Oncologic outcomes of a laparoscopic right hemicolectomy for colon cancer: Results of a 3-year follow-up

Jung Hoon Cho, Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim

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Abstract

Purpose: The purpose of the study is to evaluate the oncologic outcomes of a laparoscopic-assisted right hemicolectomy for the treatment of colon cancer and compare the results with those of previous randomized trials. Methods: From June 2006, to December 2008, 156 consecutive patients who underwent a laparoscopic right hemicolectomy with a curative intent for colon cancer were evaluated. The clinicopatholgic outcomes and the oncologic outcomes were evaluated retrospectively by using electronic medical records. Results: There were 84 male patients and 72 female patients. The mean possible length of stay was 7.0 ± 1.5 days (range, 4 to 12 days). The conversion rate was 3.2%. The total number of complications was 30 (19.2%). Anastomotic leakage was not noted. There was no mortality within 30 days. The 3-year overall survival rate of all stages was 93.3%. The 3-year overall survival rates according to stages were 100% in stage I, 97.3% in stage II, and 84.8% in stage III. The 3-year disease-free survival rate of all stages was 86.1%. The 3-year disease-free survival rates according to stage were 96.2% in stage I, 90.3% in stage II, and 75.6% in stage III. The mean follow-up period was 36.3 (3 to 60) months. Conclusion: A laparoscopic right hemicolectomy for the treatment of colon cancer is technically feasible and safe to perform in terms of oncologic outcomes. The present data support previously reported randomized trials.

Original languageEnglish
Pages (from-to)42-48
Number of pages7
JournalJournal of the Korean Society of Coloproctology
Volume28
Issue number1
DOIs
Publication statusPublished - 2012 Feb 1

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Colonic Neoplasms
Survival Rate
Disease-Free Survival
Anastomotic Leak
Electronic Health Records
Length of Stay
Mortality
Therapeutics

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Cho, Jung Hoon ; Lim, Dae Ro ; Hur, Hyuk ; Min, Byung Soh ; Baik, Seung Hyuk ; Lee, Kang Young ; Kim, Nam Kyu. / Oncologic outcomes of a laparoscopic right hemicolectomy for colon cancer : Results of a 3-year follow-up. In: Journal of the Korean Society of Coloproctology. 2012 ; Vol. 28, No. 1. pp. 42-48.
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Oncologic outcomes of a laparoscopic right hemicolectomy for colon cancer : Results of a 3-year follow-up. / Cho, Jung Hoon; Lim, Dae Ro; Hur, Hyuk; Min, Byung Soh; Baik, Seung Hyuk; Lee, Kang Young; Kim, Nam Kyu.

In: Journal of the Korean Society of Coloproctology, Vol. 28, No. 1, 01.02.2012, p. 42-48.

Research output: Contribution to journalArticle

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T1 - Oncologic outcomes of a laparoscopic right hemicolectomy for colon cancer

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AU - Cho, Jung Hoon

AU - Lim, Dae Ro

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AU - Min, Byung Soh

AU - Baik, Seung Hyuk

AU - Lee, Kang Young

AU - Kim, Nam Kyu

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N2 - Purpose: The purpose of the study is to evaluate the oncologic outcomes of a laparoscopic-assisted right hemicolectomy for the treatment of colon cancer and compare the results with those of previous randomized trials. Methods: From June 2006, to December 2008, 156 consecutive patients who underwent a laparoscopic right hemicolectomy with a curative intent for colon cancer were evaluated. The clinicopatholgic outcomes and the oncologic outcomes were evaluated retrospectively by using electronic medical records. Results: There were 84 male patients and 72 female patients. The mean possible length of stay was 7.0 ± 1.5 days (range, 4 to 12 days). The conversion rate was 3.2%. The total number of complications was 30 (19.2%). Anastomotic leakage was not noted. There was no mortality within 30 days. The 3-year overall survival rate of all stages was 93.3%. The 3-year overall survival rates according to stages were 100% in stage I, 97.3% in stage II, and 84.8% in stage III. The 3-year disease-free survival rate of all stages was 86.1%. The 3-year disease-free survival rates according to stage were 96.2% in stage I, 90.3% in stage II, and 75.6% in stage III. The mean follow-up period was 36.3 (3 to 60) months. Conclusion: A laparoscopic right hemicolectomy for the treatment of colon cancer is technically feasible and safe to perform in terms of oncologic outcomes. The present data support previously reported randomized trials.

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