Division of Colorectal Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan.
Dig Surg. 2009 Feb;26(6):487-92. doi: 10.1159/000253875. Epub 2010 Jan 8.
BACKGROUND/AIMS: Many randomized clinical trials have been performed to treat colon carcinoma with the exclusion of transverse colon carcinoma or descending colon carcinoma. The aim of the present study was to investigate the difference in surgical outcomes between laparoscopic surgery for transverse/descending colon carcinomas and that for other colon carcinomas.
A total prospective registry of 455 patients with colon carcinoma, who initially underwent laparoscopic surgery between June 2001 and December 2008, were reviewed. Surgical outcomes were compared between laparoscopic surgery for transverse/descending colon carcinoma (transverse/descending group, n = 89) and laparoscopic surgery for other colon carcinomas (other group, n = 366).
There was no perioperative mortality. Preoperative clinical characteristics were similar between the two groups. Regarding operative and postoperative results, the surgical duration and intraoperative blood loss were significantly greater in the transverse/descending group. However, there were no significant differences in the postoperative course between groups, and the complication rates between the groups were similar.
Laparoscopic surgery for transverse/descending carcinoma can be performed safely, and shows short-term benefits comparable to those in patients who underwent laparoscopic surgery for other colon carcinomas.
背景/目的：许多随机临床试验已经排除了横结肠癌或降结肠癌来治疗结肠癌。本研究旨在探讨横/降结肠癌腹腔镜手术与其他结肠癌腹腔镜手术的手术结果差异。
回顾性分析了 2001 年 6 月至 2008 年 12 月期间接受腹腔镜手术的 455 例结肠癌患者的前瞻性登记资料。比较横/降结肠癌（横/降组，n = 89）和其他结肠癌（其他组，n = 366）腹腔镜手术的手术结果。
无围手术期死亡。两组术前临床特征相似。在手术和术后结果方面，横/降组的手术时间和术中出血量显著增加。然而，两组术后病程无显著差异，且并发症发生率相似。
横/降结肠癌的腹腔镜手术是安全的，并显示出与其他结肠癌腹腔镜手术相似的短期获益。
