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Laparoscopic complete mesocolic excisions for colonic cancer in the last decade: Five-year survival in a single
Kristian Eeg Storli1, Kristin Bentung Lygre1, Knut Børge Iversen2
1Department of Surgery, Haraldsplass Deaconess Hospital, Department of Clinical Medicine, University of Bergen, Bergen 5009, Norway.
Aim:
To analyse clinical and long-term oncologic results after laparoscopic complete mesocolic excision (CME) for colonic cancer over a 10-year period.
Methods:
Consecutive patients who received laparoscopic CME at our hospital from 2007 to 2017 were prospectively registered and retrospectively analysed. In total, 341 patients were included with tumour-nodal-metastasis (TNM) stages 0-III.
Results:
The mean age of the patients was 71.9 years. The median length of stay was 5 d. The mean lymph node harvest was 17.8. The mortality rate was 1.2%. Fifteen patients were reoperated on for anastomotic leaks. The local recurrence rate was 2.3%. Five-year TTR and cancer-specific survival CSS were 83.1% and 90.3%. The location of the tumour was not a significant variable for survival in unadjusted and adjusted survival analysis. TNM stage and anastomotic leaks were significant variables with respect to survival.
Conclusion:
Laparoscopic CME results in acceptable complication rates and long-term oncologic results. It is important to avoid anastomotic leaks because of their negative effect on survival.
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