PDF(Pubmed)
Abstract：
UNASSIGNED: The mid-transverse colon cancer is relatively uncommon in all colon cancers and the optimal surgical approach of mid-transverse colon cancer remains debatable.
UNASSIGNED: Our study aimed to depict the techniques and outcomes of laparoscopic transverse colectomy in one single clinical center and compare this surgical approach to traditional laparoscopic right hemicolectomy and laparoscopic left hemicolectomy.
UNASSIGNED: This was a retrospective cohort study of patients with mid-transverse colon cancer in one single clinical center from February 2012 to October 2020. The enrolled patients were divided into two groups undergoing laparoscopic transverse colectomy and laparoscopic right/left hemicolectomy, respectively. The intraoperative, postoperative complications, oncological outcomes and functional outcomes were compared between the two groups. The primary endpoint was disease free survival (DFS).
UNASSIGNED: The study enrolled 70 patients with 40 patients undergoing laparoscopic transverse colectomy and 30 patients undergoing laparoscopic hemicolectomy. The intraoperative accidental hemorrhage and multiple organ resection occurred similarly in the two groups. In transverse colectomy, caudal-to-cephalic approach was likely to harvest more lymph nodes although require more operation time than cephalic-to-caudal approach (23.1 ± 14.3 vs. 13.4 ± 5.4 lymph nodes, P = 0.004; 184.3 ± 37.1 min vs. 146.3 ± 44.4 min, P = 0.012). The laparoscopic transverse colectomy was marginally associated with lower incidence of overall postoperative complications and shorter postoperative hospital stay although without statistical significance (8(20.0%) vs. 12(40.0%), P = 0.067; 7(5-12) vs. 7(5-18), P = 0.060). The 3-year DFS showed no significant difference (3-year DFS 89.7% in transverse colectomy vs. 89.9% in hemicolectomy, P = 0.688) between the two groups. The alternating consistency of defecation occurred significantly less after laparoscopic transverse colectomy than laparoscopic hemicolectomy (15(51.7%) vs. 20(80.0%), P = 0.030).
UNASSIGNED: The laparoscopic transverse colectomy is technically feasible with satisfactory oncological and functional outcomes for mid-transverse colon cancer. Performing the caudal-to-cephalic approach might be more advantageous in lymphadenectomy.
UNASSIGNED: Our study aimed to depict the techniques and outcomes of laparoscopic transverse colectomy in one single clinical center and compare this surgical approach to traditional laparoscopic right hemicolectomy and laparoscopic left hemicolectomy.
UNASSIGNED: This was a retrospective cohort study of patients with mid-transverse colon cancer in one single clinical center from February 2012 to October 2020. The enrolled patients were divided into two groups undergoing laparoscopic transverse colectomy and laparoscopic right/left hemicolectomy, respectively. The intraoperative, postoperative complications, oncological outcomes and functional outcomes were compared between the two groups. The primary endpoint was disease free survival (DFS).
UNASSIGNED: The study enrolled 70 patients with 40 patients undergoing laparoscopic transverse colectomy and 30 patients undergoing laparoscopic hemicolectomy. The intraoperative accidental hemorrhage and multiple organ resection occurred similarly in the two groups. In transverse colectomy, caudal-to-cephalic approach was likely to harvest more lymph nodes although require more operation time than cephalic-to-caudal approach (23.1 ± 14.3 vs. 13.4 ± 5.4 lymph nodes, P = 0.004; 184.3 ± 37.1 min vs. 146.3 ± 44.4 min, P = 0.012). The laparoscopic transverse colectomy was marginally associated with lower incidence of overall postoperative complications and shorter postoperative hospital stay although without statistical significance (8(20.0%) vs. 12(40.0%), P = 0.067; 7(5-12) vs. 7(5-18), P = 0.060). The 3-year DFS showed no significant difference (3-year DFS 89.7% in transverse colectomy vs. 89.9% in hemicolectomy, P = 0.688) between the two groups. The alternating consistency of defecation occurred significantly less after laparoscopic transverse colectomy than laparoscopic hemicolectomy (15(51.7%) vs. 20(80.0%), P = 0.030).
UNASSIGNED: The laparoscopic transverse colectomy is technically feasible with satisfactory oncological and functional outcomes for mid-transverse colon cancer. Performing the caudal-to-cephalic approach might be more advantageous in lymphadenectomy.
摘要：
未经证实：中横型结肠癌在所有结肠癌中相对少见，中横型结肠癌的最佳手术方式仍有争议。
UNASSIGNED：我们的研究旨在描述一个临床中心的腹腔镜横结肠切除术的技术和结果，并将这种手术方法与传统的腹腔镜右半结肠切除术和腹腔镜左半结肠切除术进行比较。
UNASSIGNED：这是2012年2月至2020年10月在一个单一临床中心对中横结肠癌患者进行的回顾性队列研究。将入选患者分为腹腔镜下横结肠切除术和腹腔镜右/左半结肠切除术两组,分别。术中，术后并发症,比较两组的肿瘤结局和功能结局.主要终点是无病生存期（DFS）。
UNASSIGNED：该研究纳入了70例患者，其中40例患者接受腹腔镜横结肠切除术，30例患者接受腹腔镜半结肠切除术。两组术中意外出血和多器官切除发生情况相似。在横结肠切除术中，尾头入路可能会收获更多的淋巴结，尽管比头尾入路需要更多的手术时间（23.1±14.3vs.13.4±5.4淋巴结，P=0.004;184.3±37.1minvs.146.3±44.4min,P=0.012)。腹腔镜下横结肠切除术与术后总并发症发生率较低和术后住院时间较短相关，但无统计学意义(8(20.0%)vs.12（40.0%），P=0.067;7(5-12)vs.7（5-18）P=0.060)。3年DFS没有显着差异（横结肠切除术的3年DFS为89.7％与半结肠切除术占89.9%，两组之间P=0.688)。腹腔镜横结肠切除术后排便的交替一致性明显低于腹腔镜半结肠切除术(15(51.7%)vs.20（80.0%），P=0.030)。
UNASSIGNED：腹腔镜横结肠切除术在技术上是可行的，对于中横结肠癌具有令人满意的肿瘤和功能结局。在淋巴结清扫术中，执行尾头入路可能更有利。
UNASSIGNED：我们的研究旨在描述一个临床中心的腹腔镜横结肠切除术的技术和结果，并将这种手术方法与传统的腹腔镜右半结肠切除术和腹腔镜左半结肠切除术进行比较。
UNASSIGNED：这是2012年2月至2020年10月在一个单一临床中心对中横结肠癌患者进行的回顾性队列研究。将入选患者分为腹腔镜下横结肠切除术和腹腔镜右/左半结肠切除术两组,分别。术中，术后并发症,比较两组的肿瘤结局和功能结局.主要终点是无病生存期（DFS）。
UNASSIGNED：该研究纳入了70例患者，其中40例患者接受腹腔镜横结肠切除术，30例患者接受腹腔镜半结肠切除术。两组术中意外出血和多器官切除发生情况相似。在横结肠切除术中，尾头入路可能会收获更多的淋巴结，尽管比头尾入路需要更多的手术时间（23.1±14.3vs.13.4±5.4淋巴结，P=0.004;184.3±37.1minvs.146.3±44.4min,P=0.012)。腹腔镜下横结肠切除术与术后总并发症发生率较低和术后住院时间较短相关，但无统计学意义(8(20.0%)vs.12（40.0%），P=0.067;7(5-12)vs.7（5-18）P=0.060)。3年DFS没有显着差异（横结肠切除术的3年DFS为89.7％与半结肠切除术占89.9%，两组之间P=0.688)。腹腔镜横结肠切除术后排便的交替一致性明显低于腹腔镜半结肠切除术(15(51.7%)vs.20（80.0%），P=0.030)。
UNASSIGNED：腹腔镜横结肠切除术在技术上是可行的，对于中横结肠癌具有令人满意的肿瘤和功能结局。在淋巴结清扫术中，执行尾头入路可能更有利。
