Journal of Gastrointestinal Surgery

, Volume 14, Issue 5, pp 818–823 | Cite as

Short-Term Outcomes of Laparoscopic Colectomy for Transverse Colon Cancer

  • Takashi Akiyoshi
  • Hiroya Kuroyanagi
  • Yoshiya Fujimoto
  • Tsuyoshi Konishi
  • Masashi Ueno
  • Masatoshi Oya
  • Toshiharu Yamaguchi
Original Article
First Online:
Received:
Accepted:

Abstract

Background

The role of laparoscopic surgery for transverse colon cancer (TCC) remains controversial. This study aimed to evaluate the safety of laparoscopic resection of TCC.

Methods

Fifty-three patients undergoing laparoscopic resection of TCC (group A) were compared with 39 patients undergoing open resection of TCC (group B) and 200 patients undergoing laparoscopic resection of ascending or descending colon cancer (group C).

Results

Mean operating time was longer (224 vs. 157 min), and mean estimated blood loss was lower (40 vs. 79 ml) in group A than in group B, but these were similar in groups A and C. The rates of conversion to open surgery were similar in groups A and C (1.9% vs. 1.0%). Tumor stage was more advanced in group B than in group A. All patients in groups A and B underwent pathologic R0 resection. The rates of postoperative complications did not differ significantly between groups (9.4% vs. 7.7% vs. 5.0%). Time to flatus (1.7 vs. 2.5 days), time to liquid diet (2.4 vs. 5.3 days), and hospital stay (12 vs. 15 days) were significantly shorter in group A than in group B, but similar in groups A and C.

Conclusions

Laparoscopic resection for TCC can be performed safely with similar short-term postoperative outcomes seen for colon cancer at other sites. Laparoscopic resection may be associated with faster gastrointestinal recovery and shorter length of hospital stay, compared with open surgery.

Keywords

Transverse colon cancer Laparoscopic surgery Short-term outcomes 
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Notes

Disclosures

We have no conflicts of interest or financial ties to disclose.

References

  1. 1.
    Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taura P, Pique JM, Visa J. Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial. Lancet 2002;359:2224–2229.CrossRefPubMedGoogle Scholar
  2. 2.
    Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, Heath RM, Brown JM. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 2005;365:1718–1726.CrossRefPubMedGoogle Scholar
  3. 3.
    Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 2004;350:2050–2059.CrossRefGoogle Scholar
  4. 4.
    Veldkamp R, Kuhry E, Hop WC, Jeekel J, Kazemier G, Bonjer HJ, Haglind E, Pahlman L, Cuesta MA, Msika S, Morino M, Lacy AM. Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol 2005;6:477–684.CrossRefPubMedGoogle Scholar
  5. 5.
    Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart RW Jr, Hellinger M, Flanagan R Jr, Peters W, Nelson H. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg 2007;246:655–662; discussion 662–664CrossRefPubMedGoogle Scholar
  6. 6.
    Kim HJ, Lee IK, Lee YS, Kang WK, Park JK, Oh ST, Kim JG, Kim YH. A comparative study on the short-term clinicopathologic outcomes of laparoscopic surgery versus conventional open surgery for transverse colon cancer. Surg Endosc 2009;23:1812–1817.CrossRefPubMedGoogle Scholar
  7. 7.
    Schlachta CM, Mamazza J, Poulin EC. Are transverse colon cancers suitable for laparoscopic resection? Surg Endosc 2007;21:396–399.CrossRefPubMedGoogle Scholar
  8. 8.
    Lee YS, Lee IK, Kang WK, Cho HM, Park JK, Oh ST, Kim JG, Kim YH. Surgical and pathological outcomes of laparoscopic surgery for transverse colon cancer. Int J Colorectal Dis 2008;23:669–673.CrossRefPubMedGoogle Scholar
  9. 9.
    Wray CM, Ziogas A, Hinojosa MW, Le H, Stamos MJ, Zell JA. Tumor subsite location within the colon is prognostic for survival after colon cancer diagnosis. Dis Colon Rectum 2009;52:1359–1366.PubMedGoogle Scholar
  10. 10.
    Sjo OH, Lunde OC, Nygaard K, Sandvik L, Nesbakken A. Tumour location is a prognostic factor for survival in colonic cancer patients. Colorectal Dis 2008;10:33–40.PubMedGoogle Scholar
  11. 11.
    Hayne D, Brown RS, McCormack M, Quinn MJ, Payne HA, Babb P. Current trends in colorectal cancer: site, incidence, mortality and survival in England and Wales. Clin Oncol (R Coll Radiol) 2001;13:448–452.Google Scholar
  12. 12.
    Chang GJ, Rodriguez-Bigas MA, Skibber JM, Moyer VA. Lymph node evaluation and survival after curative resection of colon cancer: systematic review. J Natl Cancer Inst 2007;99:433–441.CrossRefPubMedGoogle Scholar
  13. 13.
    Hewett PJ, Allardyce RA, Bagshaw PF, Frampton CM, Frizelle FA, Rieger NA, Smith JS, Solomon MJ, Stephens JH, Stevenson AR. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg 2008;248:728–738.CrossRefPubMedGoogle Scholar
  14. 14.
    Marusch F, Gastinger I, Schneider C, Scheidbach H, Konradt J, Bruch HP, Kohler L, Barlehner E, Kockerling F. Importance of conversion for results obtained with laparoscopic colorectal surgery. Dis Colon Rectum 2001;44:207-214; discussion 214–216CrossRefPubMedGoogle Scholar
  15. 15.
    Thorpe H, Jayne DG, Guillou PJ, Quirke P, Copeland J, Brown JM. Patient factors influencing conversion from laparoscopically assisted to open surgery for colorectal cancer. Br J Surg 2008;95:199–205.CrossRefPubMedGoogle Scholar
  16. 16.
    Akiyoshi T, Kuroyanagi H, Oya M, Konishi T, Fukuda M, Fujimoto Y, Ueno M, Yamaguchi T, Muto T. Safety of laparoscopic total mesorectal excision for low rectal cancer with preoperative chemoradiation therapy. J Gastrointest Surg 2009;13:521–525.CrossRefPubMedGoogle Scholar
  17. 17.
    Yamaguchi S, Kuroyanagi H, Milsom JW, Sim R, Shimada H. Venous anatomy of the right colon: precise structure of the major veins and gastrocolic trunk in 58 cadavers. Dis Colon Rectum 2002;45:1337–1340.CrossRefPubMedGoogle Scholar
  18. 18.
    Yada H, Sawai K, Taniguchi H, Hoshima M, Katoh M, Takahashi T. Analysis of vascular anatomy and lymph node metastases warrants radical segmental bowel resection for colon cancer. World J Surg 1997;21:109–115.CrossRefPubMedGoogle Scholar
  19. 19.
    Jamali FR, Soweid AM, Dimassi H, Bailey C, Leroy J, Marescaux J. Evaluating the degree of difficulty of laparoscopic colorectal surgery. Arch Surg 2008;143:762–767; discussion 768.CrossRefPubMedGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2010

Authors and Affiliations

  • Takashi Akiyoshi
    • 1
  • Hiroya Kuroyanagi
    • 1
  • Yoshiya Fujimoto
    • 1
  • Tsuyoshi Konishi
    • 1
  • Masashi Ueno
    • 1
  • Masatoshi Oya
    • 1
  • Toshiharu Yamaguchi
    • 1
  1. 1.Gastroenterological Center, Department of Gastroenterological SurgeryCancer Institute HospitalTokyoJapan

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