Is Segmental Colon Resection an Alternative Treatment for Splenic Flexure Cancer?


Por: Bademci, R, Bollo, J, Sanchez, CM, Hernadez, P, Targarona, EM

Publicada: 1 may 2019 Ahead of Print: 1 abr 2019
Resumen:
Background: Optimal elective surgery for splenic flexure cancer is unclear. Three types of surgical treatment methods are commonly used, subtotal colectomy (STC), left hemicolectomy (LHC), and segmental colon resection (SCR), but consensus is lacking as to which is the optimal method. Materials and Methods: We retrospectively compared clinicopathological and operative results, morbidity, mortality, and long-term survival in patients with splenic flexure cancer who underwent surgery between 1998 and 2018. Results: The study included 124 patients in the study. Following retrospective evaluation of the database, patients were classified into one of three groups according to the surgical approach: (1) STC (n: 41), (2) LHC (n: 55), and (3) SCR (n: 28). No statistically significant differences were found between groups regarding operative results, hospital stay, pathological data, mortality, recurrence, or long-term survival outcomes. Conclusion: Our results suggest that surgical procedures such as STC and LHC have no statistically significant clinical benefits over less aggressive approaches such as SCR. We thus conclude that SCR seems both a safe and effective alternative for splenic flexure tumors.

Filiaciones:
Bademci, R:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Surg, Div Colorectal Surg, Barcelona 08025, Spain

Bollo, J:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Surg, Div Colorectal Surg, Barcelona 08025, Spain

Sanchez, CM:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Surg, Div Colorectal Surg, Barcelona 08025, Spain

Hernadez, P:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Surg, Div Colorectal Surg, Barcelona 08025, Spain

Targarona, EM:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Surg, Div Colorectal Surg, Barcelona 08025, Spain
ISSN: 10926429





Journal of Laparoendoscopic & Advanced Surgical Techniques
Editorial
MARY ANN LIEBERT, INC, 140 HUGUENOT STREET, 3RD FL, NEW ROCHELLE, NY 10801 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 29 Número: 5
Páginas: 621-626
WOS Id: 000463593900001
ID de PubMed: 30950767

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