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Laparoscopic Versus Open Resection Without Splenic Flexure Mobilization for the Treatment of Rectum and Sigmoid Cancer: A Study From a Single Institution That Selectively Used Splenic Flexure Mobilization

Cited 34 time in Web of Science Cited 37 time in Scopus
Authors
Park, Jun Seok; Kang, Sung-Bum; Kim, Duck-Woo; Lee, Koung Ho; Kim, Young Hoon
Issue Date
2009-02
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES; Vol.19(1); 62-68
Keywords
laparoscopic surgerysigmoid cancersplenic flexure mobilizationrectal cancer
Abstract
Introduction: We have hypothesized that splenic flexure mobilization might be selectively undertaken in laparoscopic surgery (LAP) for rectal or sigmoid colon cancer. Patients and Methods: Oncologic clearance and postoperative morbidity were compared between 119 LAP patients and 145 open surgery (OS), all of whom were treated without splenic flexure mobilization. Results: The operative time was similar in the 2 groups (P > 0.05). The complication rate was lower after LAP than after OS (10.0% vs. 25.5%, P = 0.043). Anastomotic leakage occurred in I patient after LAP. On a median 29-month follow-up, the local recurrence rates did not diner significantly between the 2 groups (0.9% for LAP vs. 2.6% for OS). Conclusions: Laparoscopic procedures without routine splenic flexure mobilization do not increase postoperative morbidity or oncologic risk, as compared with OS. We suggest that laparoscopic rectal and sigmoid cancer resection can be safely conducted with selective splenic flexure mobilization.
ISSN
1530-4515
Language
English
URI
https://hdl.handle.net/10371/77843
DOI
https://doi.org/10.1097/SLE.0b013e318196cdb0
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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