Laparoscopic versus open elective right hemicolectomy with curative intent for colon adenocarcinoma
Authors:
K. Lovay; J. Barla; J. Vaško; A. Lendel; M. Rákoš
Authors place of work:
Oddelenie chirurgie, Fakultná nemocnica s poliklinikou J. A. Reimana, Prešov
Published in the journal:
Rozhl. Chir., 2021, roč. 100, č. 12, s. 584-591.
Category:
Original articles
doi:
https://doi.org/10.33699/PIS.2021.100.12.584–591
(retrospective study)
Summary
Introduction: Even today, at a time of full development of laparoscopy, a comparison with classical open surgery is important. The aim of the study was to compare retrospectively short-term perioperative and early postoperative outcomes between laparoscopic (LRH) and open (ORH) right hemicolectomy in the colorectal cancer treatment.
Methods: A retrospective analysis followed 57 patients, regardless of age or gender, who underwent elective right-sided hemicolectomy due to the right colon adenocarcinoma over a period of 2 years. The study compares the laparoscopic and classical methods based on perioperative and early postoperative results.
Results: In almost none of the monitored data we found a statistically significant difference between LRH and ORH. The length of the operation was 128min at ORH, 150 min at LRH, the percentage of converted LRH was 16.7%. A statistically significant difference was found in the blood loss amount, LRH 74±106 ml vs ORH 159±96ml p≤0.05. The average length of postoperative hospitalization was 7.2 days for LRH, 8.1 days for ORH. The comprehensive complication index was 8.9 in laparoscopy, 17.8 in the conventional method.
Conclusion: The results at our workplace suggest that laparoscopic and open right hemicolectomy were equivalent at the time, in terms of the observed data. Nevertheless, we cannot ignore that most of the data suggest a benefit of laparoscopy over the conventional method.
Keywords:
Adenocarcinoma – laparoscopy – hemicolectomy − right colon
Zdroje
1. Mitchell, BG, Mandava, N. Hemicolectomy. In: In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. 2021 Jun 18. Available at: https://www.ncbi.nlm.nih.gov/books/ NBK555924/. PMID 32310384.
2. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer Journal for Clin. 2018;68(6):394−424. doi: 10.3322/ caac.21492. ISSN 00079235.
3. AssesSurgery [online]. 2021, The Clavien- Dindo classification. Available at: https://www.assessurgery.com/.
4. AssesSurgery [online]. 2021, The Clavien- Dindo classification, Available at: https://www.assessurgery.com/about_ cci-calculator/.
5. Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer 2015;136(5):E359–386. doi: 10.1002/ijc.29210. ISSN 00207136.
6. Minárik P, Mináriková D. Obezita ako rizikový faktor kolorektálneho karcinómu. Medicína pro praxi. 2012;9(11):451−455. Available at: https://www.solen.cz/pdfs/ med/2012/11/08.pdf. ISSN 1803-5310.
7. Murphy N, Ward HA, Jenab M, et al. Heterogeneity of colorectal cancer risk factors by anatomical subsite in 10 European countries: A multinational cohort study. Clinical Gastroenterology and Hepatology 2019;17(7):1323−1331. doi: 10.1016/j. cgh.2018.07.030. ISSN 1542-3565.
8. Baran B, Mert Ozupek N, Yerli Tetik N, et al. Difference between left-sided and right-sided colorectal cancer: A focused review of literature. Gastroenterology Res. 2018;11(4):264−273. doi: 10.14740/ gr1062w. ISSN 1918-2805.
9. Chang K, Fakhoury, M Barnajian M, et al. Laparoscopic right colon resection with intracorporeal anastomosis. Surgical Endoscopy 2013;27(5):1730–1736. doi: 10.1007/s00464-012-2665-x. ISSN 0930-2794.
10. Jurowich C, Lichthardt S, Kastner C, et al. Laparoscopic versus open right hemicolectomy in colon carcinoma: A propensity score analysis of the DGAV StuDoQ|ColonCancer registry. Plos ONE 2009;14(6). doi: 10.1371/journal. pone.0218829. ISSN 1932-6203.
11. Athanasiou CD, Markides GA, Kotb A, et al. Open compared with laparoscopic complete mesocolic excision with central lymphadenectomy for colon cancer: a systematic review and meta-analysis. Colorectal Dis. 2016 Jul;18(7):O224−235. doi: 10.1111/codi.13385. ISSN: 27187520.
12. Yamamoto S, Inomata M, Katayama H, et al. Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/ III colon cancer: Japan Clinical Oncology Group Study JCOG 0404. Annals of Surgery 2014;260(1):23−30. doi: 10.1097/ SLA.0000000000000499. ISSN 0003-4932.
13. Martinek L, You K, Giuratrabocchetta S, et al. Does laparoscopic intracorporeal ileocolic anastomosis decreases surgical site infection rate? A propensity score-matched cohort study. Int J Colorectal Dis. 2018 Mar;33(3):291−298. doi: 10.1007/s00384-017-2957-7. ISSN 29327167.
14. Kim IY, Kim BR, Choi EH, et al. Short-term and oncologic outcomes of laparoscopic and open complete mesocolic excision and central ligation. International Journal of Surgery 2016;27:151−157. at: doi: 10.1016/j.ijsu.2016.02.001. ISSN 17439191.
15. Marko Ľ, Martínek Ľ, Lajmonová N. Kontroverzie v kolorektálnej chirurgii časť 1. Miniinvazívna chirurgia a endoskopia 2019;23(4):37−47. Available at: http:// laparoskopia.info/pdf/CASO-4-2019.pdf# page=39. ISSN 1336-6572.
16. Bae, SU, Saklani, AP, Lim, DR, et al. Laparoscopic- assisted versus open complete mesocolic excision and central vascular ligation for right-sided colon cancer. Annals of surgical oncology. 2014;21(7):2288−2294. doi: 10.1245/ s10434-014-3614-9. ISSN 1068-9265.
17. Veldkamp R, Kuhry E, Hop WC, et al. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. The Lancet Oncology 2005;6(7):477−484. doi: 10.1016/S1470- 2045(05)70221-7. ISSN 14702045.
18. Deijen CL, Vasmel JE, de Lange-de Klerk ESM, et al. Ten-year outcomes of a randomised trial of laparoscopic versus open surgery for colon cancer. Surgical Endoscopy 2017;31(6):2607−2615. doi: 10.1007/ s00464-016-5270-6. ISSN 0930-2794.
19. Koc MA, Celik SU, Guner V, et al. Laparoscopic vs open complete mesocolic excision with central vascular ligation for right-sided colon cancer. Medicine 2021;100(6). doi: 10.1097/MD.0000000000024613. ISSN 0025-7974.
20. Clavien PA, Vetter D, Staiger RD, et al. The Comprehensive Complication Index (CCI®): Added value and clinical perspectives 3 years „down the line“. Annals of Surgery 2017;265(6):1045−1050. doi: 10.1097/SLA.0000000000002132.
21. Hirche Z, Zabaka K, Hirche C, et al. Open right hemicolectomy is a safe and suitable procedure for surgical training: A comparative study with 133 patients. Scandinavian Journal of Surgery 2018;107(2):114−119. doi:10.1177/1457496917731191.
22. Abdel-Halim MR, Moore HM, Cohen P, et al. Impact of laparoscopic right hemicolectomy for colon cancer. The Annals of The Royal College of Surgeons of England 2010 Apr; 92(3):211−217. doi: 10.1 308/003588410X12628812458699.
23. Zhao, LY, Chi, P, Ding, WX, et al. Laparoscopic vs open extended right hemicolectomy for colon cancer. World Journal of Gastroenterology 2014;20(24):7926−7932. doi: 10.3748/ wjg.v20.i24.7926.
24. Emmanuel A, Chohda E, Botfield C, et al. Accelerated discharge within 72 hours of colorectal cancer resection using simple discharge criteria. The Annals of The Royal College of Surgeons of England 2018;100(1):52−56. doi: 10.1308/ rcsann.2017.0149.
25. Lawrence, JK, Keller, DS, Samia, H, et al. Discharge within 24 to 72 hours of colorectal surgery is associated with low readmission rates when using enhanced recovery pathways. Journal of the American College of Surgeons 2013;216(3):390−394. doi: 10.1016/j.jamcollsurg. 2012.12.014.
26. Gash, KJ Greenslade GL, Dixon AR. Enhanced recovery after laparoscopic colorectal resection with primary anastomosis: accelerated discharge is safe and does not give rise to increased readmission rates. Colorectal Disease 2012;14(10):1287−1290. doi: 10.1111/j.1463-1318.2012.02969.x. ISSN 14628910.
27. Buunen, M Veldkamp R, Hop WC, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. The Lancet Oncology 2009;10(1):44−52. doi: 10.1016/S1470-2045(08)70310-3. ISSN 14702045.
28. Guillou, PJ, Quirke, P, Thorpe, H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. The Lancet 2005;365(9472):1718−1726. doi: 10.1016/S0140-6736(05)66545-2. ISSN 01406736.
29. Jayne, DG, Guillou, PJ, Thorpe, H, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. Journal of Clinical Oncology 2007;25(21):3061−3068. doi: 10.1200/ JCO.2006.09.7758. ISSN 0732-183X.
30. Leung KL, Kwok SP, Lam SC, et al. Laparoscopic resection of rectosigmoid carcinoma: prospective randomised trial. The Lancet 2004;363(9416):1187−1192. doi: 10.1016/S0140-6736(04)15947-3. ISSN 01406736.
31. Ďuranová V, Šoltýs O, Flaška E. Štatistické údaje kolorekálnej chirurgie II chirurgickej kliniky SZU za rok 2018. Miniinvazívna chirurgia a endoskopia 2019;23(3):30−37. Available at: http:// www.laparoskopia.info/pdf/CASO-3- 2019.pdf#page=32. ISSN 1336-6572.
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