Weisheng Chen, Jiang Wei, Kai Li, Jun Yan, Xiaoyu Dong, Aorong Ouyang, Dexin Chen, Shaopeng Zhou, Huixin Xu, Pu Luo. Department of General Surgery, Nanfang Hospital, Southern Medical University
Background: In China, the indication of laparoscopic right colectomy is tumor less than 6 centimeter. The purpose of this study is to investigate whether laparoscopic right colectomy is suitable for right colon cancer more than 6 centimeter.
Methods: A case-matched study was conducted to compare short-term and long-term outcomes between laparoscopic right colectomy and open right colectomy using propensity scores from patients with right colon cancer more than 6 centimeter between January 2006 and December 2015.
Results: In our institution, 224 eligible patients with right colon cancer more than 6 centimeter underwent laparoscopic or open right colectomy by same surgical team. 150 patients were selected by 1:1 propensity score matching, with 75 patients in the laparoscopic group and 75 in the open group. Mean operating time, hospital costs, postoperative complication rate were similar between two groups. Length of incision, estimated blood loss, time to first flatus, time to first liquid intake, hospital stay of laparoscopic group were significantly shorter than those of open group. Harvest lymph node of laparoscopic group was significantly more than that of open group. Conversion was performed in 6.67% (5 out of 75) cases. The significant differences of overall survival and disease-free survival between two groups were not observed (p=0.843 & p=0.765, respectively).
Conclusions: Laparoscopic right colectomy is suitable for patients with right colon cancer more than 6 centimeter in centers with expertise in minimally invasive surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94622
Program Number: P268
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster