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Long-term outcomes of needlescopic surgery in patients with colon cancer: a retrospective cohort study

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Abstract

Background

Laparoscopic surgery is a minimally invasive and frequently performed surgical procedure that has become the standard surgery for colorectal cancer. Needlescopic surgery (NS) for colon cancer has also been performed and reported as a less invasive technique. In this study, we investigated the long-term outcomes of NS in comparison with those of conventional surgery (CS).

Methods

The data of 1122 patients without distant metastasis who underwent laparoscopic surgery between 2011 and 2014 were retrospectively analyzed. In this study, NS was defined as a laparoscopic procedure performed with the use of 3-mm ports and forceps with one 5-mm port for an energy device, as well as with clips. One 12-mm port was placed in the umbilicus for specimen extraction from the abdominal cavity.

Results

A total of 241 patients underwent NS. There was no significant difference between the 5-year recurrence rate and the 5-year total mortality rate (NS: 10.0% and 5.4% vs. CS: 10.3% and 3.5%, p = 0.86/0.23). In the multivariate analysis, NS was not found to be an independent prognostic factor. In terms of the distribution of recurrence sites, there was no significant difference between the two groups.

Conclusions

NS for colon cancer was not inferior to CS in terms of short-term and long-term outcomes.

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Acknowledgements

We would like to thank Editage (www.editage.jp) for English language editing.

Funding

This research did not receive any specific grant funding from agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31, Ariake, Koto-ku, Tokyo, Japan

    Shimpei Matsui, Yosuke Fukunaga, Toshiki Mukai, Toshiya Nagasaki, Tomohiro Yamaguchi, Takashi Akiyoshi, Tsuyoshi Konishi, Satoshi Nagayama & Masashi Ueno

  2. Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan

    Masao Iwagami

  3. Faculty of Epidemiology and Population Health, School of Hygiene and Tropical Medicine, London, UK

    Masao Iwagami

Authors
  1. Shimpei Matsui
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  2. Yosuke Fukunaga
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  3. Masao Iwagami
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  4. Toshiki Mukai
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  5. Toshiya Nagasaki
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  6. Tomohiro Yamaguchi
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  7. Takashi Akiyoshi
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  8. Tsuyoshi Konishi
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  9. Satoshi Nagayama
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  10. Masashi Ueno
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Corresponding author

Correspondence to Yosuke Fukunaga.

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Disclosures

Drs. Matsui, Fukunaga, Iwagami, Mukai, Nagasaki, Yamaguchi, Akiyoshi, Konishi, Nagayama, and Ueno have no conflicts of interest or financial ties to disclose.

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Matsui, S., Fukunaga, Y., Iwagami, M. et al. Long-term outcomes of needlescopic surgery in patients with colon cancer: a retrospective cohort study. Surg Endosc 35, 1039–1045 (2021). https://doi.org/10.1007/s00464-020-07465-z

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  • DOI: https://doi.org/10.1007/s00464-020-07465-z

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