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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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
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spelling European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study GroupBeghdadi NMartínez-Pérez AWinter DCLandi FVitali GCLe Roy BPezet DCoccolini FCelentano VBianchi GPham JGenova PSobhani IStakelum AGómez SATorres MTPayá CGonzálvez PAssalino MBrunetti FZaborowski ASueiras-Gil AHevia RAbdallah MAnsaloni LKraft MSolis ADenet CBirindelli ADi Saverio SRis FFuks DEspin Ede'Angelis NSpenic Flexure Cancer (SFC) Study GroupLaparoscopyLaparotomyMinimally invasive surgerySplenic flexure colon carcinomaPropensity scoreAim 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.ELSEVIER MASSON, CORP OFF2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/10227Journal of Visceral SurgeryISSN: 18787886reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p102272026-06-11T12:45:17Z
dc.title.none.fl_str_mv European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
title European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
spellingShingle European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
Beghdadi N
Laparoscopy
Laparotomy
Minimally invasive surgery
Splenic flexure colon carcinoma
Propensity score
title_short European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
title_full European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
title_fullStr European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
title_full_unstemmed European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
title_sort European multicenter propensity score match study of laparoscopic vs. open colectomy for splenic flexure carcinomas: Results from the Splenic Flexure Cancer (SFC) Study Group
dc.creator.none.fl_str_mv 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
author Beghdadi N
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Laparoscopy
Laparotomy
Minimally invasive surgery
Splenic flexure colon carcinoma
Propensity score
topic Laparoscopy
Laparotomy
Minimally invasive surgery
Splenic flexure colon carcinoma
Propensity score
description 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/10227
url https://fisabio.portalinvestigacion.com/publicaciones/10227
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER MASSON, CORP OFF
publisher.none.fl_str_mv ELSEVIER MASSON, CORP OFF
dc.source.none.fl_str_mv Journal of Visceral Surgery
ISSN: 18787886
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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