Surgical Outcomes of Laparoscopic and Open D3 Dissection for Clinical Stage II/III Descending Colon Cancer

Kojima, Tadahiro; Hino, Hitoshi; Shiomi, Akio; Kagawa, Hiroyasu; Yamaoka, Yusuke; Manabe, Shoichi; Hanaoka, Marie; Kato, Shunichiro

doi:10.21873/anticanres.14126

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…We also verified that a preoperative CEA level ≥2.5 ng/mL was an independent risk factor of recurrence and worse survival in stage I CRC. However, the reference range of CEA was set at <5 ng/mL in previous studies [ 32 ], we determined the cut-off value of CEA as 2.5 ng/mL to facilitate statistical analysis considering early-stage cancer. A recent study suggested that patients with high preoperative CEA levels in stage I-III rectal cancer had a high risk of early locoregional relapse and recurrence of distant metastasis after resection.…”

Section: Discussionmentioning

confidence: 99%

Tumor Size >5 cm and Harvested LNs <12 Are the Risk Factors for Recurrence in Stage I Colon and Rectal Cancer after Radical Resection

Jung

Ryoo

Lim

et al. 2021

Cancers

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Recurrence can still occur even after radical resection of stage I colorectal cancer (CRC). This study aimed to identify subgroups with a high risk for recurrence in the stage I CRC. We retrospectively reviewed prospectively collected data of 1952 patients with stage I CRC after radical resection between 2002 and 2017 at our institute. 1398 (colon, 903 (64.6%), rectum, 495 (35.4%)) were eligible for analysis. We analyzed the risk factors for recurrence and survival. During the follow-up period (median: 59 months), 63 (4.6%) had a recurrence. The recurrence rate of rectal cancer was significantly higher than that of colon cancer (8.5% vs. 2.3%). Left-sided tumors, T2, tumor size >5 cm, and lymphovascular invasion were independent risk factors of colon cancer recurrence. Male, preoperative carcinoembryonic antigen (CEA) ≥2.5 ng/mL, and harvested lymph nodes (LNs) <12 were independently associated with recurrence of rectal cancer. Recurrence affected OS (5-year OS: 97.1% vs. 67.6%). Despite curative resection, survival sharply decreased with recurrence. The risk factors for recurrence were different between colon and rectal cancer. Patients with a higher risk for recurrence should be candidates for more aggressive surveillance, even in early-stage CRC.

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Section: Discussionmentioning

confidence: 99%

Tumor Size >5 cm and Harvested LNs <12 Are the Risk Factors for Recurrence in Stage I Colon and Rectal Cancer after Radical Resection

Jung

Ryoo

Lim

et al. 2021

Cancers

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“…Kojima T et al 21 examined the efficacy of LO and OO in the treatment of undescended testes. Their conclusions confirm the results presented here, in that LO and OO both result in successful testicular growth, however LO can further reduce the surgical trauma and short-term surgical complications.…”

Section: Group No Of Cases (N) Age (Years) Duration Of Palpable Undes...mentioning

confidence: 99%

Comparison of clinical outcomes between laparoscopic orchiopexy and open orchiopexy in the treatment of palpable undescended testes

Chen¹,

Chu²,

2023

Pak J Med Sci

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Objective: To compare the clinical effects of laparoscopic orchiopexy (LO) and open orchiopexy (OO) in the treatment of palpable undescended testes. Methods: Seventy-six children with palpable undescended testes treated in Zaozhuang Municipal Hospital from June 2019 to January 2021 were selected in this observational retrospective study. Patients were grouped according to their different surgical methods, 33 patients received OO (Open-group) and 43 patients received LO (Laparoscopic-group). The clinical outcomes of the two groups were compared, including surgical-related indicators, near and long-term surgical complications and postoperative testicular growth. Results: Operation time, intraoperative bleeding, first ambulation time and hospitalization time in the Laparoscopic-group were lower than those in the Open-group (p<0.05). The short-term complication rate in the Laparoscopic-group was lower than that in the Open-group (2.27% vs 15.15%; p<0.05), but the long-term complication rate in the Laparoscopic-group was not significantly different from the Open-group (4.65% vs 3.03%; p>0.05). Follow-up was up to 18 months post-operation, with the rate of testicular growth (97.67% vs 96.97%; p>0.05) and testicular volume (0.59 ± 0.14ml vs 0.58 ± 0.12ml p>0.05) not significantly different between the Laparoscopic-group or Open-group respectively. Conclusion: LO is as clinically effective as OO in the treatment of palpable undescended testes, however, shorter operation time, less intraoperative bleeding and rapid recovery time have been noted with LO. doi: https://doi.org/10.12669/pjms.39.3.7371 How to cite this: Chen Z, Chu Y, Hu Y. Comparison of clinical outcomes between laparoscopic orchiopexy and open orchiopexy in the treatment of palpable undescended testes. Pak J Med Sci. 2023;39(3):785-789. doi: https://doi.org/10.12669/pjms.39.3.7371 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Complete mesocolic excision (CME) has demonstrated superior oncological outcomes compared to conventional colectomy in retrospective studies 1,2 . It has also shown to be a safe alternative to conventional resections in recent randomized controlled trials 3,4 .…”

Section: Figmentioning

confidence: 99%

“…Complete mesocolic excision (CME) has demonstrated superior oncological outcomes compared to conventional colectomy in retrospective studies. 1,2 It has also shown to be a safe alternative to conventional resections in recent randomized controlled trials. 3,4 Particularly in transverse colon cancer (TCC), this involves a radical clearance of lymphatic tissue overlying the superior mesenteric vessels, resecting the omentum and peripancreatic lymph nodes.…”

mentioning

confidence: 99%

Complete mesocolic excision and central vascular ligation for transverse colon cancer: intraoperative quality landmarks following resection

Alvarado,

Besser,

Mohan

et al. 2023

ANZ Journal of Surgery

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Surgical Outcomes of Laparoscopic and Open D3 Dissection for Clinical Stage II/III Descending Colon Cancer

Cited by 4 publications

References 26 publications

Tumor Size >5 cm and Harvested LNs <12 Are the Risk Factors for Recurrence in Stage I Colon and Rectal Cancer after Radical Resection

Tumor Size >5 cm and Harvested LNs <12 Are the Risk Factors for Recurrence in Stage I Colon and Rectal Cancer after Radical Resection

Comparison of clinical outcomes between laparoscopic orchiopexy and open orchiopexy in the treatment of palpable undescended testes

Complete mesocolic excision and central vascular ligation for transverse colon cancer: intraoperative quality landmarks following resection

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