European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group

Aim of the study: This European multicenter study aims to compare the results of laparoscopic versus laparotomy approach for the resection of splenic flexure colon carcinoma (SFCC). Patients and methods: Patients with SFCC who required curative resection by laparoscopy (LAP-SCOP) or laparotomy (OPEN...

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Detalles Bibliográficos
Autores: Beghdadi N, Martínez-Pérez A, Winter DC, Landi F, Vitali GC, Le Roy B, Pezet D, Coccolini F, Celentano V, Bianchi G, Pham J, Genova P, Sobhani I, Stakelum A, Gómez SA, Torres MT, Payá C, Gonzálvez P, Assalino M, Brunetti F, Zaborowski A, Sueiras-Gil A, Hevia R, Abdallah M, Ansaloni L, Kraft M, Solis A, Denet C, Birindelli A, Di Saverio S, Ris F, Fuks D, Espin E, de'Angelis N, Spenic Flexure Cancer (SFC) Study Group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p10227
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/10227
Access Level:acceso abierto
Palabra clave:Laparoscopy
Laparotomy
Minimally invasive surgery
Splenic flexure colon carcinoma
Propensity score
Descripción
Sumario:Aim of the study: This European multicenter study aims to compare the results of laparoscopic versus laparotomy approach for the resection of splenic flexure colon carcinoma (SFCC). Patients and methods: Patients with SFCC who required curative resection by laparoscopy (LAP-SCOP) or laparotomy (OPEN) between 2000 and 2018 were included. Three types of interventions were considered: extended right hemi-colectomy, left hemi-colectomy and splenic flexure resection. The LAPSCOP and OPEN groups were matched according to propensity score and compared with Chi-square, Mann-Whitney tests, and multivariate regression models. Overall survival and recurrence-free survival were assessed using the Kaplan-Meier method. Results: The study population consisted of 399 patients, including 297 operated by LAPSCOP and 102 by OPEN. Extended right hemi-colectomy was performed in 35.8% of cases, left hemi-colectomy in 32.8% and splenic flexure resection in 31.4%. After propensity score matching, the LAPSCOP (n = 64) and OPEN (n = 64) groups were comparable for all pre-operative variables and tumor characteristics. The LAPSCOP group showed less blood loss and a shorter interval to return of transit and feeding compared to the OPEN group, regardless of the resection technique. There were no differences between the groups in terms of overall survival and 5-year recurrence-free survival. Conclusion: These results support the application of laparoscopy for the resection of SFCC. (c) 2021 Elsevier Masson SAS. All rights reserved.

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