A propensity score-matching analysis comparing the oncological outcomes of laparoscopic and open surgery in patients with Stage I/II colon and upper rectal cancers
| العنوان: | A propensity score-matching analysis comparing the oncological outcomes of laparoscopic and open surgery in patients with Stage I/II colon and upper rectal cancers |
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| المؤلفون: | Masataka Taguri, Munetaka Masuda, Norio Yukawa, Hitoshi Inari, Kentaro Hara, Keisuke Kazama, Yasuyuki Jin, Masakatsu Numata, Ken Takata, Takashi Oshima, Yasushi Rino, Yukio Maezawa, Kimiatsu Hasuo |
| المصدر: | Surgery Today. 45:700-707 |
| بيانات النشر: | Springer Science and Business Media LLC, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Male, Laparoscopic surgery, medicine.medical_specialty, Colorectal cancer, medicine.medical_treatment, Open Resection, medicine, Humans, Propensity Score, Lymph node, Digestive System Surgical Procedures, Aged, Neoplasm Staging, Rectal Neoplasms, business.industry, Radical Lymph Node Dissection, Postoperative complication, General Medicine, Middle Aged, medicine.disease, Surgery, Dissection, medicine.anatomical_structure, Colonic Neoplasms, Propensity score matching, Lymph Node Excision, Female, Laparoscopy, business, Follow-Up Studies |
| الوصف: | Previous studies from Western countries have shown similar survival outcomes after both open and laparoscopic resections. In Japan, radical D3 dissections performed by open resection have been routinely performed for ≥T2- or ≥N1-stage cancers, and relatively favorable survival outcomes were obtained. This study compared the survival in patients with Stage I/II colon and upper rectal cancers undergoing laparoscopic and open resection. A total of 145 patients were initially enrolled. Propensity score matching was applied to assemble a study cohort. D2 lymph node dissection for T1 cancer and D3 for ≥T2- and ≥N1-stage cancers were applied. The primary outcome measure was the disease-free survival; the cancer-specific and overall survival rates were secondary outcomes. A total of 64 patients were matched for the analysis. The length of hospitalization, postoperative complication rates, number of lymph nodes removed and surgical margins were similar between the groups. The disease-free survival following laparoscopic surgery was better than that following open surgery, but the difference was not statistically significant. Neither the cancer-specific nor overall survival rates following laparoscopic surgery were inferior to those associated with open surgery. The outcomes of the laparoscopic approach were comparable to those for open surgeries accompanied by radical lymph node dissection. |
| تدمد: | 1436-2813 0941-1291 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9bc1a18234d1df018e8cf5d7c67e43db https://doi.org/10.1007/s00595-014-0954-9 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....9bc1a18234d1df018e8cf5d7c67e43db |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14362813 09411291 |
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