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Pregled bibliografske jedinice broj: 227654

Technique and survival after laparoscopically assisted right hemicolectomy


Baća, Ivo; Perko, Zdravko; Bokan, I.; Mimica, Ž.; Petričević, A.; Družijanić, N.; Šitum, Marijan
Technique and survival after laparoscopically assisted right hemicolectomy // Surgical Endoscopy & Other Interventional Techniques, 19 (2005), 5; 650-655 doi:10.1007/s00464-004-9068-6 (recenziran, članak, stručni)


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Naslov
Technique and survival after laparoscopically assisted right hemicolectomy

Autori
Baća, Ivo ; Perko, Zdravko ; Bokan, I. ; Mimica, Ž. ; Petričević, A. ; Družijanić, N. ; Šitum, Marijan

Izvornik
Surgical Endoscopy & Other Interventional Techniques (0930-2794) 19 (2005), 5; 650-655

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
laparoscopy ; Colon resection ; Right hemicolectomy ; Survival ; Cancer

Sažetak
Background: The role of laparoscopic colon resection in the management of colon cancer is still controversial. In this article, the Surgical strategy and techniques are described, with further consideration of the oncologically relevant aspects. Methods: Between March 1993 and July 2003, we performed laparoscopic right hemicolectomy in 56 patients with right colon carcinoma. Average age was 74.5 years (range, 17-92). We performed a standardized surgical procedure that included mobilization from the vascularized mesenteric bridges with a window technique, transection of the ileocolic lymphovascular pedicle, and lateral and proximal mobilization of the ileocecum, ascending colon, right flexure, and proximale transversum. After enlargement of one of the trocar incisions the exteriorized colon was resected and an extracorporeal anastomosis was performed in the standard manner. Results: There were no conversions to open. The mean operating time was 119 +/- 38 min, the mean length of resected colon was 27.8 +/- 4.48 cm, and the average width of the clear margins was 6.8 +/- 5.3 cm. One patient died. Lymph nodes were positive in 21 patients. The 5-year survival rate in the 48 patients who were operated on with curative intent was 75%. We have had two local recurrences. The overall 5-year mortality-free fraction was 63%. Cox multivariate analysis showed that the mortality-prognostic factors were tumor stage and length of resected colon, whereas Kaplan-Meier analysis showed that the mortality-prognostic factors were positive lymph nodes and tumor stage. Conclusions: Our results show that laparoscopic right hemicolectomy for colon cancer can be performed safely. Complications and recurrence rates are comparable to those for left-sided laparoscopic and open procedures. Therefore, we recommend this procedure as the method of choice. Laparoscopically treated patients with stage II and stage III disease have almost the same cumulative rate of survival.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekti:
0216004
0141009

Ustanove:
KBC Split,
Medicinski fakultet, Split

Profili:

Avatar Url Marija Baća (autor)

Avatar Url Ivan Bokan (autor)

Avatar Url Zdravko Perko (autor)

Avatar Url Marijan Šitum (autor)

Avatar Url Željko Mimica (autor)

Citiraj ovu publikaciju

Baća, Ivo; Perko, Zdravko; Bokan, I.; Mimica, Ž.; Petričević, A.; Družijanić, N.; Šitum, Marijan
Technique and survival after laparoscopically assisted right hemicolectomy // Surgical Endoscopy & Other Interventional Techniques, 19 (2005), 5; 650-655 doi:10.1007/s00464-004-9068-6 (recenziran, članak, stručni)
Baća, I., Perko, Z., Bokan, I., Mimica, Ž., Petričević, A., Družijanić, N. & Šitum, M. (2005) Technique and survival after laparoscopically assisted right hemicolectomy. Surgical Endoscopy & Other Interventional Techniques, 19 (5), 650-655 doi:10.1007/s00464-004-9068-6.
@article{article, year = {2005}, pages = {650-655}, DOI = {10.1007/s00464-004-9068-6}, keywords = {laparoscopy, Colon resection, Right hemicolectomy, Survival, Cancer}, journal = {Surgical Endoscopy and Other Interventional Techniques}, doi = {10.1007/s00464-004-9068-6}, volume = {19}, number = {5}, issn = {0930-2794}, title = {Technique and survival after laparoscopically assisted right hemicolectomy}, keyword = {laparoscopy, Colon resection, Right hemicolectomy, Survival, Cancer} }
@article{article, year = {2005}, pages = {650-655}, DOI = {10.1007/s00464-004-9068-6}, keywords = {laparoscopy, Colon resection, Right hemicolectomy, Survival, Cancer}, journal = {Surgical Endoscopy and Other Interventional Techniques}, doi = {10.1007/s00464-004-9068-6}, volume = {19}, number = {5}, issn = {0930-2794}, title = {Technique and survival after laparoscopically assisted right hemicolectomy}, keyword = {laparoscopy, Colon resection, Right hemicolectomy, Survival, Cancer} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


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