Laparoscopic complete mesocolic excisions for colonic cancer in the last decade:Five-year survival in a single centre

AIM To analyse clinical and long-term oncologic results after laparoscopic complete mesocolic excision(CME) for colonic cancer over a 10-year period.METHODS Consecutive patients who received laparoscopic CME at our hospital from 2007 to 2017 were prospectively registered and retrospectively analysed...

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Published inWorld journal of gastrointestinal surgery Vol. 9; no. 11; pp. 215 - 223
Main Authors Storli, Kristian Eeg, Lygre, Kristin Bentung, Iversen, Knut Børge, Decap, Maria, Eide, Geir Egil
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 27.11.2017
Subjects
Clinical Trials Study
Cancer specific survival
Laparoscopic surgery
Time to recurrence
Colonic cancer
Central vascular ligature
Complete mesocolic excision
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Summary:AIM To analyse clinical and long-term oncologic results after laparoscopic complete mesocolic excision(CME) for colonic cancer over a 10-year period.METHODS Consecutive patients who received laparoscopic CME at our hospital from 2007 to 2017 were prospectively registered and retrospectively analysed. In total, 341 patients were included with tumour-nodal-metastasis(TNM) stages 0-Ⅲ.RESULTS The mean age of the patients was 71.9 years. The median length of stay was 5 d. The mean lymph node harvest was 17.8. The mortality rate was 1.2%. Fifteen patients were reoperated on for anastomotic leaks. The local recurrence rate was 2.3%. Five-year TTR and cancer-specific survival CSS were 83.1% and 90.3%. The location of the tumour was not a significant variable for survival in unadjusted and adjusted survival analysis. TNM stage and anastomotic leaks were significant variables with respect to survival.CONCLUSION Laparoscopic CME results in acceptable complication rates and long-term oncologic results. It is important to avoid anastomotic leaks because of their negative effect on survival.
Bibliography:Kristian Eeg Storli;Kristin Bentung Lygre;Knut B?rge Iversen;Maria Decap;Geir Egil Eide;Department of Surgery, Haraldsplass Deaconess Hospital, Department of Clinical Medicine, University of Bergen;Department of Surgery, Haraldsplass Deaconess Hospital;Centre for Clinical Research, Haukeland University Hospital, Department of Global Public Health and Primary Care, University of Bergen
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Correspondence to: Kristian Eeg Storli, MD, PhD, Department of Surgery, Haraldsplass Deaconess Hospital, Department of Clinical Medicine, University of Bergen, POB 6165, Bergen 5009, Norway. kristian.eeg.storli@haraldsplass.no
Author contributions: Storli KE designed the study, drafted the manuscript, collected the data and performed the statistical analysis; Lygre KB assisted in data collection and read and revised the manuscript; Iversen KB and Decap M operated several of the patients of the study and read the manuscript; Eide GE approved the statistical analysis and the manuscript text and content.
ISSN:1948-9366
1948-9366
DOI:10.4240/wjgs.v9.i11.215