract

Aim: Procedures of laparoscopic colectomy are different from each other according to the tumor subsite within the colon, and short-and long-term outcomes of laparoscopic complete mesocolic excision (CME) and central vascular ligation (CVL) for colon cancer have never been compared based on the tumor location. Method: Clinical data of patients who received laparoscopic colectomy for primary colon cancer between April 1995 and December 2010 from single surgeon were retrospectively reviewed. Data were analyzed and compared among three groups; patients whose tumor location was between ascending and proximal transverse colon (A, n=142), mid transverse and descending colon (TD, n=55), and sigmoid and rectosigmoid colon (S, n=214). Results: Female patients were more common in group A (53.5% vs. 38.2% vs. 39.3%, p=0.020). Other baseline characteristics were comparable. Operative time was shorter in group S than another groups [245(145-855) vs. 279(150-485) vs. 295(145- 455) min, p=0.000]. There were no differences among the groups in perioperative complication and patient recovery. Local recurrence rate was comparable among the groups (4.2% vs. 5.5% vs. 3.3%, p=0.594) for the median follow up period of 73(0- 120) months. Conclusion: Laparoscopic CME and CVL for colon cancer can be performed with comparable short- and long-term outcomes regardless of tumor subsite except for the operative time.

Biography

Email: edemiel@cmcnu.or.kr