Does tumor location affects the results in laparoscopic colectomy?

Esteban Grzona, MD, H Gaspari, MD, F Carballo, MD, A Canelas, MD, M Bun, MD, M Laporte, MD, C Peczan, MD, N Rotholtz, MD

Colorectal Surgery Division – Hospital Aleman de Buenos Aires. Argentina.

BACKGROUND: The location of the tumor in colorectal cancer (CRC) leads to different strategies to ensure best resective oncologic prognosis. There are no publications that analyze the different locations and resections regarding results and patient outcomes.

OBJECTIVE: The purpose of this study is to analyze the results of laparoscopic surgery in relation to "tumor location" and "type of resection."

DESIGN: Retrospective analysis of a prospective database.

MATERIALS AND METHODS: We analyzed patients with colorectal adenocarcinoma underwent laparoscopic colectomy between October 2000 and May 2012. Two groups were defined: Patients with right colectomies (RC) and left colectomies (LC). Patients with stage IV, extended resections and segmental resections were excluded. Demographic and morbidity variables were evaluated, with particular emphasis on tumor location and type of surgery performed. The statistical significance level was defined as p <0.05. Statistical analysis was performed using the "SPSS 19" statistical software .

RESULTS: 1073 patients were analyzed. 393 patients had right and left resections. LC: 192 (48.8%) and RC: 201 (51.1%). There is not demographics differences between two groups. Intraoperative complications were more in LC [LC vs RC: 16/192 (8.5%) vs 32/201 (4%), P <0.05]. There were no differences in conversion, postoperative complications, reoperations, postoperative complications and mortality between the two populations.

CONCLUSIONS: No differences in the results between the left and right laparoscopic resections for neoplastic disease. Might be a tendency to more intraoperative complications in left colectomies.


Session: Poster Presentation

Program Number: P052

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