title: Oncological outcome of laparoscopic surgery for advanced colon cancer: a community hospital's experience.
abstract: OBJECTIVE
  Similar oncological outcomes of laparoscopic and open surgery for advanced colon cancer have been reported by several large-scale studies. Whether those results are applicable to community hospitals is questionable.
  
  
  METHODS
  From January 2007 to December 2010, 95 patients with colon cancer underwent laparoscopic surgery at Seirei Mikatahara General Hospital. Of these, 40 patients with pathological stage II/III colon cancer were subjected to this retrospective analysis (laparoscopic resection (LAP) group). Their outcomes were compared with those of 58 patients with pathological stage II/III colon cancer who underwent open surgery between January 2005 and December 2006 (open resection (OP) group).
  
  
  RESULTS
  Surgical complications were significantly less frequent in the LAP group than in the OP group. Three-year disease-free survival (DFS) and overall survival (OS) for stage II colon cancer were 88.9% and 100% in the LAP group, and 90% and 86.7% in the OP group (p=0.976 and p=0.285), respectively. Three-year DFS and OS for stage III colon cancer were 85.4% and 86.9% in the LAP group, and 75.3% and 83.8% in the OP group (p=0.613 and p=0.837), respectively.
  
  
  CONCLUSIONS
  Laparoscopic surgery for advanced colon cancer seems feasible and the oncological outcome is adequate in a community hospital setting.
authors.affiliation: Department of Surgery, Seirei Mikatahara General Hospital, Hamamatsu, Japan. t-matsuda@sis.seirei.or.jp
authors.forename: Takeru
authors.initials: T
authors.lastname: Matsuda
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Fujita
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kunimoto
authors.forename: Taisei
authors.initials: T
authors.lastname: Kimura
authors.forename: Hironori
authors.initials: H
authors.lastname: Kitaoka
authors.forename: Eisuke
authors.initials: E
authors.lastname: Asano
authors.forename: Tomomi
authors.initials: T
authors.lastname: Hayashi
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Maeda
authors.forename: Junichi
authors.initials: J
authors.lastname: Yamakawa
authors.forename: Takuya
authors.initials: T
authors.lastname: Mizumoto
authors.forename: Kazunori
authors.initials: K
authors.lastname: Ogino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006764:Hospitals, Community; D006801:Humans; D053208:Kaplan-Meier Estimate; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome