Short- and long-term results of laparoscopic surgery for transverse colon cancer.
OBJECTIVE
We investigated the feasibility of laparoscopic surgery for transverse colon cancer (TCC) by examining the results of this procedure, and comparing the short- and long-term outcomes with those for right-sided and sigmoid colon cancer (OSCC).


METHODS
The subjects consisted of 117 patients with TCC. Their complications, forms of recurrence and disease-free and 5-year survival rates were compared to those of 564 patients with OSCC.


RESULTS
There were no significant between-group differences in the patient background. The average length of the operation in the TCC group was 215 min and that in the OSCC group was 184 min (p < 0.05). There were also no significant between-group differences in the average blood loss, which was 83.9 and 70.5 g, respectively. No significant difference was observed between groups by stage in terms of the disease-free survival rates, which were 94.4 and 79.1 % for stage II and III in the TCC group, and 92.4 and 78.8 % for stage II and III in the OSCC group. The incidence of intraoperative and postoperative complications was low, and the five-year survival rate was favorable. As favorable results of laparoscopic colectomy (LAC) for TCC were also obtained at other sites in a multicenter randomized controlled trial, LAC is expected to become a standard therapy for TCC.
Department of Surgery, Institute for Juntendo University Urayasu Hospital, Tomioka 2-1-1, Urayasu, Chiba, 279-0021, Japan, yoshinorihirasaki84@gmail.com.
Yoshinori
Y
Hirasaki
Masaki
M
Fukunaga
Masahiko
M
Sugano
Kunihiko
K
Nagakari
Seiitirou
S
Yoshikawa
Masakazu
M
Ouchi
D000368:Aged; D003082:Colectomy; D044684:Colon, Transverse / Q000601:surgery*; D003110:Colonic Neoplasms / Q000401:mortality / Q000601:surgery*; D018572:Disease-Free Survival; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D012811:Sigmoid Neoplasms / Q000401:mortality / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome