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Laparoscopic segmental colectomy with extensive D3 lymph node dissection for right transverse colon cancer.
- 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.
- Subjects :
- Humans
Male
Female
Middle Aged
Aged
Colon, Transverse surgery
Colon, Transverse pathology
Lymphatic Metastasis
Postoperative Complications
Retrospective Studies
Lymph Nodes pathology
Lymph Nodes surgery
Treatment Outcome
Disease-Free Survival
Length of Stay
Adult
Lymph Node Excision methods
Colectomy methods
Laparoscopy methods
Colonic Neoplasms surgery
Colonic Neoplasms pathology
Colonic Neoplasms mortality
Subjects
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