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Article: Laparoscopic versus open right hemicolectomy for carcinoma of the colon.

TitleLaparoscopic versus open right hemicolectomy for carcinoma of the colon.
Authors
Issue Date2007
PublisherSociety of Laparoendoscopic Surgeons.
Citation
Jsls : Journal Of The Society Of Laparoendoscopic Surgeons / Society Of Laparoendoscopic Surgeons, 2007, v. 11 n. 1, p. 76-80 How to Cite?
AbstractOBJECTIVE: This study aimed to compare the outcomes of laparoscopic resection (LR) with open resection (OR) for right-sided colon cancer. METHODS: During the study period from June 2000 to December 2004, 182 patients (84 men) underwent elective resection for cancer of the right colon. Laparoscopic resection was performed in 77 patients, while 105 patients had open operations. Patients who underwent operations on an emergency basis were excluded. Data on the patients' demographics, operative details, and postoperative complications were collected prospectively. The outcomes of patients with laparoscopic resection were compared with those of patients with open surgery. RESULTS: There was no difference in the age, sex, presence of premorbid medical conditions, and blood loss between the 2 groups. The mean operative time for open resection was 115.4 minutes and that for laparoscopic resection was 165.1 minutes (P<0.001). Among the 77 patients who underwent laparoscopic resection, 7 (9%) required conversion to an open operation. There was no difference in postoperative surgically related complications including wound infection, leakage, intestinal obstruction, postoperative ileus. Nonsurgical-related complications were also similar. The median time to resumption of a normal diet was 3 days and 4 days in the laparoscopic and open groups, respectively. The median hospital stay in patients with laparoscopic resection was significantly shorter than in patients with open surgery (6.0 days vs 7.0 days, P<0.001). The 2-year overall survival rates were 74% in both groups (P=0.904). In the converted to open (LCOR) group, the hospital stay was significantly longer (LR vs OR vs LCOR, 5.5 days vs 7.0 days vs 9.0 days respectively, P<0.001). CONCLUSION: Laparoscopic right hemicolectomy is a safe option for cancers of the right colon. It is associated with a shorter hospital stay and earlier resumption of a normal diet. Mortality and morbidity are similar to that with the open approach. There is no compromise in the survival of patients.
Persistent Identifierhttp://hdl.handle.net/10722/83583
ISSN
2015 Impact Factor: 0.814
2015 SCImago Journal Rankings: 0.481

 

DC FieldValueLanguage
dc.contributor.authorTong, DKen_HK
dc.contributor.authorLaw, WLen_HK
dc.date.accessioned2010-09-06T08:42:45Z-
dc.date.available2010-09-06T08:42:45Z-
dc.date.issued2007en_HK
dc.identifier.citationJsls : Journal Of The Society Of Laparoendoscopic Surgeons / Society Of Laparoendoscopic Surgeons, 2007, v. 11 n. 1, p. 76-80en_HK
dc.identifier.issn1086-8089en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83583-
dc.description.abstractOBJECTIVE: This study aimed to compare the outcomes of laparoscopic resection (LR) with open resection (OR) for right-sided colon cancer. METHODS: During the study period from June 2000 to December 2004, 182 patients (84 men) underwent elective resection for cancer of the right colon. Laparoscopic resection was performed in 77 patients, while 105 patients had open operations. Patients who underwent operations on an emergency basis were excluded. Data on the patients' demographics, operative details, and postoperative complications were collected prospectively. The outcomes of patients with laparoscopic resection were compared with those of patients with open surgery. RESULTS: There was no difference in the age, sex, presence of premorbid medical conditions, and blood loss between the 2 groups. The mean operative time for open resection was 115.4 minutes and that for laparoscopic resection was 165.1 minutes (P<0.001). Among the 77 patients who underwent laparoscopic resection, 7 (9%) required conversion to an open operation. There was no difference in postoperative surgically related complications including wound infection, leakage, intestinal obstruction, postoperative ileus. Nonsurgical-related complications were also similar. The median time to resumption of a normal diet was 3 days and 4 days in the laparoscopic and open groups, respectively. The median hospital stay in patients with laparoscopic resection was significantly shorter than in patients with open surgery (6.0 days vs 7.0 days, P<0.001). The 2-year overall survival rates were 74% in both groups (P=0.904). In the converted to open (LCOR) group, the hospital stay was significantly longer (LR vs OR vs LCOR, 5.5 days vs 7.0 days vs 9.0 days respectively, P<0.001). CONCLUSION: Laparoscopic right hemicolectomy is a safe option for cancers of the right colon. It is associated with a shorter hospital stay and earlier resumption of a normal diet. Mortality and morbidity are similar to that with the open approach. There is no compromise in the survival of patients.en_HK
dc.languageengen_HK
dc.publisherSociety of Laparoendoscopic Surgeons.en_HK
dc.relation.ispartofJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeonsen_HK
dc.titleLaparoscopic versus open right hemicolectomy for carcinoma of the colon.en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1086-8089&volume=11&issue=1&spage=76&epage=80&date=2007&atitle=Laparoscopic+versus+open+right+hemicolectomy+for+carcinoma+of+the+colonen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid17651561en_HK
dc.identifier.scopuseid_2-s2.0-34548071456en_HK
dc.identifier.hkuros135978en_HK
dc.identifier.volume11en_HK
dc.identifier.issue1en_HK
dc.identifier.spage76en_HK
dc.identifier.epage80en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTong, DK=8670837000en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK

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