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Favorable short-term oncologic outcomes following laparoscopic surgery for small T4 colon cancer: a multicenter comparative study
DC Field | Value | Language |
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dc.contributor.author | Park, Sung Sil | - |
dc.contributor.author | Lee, Joon Sang | - |
dc.contributor.author | Park, Hyoung-Chul | - |
dc.contributor.author | Park, Sung Chul | - |
dc.contributor.author | Sohn, Dae Kyung | - |
dc.contributor.author | Oh, Jae Hwan | - |
dc.contributor.author | Han, Kyung Su | - |
dc.contributor.author | Lee, Dong-Won | - |
dc.contributor.author | Lee, Dong-Eun | - |
dc.contributor.author | Kang, Sung-Bum | - |
dc.contributor.author | Park, Kyu Joo | - |
dc.contributor.author | Jeong, Seung-Yong | - |
dc.date.accessioned | 2021-01-19T02:13:09Z | - |
dc.date.available | 2021-01-19T11:14:07Z | - |
dc.date.issued | 2020-11-13 | - |
dc.identifier.citation | World Journal of Surgical Oncology. 2020 Nov 13;18(1):299 | ko_KR |
dc.identifier.issn | 1477-7819 | - |
dc.identifier.uri | https://hdl.handle.net/10371/171658 | - |
dc.description.abstract | Background
Laparoscopic surgery for T4 colon cancer may be safe in selected patients. We hypothesized that small tumor size might preoperatively predict a good laparoscopic surgery outcome. Herein, we compared the clinicopathologic and oncologic outcomes of laparoscopic and open surgery in small T4 colon cancer. Methods In a retrospective multicenter study, we reviewed the data of 449 patients, including 117 patients with tumors ≤ 4.0 cm who underwent surgery for T4 colon cancer between January 2014 and December 2017. We compared the clinicopathologic and 3-year oncologic outcomes between the laparoscopic and open groups. Survival curves were estimated using the Kaplan–Meier method and compared using the log-rank test. Univariate and multivariate analyses were performed using the Cox proportional hazards model. A p < 0.05 was considered statistically significant. Results Blood loss, length of hospital stay, and postoperative morbidity were lower in the laparoscopic group than in the open group (median [range], 50 [0–700] vs. 100 [0–4000] mL, p < 0.001; 8 vs. 10 days, p < 0.001; and 18.0 vs. 29.5%, p = 0.005, respectively). There were no intergroup differences in 3-year overall survival or disease-free survival (86.6 vs. 83.2%, p = 0.180, and 71.7 vs. 75.1%, p = 0.720, respectively). Among patients with tumor size ≤ 4.0 cm, blood loss was significantly lower in the laparoscopic group than in the open group (median [range], 50 [0–530] vs. 50 [0–1000] mL, p = 0.003). Despite no statistical difference observed in the 3-year overall survival rate (83.3 vs. 78.7%, p = 0.538), the laparoscopic group had a significantly higher 3-year disease-free survival rate (79.2 vs. 53.2%, p = 0.012). Conclusions Laparoscopic surgery showed similar outcomes to open surgery in T4 colon cancer patients and may have favorable short-term oncologic outcomes in patients with tumors ≤ 4.0 cm. | ko_KR |
dc.description.sponsorship | This work was supported by the Clinical Research Program of the National Cancer Center (grant number NCC 2011520-1). | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | BMC | ko_KR |
dc.subject | Colon cancer | - |
dc.subject | Laparoscopy | - |
dc.subject | Open surgery | - |
dc.subject | T4 cancer | - |
dc.subject | Tumor size | - |
dc.title | Favorable short-term oncologic outcomes following laparoscopic surgery for small T4 colon cancer: a multicenter comparative study | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 박성실 | - |
dc.contributor.AlternativeAuthor | 이준상 | - |
dc.contributor.AlternativeAuthor | 박형철 | - |
dc.contributor.AlternativeAuthor | 박성철 | - |
dc.contributor.AlternativeAuthor | 손대경 | - |
dc.contributor.AlternativeAuthor | 오재환 | - |
dc.contributor.AlternativeAuthor | 한경수 | - |
dc.contributor.AlternativeAuthor | 이동원 | - |
dc.contributor.AlternativeAuthor | 이동은 | - |
dc.contributor.AlternativeAuthor | 강성범 | - |
dc.contributor.AlternativeAuthor | 박규주 | - |
dc.contributor.AlternativeAuthor | 정성용 | - |
dc.identifier.doi | 10.1186/s12957-020-02074-5 | - |
dc.citation.journaltitle | World Journal of Surgical Oncology | ko_KR |
dc.language.rfc3066 | en | - |
dc.rights.holder | The Author(s) | - |
dc.date.updated | 2020-11-15T04:08:20Z | - |
dc.citation.number | 1 | ko_KR |
dc.citation.startpage | 299 | ko_KR |
dc.citation.volume | 18 | ko_KR |
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