title: [Comparison of efficacy between laparoscopic versus open complete mesocolic excision for colon cancer].
abstract: OBJECTIVE
  To explore the differences in long-term outcomes between laparoscopic and open complete mesocolic excision(CME) for colon cancer.
  
  
  METHODS
  A total of 273 patients with colon cancer who underwent CME at the Fujian Medical University Union Hospital from September 2000 to December 2008 were divided into laparoscopic(LP, n=147) and open(OP, n=126) groups in a non-random manner. The oncologic and long-term outcomes were compared.
  
  
  RESULTS
  No significant differences were seen in the length of distal and proximal margin, and number of lymph nodes(all P>0.05). Median postoperative follow up was 50 months. Local regional recurrence rates (LP 6.1% vs. OP 7.9%) and distal metastasis rates(LP 23.8% vs. OP 16.7%) were similar between the two groups(all P>0.05). The 5-year overall survival rates (LP 69.4% vs. OP 74.0%, P=0.840) and 5-year disease-free survival rates(LP 68.5% vs. OP 70.9%, P=0.668) between the two groups were not statistically different.
  
  
  CONCLUSIONS
  Laparoscopic CME has the same oncologic clearance effects compared with open CME for colon cancer. It might become a new standardized surgery for colon cancer.
authors.affiliation: Department of Colon and Rectum Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
authors.forename: Yan-wu
authors.initials: YW
authors.lastname: Sun
authors.forename: Pan
authors.initials: P
authors.lastname: Chi
authors.forename: Hui-ming
authors.initials: HM
authors.lastname: Lin
authors.forename: Xing-rong
authors.initials: XR
authors.lastname: Lu
authors.forename: Ying
authors.initials: Y
authors.lastname: Huang
authors.forename: Zong-bin
authors.initials: ZB
authors.lastname: Xu
authors.forename: Sheng-hui
authors.initials: SH
authors.lastname: Huang
mesh_terms: D000368:Aged; D003082:Colectomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D008646:Mesocolon / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome