Journal ArticleDOI
Surgical Treatment of Colon Cancer of the Splenic Flexure: A Systematic Review and Meta-analysis
Aleix Martínez-Pérez,Francesco Brunetti,Giulio Cesare Vitali,Solafah Abdalla,Frédéric Ris,Nicola de’Angelis +5 more
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TLDR
In conclusion, the optimal extent of SFC surgical resection, that is, ERC or LC remains under debate, however, laparoscopy provides better postoperative outcomes and fewer postoperative complications than open surgery.Abstract:
This is a systematic review and meta-analysis on the surgical treatments of splenic flexure carcinomas (SFCs). Medline, EMBASE, and Scopus were searched from January 1990 to May 2016. Studies of at least 5 patients comparing extended right colectomy (ERC) versus left colectomy (LC) and/or laparoscopy versus open surgery for SFCs were retrieved and analyzed. Overall, 12 retrospective studies were selected, including 569 patients. ERC was performed in 23.2% of patients, whereas LC in 76.8%. Pooled data suggested that ERC and LC had similar oncologic quality of resection and postoperative outcomes. Laparoscopy was used in 50.6% of patients (conversion rate: 2.5%) and it was associated with significantly shorter time to oral diet, fewer postoperative complications, and shorter hospital stay than open surgery. In conclusion, the optimal extent of SFC surgical resection, that is, ERC or LC remains under debate. However, laparoscopy provides better postoperative outcomes and fewer postoperative complications than open surgery.read more
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The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Colon Cancer
TL;DR: The American Society of Colon and Rectal Surgeons (ASCRS) as mentioned in this paper developed a set of guidelines for the management of colorectal cancer, which are intended for the use of all practitioners, health care workers, and patients who desire information about the conditions addressed by the topics covered in these guidelines.
Journal ArticleDOI
Treatment of splenic flexure colon cancer: a comparison of three different surgical procedures: Experience of a high volume cancer center.
Daniela Rega,Ugo Pace,D. Scala,Paolo Chiodini,Vincenza Granata,Andrea Fares Bucci,Biagio Pecori,Paolo Delrio +7 more
TL;DR: It is the opinion that the extended surgery is seldomly indicated to cure splenic flexure cancer.
Journal ArticleDOI
Extended right colectomy, left colectomy, or segmental left colectomy for splenic flexure carcinomas: a European multicenter propensity score matching analysis.
Nicola de’Angelis,Aleix Martínez-Pérez,Des C. Winter,Filippo Landi,Giulio Cesare Vitali,Bertrand Le Roy,Federico Coccolini,Francesco Brunetti,Valerio Celentano,Salomone Di Saverio,Frédéric Ris,David Fuks,Eloy Espin +12 more
TL;DR: The present study supports the resection of SFCs by colon-sparing surgical techniques, such as SLC, by comparing the short- and long-term outcomes of extended right (ERC) vs. segmental left colectomy (SLC) for S FCs.
Journal ArticleDOI
Propensity score analysis of postoperative and oncological outcomes after surgical treatment for splenic flexure colon cancer
J. Martín Arévalo,David Moro-Valdezate,Stephanie García-Botello,V. Pla-Martí,Marina Garcés-Albir,L. Pérez Santiago,A. Vargas-Durán,Alejandro Espí-Macías +7 more
TL;DR: The short and long-term outcomes between ERC, SLC, and LC are similar and SLC should be considered oncologically as appropiate as the other more extensive resections.
Journal ArticleDOI
Optimal Surgery for Mid-Transverse Colon Cancer: Laparoscopic Extended Right Hemicolectomy Versus Laparoscopic Transverse Colectomy.
Takeru Matsuda,Yasuo Sumi,Kimihiro Yamashita,Hiroshi Hasegawa,Masashi Yamamoto,Yoshiko Matsuda,Shingo Kanaji,Taro Oshikiri,Tetsu Nakamura,Satoshi Suzuki,Yoshihiro Kakeji +10 more
TL;DR: Laparoscopic extended right hemicolectomy and laparoscopic transverse colectomy offer similar oncological outcomes for mid-transverse colon cancer and might be associated with fewer postoperative complications.
References
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Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial
Pierre J. Guillou,Philip Quirke,H. Thorpe,J. Walker,David G. Jayne,Adrian Smith,Richard M. Heath,Julia Brown +7 more
TL;DR: Laroscopic-assisted surgery for cancer of the colon is as effective as open surgery in the short term and is likely to produce similar long-term outcomes, however, impaired short- term outcomes after laparosc-assisted anterior resection forcancer of the rectum do not yet justify its routine use.