Subtotal colectomy versus left hemicolectomy for the elective treatment of splenic flexure colonic neoplasia - 19/07/18
, Francesc Vallribera a , Albert García b , Laura Mora b , Sebastiano Biondo c , Jaime Lopez-Borao c , Ramon Farrés d , Júlia Gil d , Eloy Espin a Abstract |
Background |
Optimal elective surgical treatment for splenic flexure neoplasm (SFN) is unclear. Subtotal colectomy (STC) and left hemicolectomy (LHC) are the two more common strategies used.
Methods |
Observational multicentric study comparing postoperative morbidity, mortality and long-term survival on patients with SFN electively operated by STC versus LHC between 2003 and 2014.
Results |
After revision of the databases, 144 patients were included (STC group, n = 68; LHC group, n = 76). No differences were found on epidemiological and surgical data. A higher global morbidity (58%vs37%, p = 0.014), surgical morbidity (50%vs33%, p = 0.037), postoperative ileus (37%vs20%, p = 0.023) and harvested lymph nodes (26vs18, p = 0.0001) were found on the STC group. No significant differences in complications according to severity, reoperation rate, hospital stay, mortality, recurrence or long-term survival were found between groups.
Conclusions |
A higher surgical morbidity was found on the STC group, mainly due to mild postoperative ileus. No differences on long-term oncological results were found.
Le texte complet de cet article est disponible en PDF.Keywords : Splenic flexure, Carcinoma, Colon cancer, Surgery, Subtotal colectomy, Left hemicolectomy
Plan
Vol 216 - N° 2
P. 251-254 - août 2018 Retour au numéro
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