Abstract
Although benefits of laparoscopic surgery compared with open surgery have been suggested, the long-term survival of patients undergoing laparoscopic surgery for colon cancer requiring Japanese D3 dissection remains unclear. A randomized controlled trial to establish non-inferiority of laparoscopic surgery to open surgery was conducted. Laparoscopic D3 surgery was not non-inferior to open D3 surgery in terms of overall survival for patients with stage II or III colon cancer. However, because overall survival in both groups was similar and better than expected, laparoscopic D3 surgery could be an acceptable treatment option for patients with stage II or III colon cancer in experienced facilities, so long as considerations are made for patients concerned about the clinical inferiority of laparoscopic surgery.
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Kanemitsu, Y. (2018). JCOG0404. In: Kim, N., Sugihara, K., Liang, JT. (eds) Surgical Treatment of Colorectal Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-5143-2_24
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DOI: https://doi.org/10.1007/978-981-10-5143-2_24
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