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World Journal of Surgery

, Volume 42, Issue 10, pp 3398–3404 | Cite as

Optimal Surgery for Mid-Transverse Colon Cancer: Laparoscopic Extended Right Hemicolectomy Versus Laparoscopic Transverse Colectomy

  • Takeru Matsuda
  • Yasuo Sumi
  • Kimihiro Yamashita
  • Hiroshi Hasegawa
  • Masashi Yamamoto
  • Yoshiko Matsuda
  • Shingo Kanaji
  • Taro Oshikiri
  • Tetsu Nakamura
  • Satoshi Suzuki
  • Yoshihiro Kakeji
Original Scientific Report

Abstract

Background

Although the feasibility and safety of laparoscopic surgery for transverse colon cancer have been shown by the recent studies, the optimal laparoscopic approach for mid-transverse colon cancer is controversial.

Methods

We retrospectively analyzed the data of patients with the mid-transverse colon cancer at our institutions between January 2007 and April 2017. Thirty-eight and 34 patients who received extended right hemicolectomy and transverse colectomy, respectively, were enrolled.

Results

There were no significant differences in operating time, blood loss, and hospital stay between the two groups. Postoperative complications developed in 10 of 34 patients (29.4%; wound infection: 2 cases, anastomotic leakage: 2 cases, bowel obstruction: 1 case, incisional hernia: 2 cases, others: 3 cases) for the transverse colectomy group and in 4 of 38 patients (10.5%; wound infection: 1 case, anastomotic leakage: 0 case, bowel obstruction: 2 cases, incisional hernia: 0 case, others: 1 case) for the extended right hemicolectomy group (P = 0.014). Although the median number of harvested #221 and #222 LNs was similar between the two groups (6 vs. 8, P = 0.710, and 3 vs. 2, P = 0.256, respectively), that of #223 was significantly larger in extended right hemicolectomy than in transverse colectomy (3 vs. 1, P = 0.038). The 5-year disease-free and overall survival rates were 92.4 and 90.3% for the extended right hemicolectomy group, and 95.7 and 79.6% for the transverse colectomy group (P = 0.593 and P = 0.638, respectively).

Conclusions

Laparoscopic extended right hemicolectomy and laparoscopic transverse colectomy offer similar oncological outcomes for mid-transverse colon cancer. Laparoscopic extended right hemicolectomy might be associated with fewer postoperative complications.

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Copyright information

© Société Internationale de Chirurgie 2018

Authors and Affiliations

  • Takeru Matsuda
    • 1
  • Yasuo Sumi
    • 2
  • Kimihiro Yamashita
    • 3
  • Hiroshi Hasegawa
    • 3
  • Masashi Yamamoto
    • 3
  • Yoshiko Matsuda
    • 3
  • Shingo Kanaji
    • 3
  • Taro Oshikiri
    • 3
  • Tetsu Nakamura
    • 3
  • Satoshi Suzuki
    • 3
  • Yoshihiro Kakeji
    • 3
  1. 1.Division of Minimally Invasive Surgery, Department of SurgeryKobe University Graduate School of MedicineKobeJapan
  2. 2.Division of International Clinical Cancer Research, Department of SurgeryKobe University Graduate School of MedicineKobeJapan
  3. 3.Division of Gastrointestinal Surgery, Department of SurgeryKobe University Graduate School of MedicineKobeJapan

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