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Laparoscopic segmental colectomy with extensive D3 lymph node dissection for right transverse colon cancer.

Authors :
Huang X
Source :
The Journal of international medical research [J Int Med Res] 2024 Oct; Vol. 52 (10), pp. 3000605241281870.
Publication Year :
2024

Abstract

Objective: We herein propose a novel approach, laparoscopic segmental colectomy with extensive D3 lymph node dissection (ED3LND), for right-sided transverse colon cancer (TCC).<br />Methods: Forty-two patients with right-sided TCC were randomly assigned to two groups: Group 1 (segmental colectomy with D3LND) and Group 2 (segmental colectomy with ED3LND). Clinical characteristics, surgical and pathological outcomes, and oncological outcomes were retrospectively compared between the two groups.<br />Results: The number of lymph nodes retrieved, apical lymph nodes retrieved, and apical lymph node metastases were significantly lower in Group 1 than in Group 2. No significant differences were observed in the operation time, length of hospital stay, estimated blood loss, lymph node metastases, postoperative lymphoceles, or other Clavien-Dindo grade ≥III postoperative complications between the two groups. The 3-year disease-free survival rate was 82.6% in Group 1 and 84.2% in Group 2, with no significant difference.<br />Conclusions: Laparoscopic segmental colectomy with ED3LND for right-sided TCC may offer better oncological outcomes than D3LND. A large-scale prospective randomized controlled study is needed to further validate the oncological benefits of this novel procedure.<br />Competing Interests: Declaration of conflicting interestsThe author declares no competing interests.

Details

Language :
English
ISSN :
1473-2300
Volume :
52
Issue :
10
Database :
MEDLINE
Journal :
The Journal of international medical research
Publication Type :
Academic Journal
Accession number :
39370990
Full Text :
https://doi.org/10.1177/03000605241281870