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Laparoscopic complete mesocolic excisions for colonic cancer in the last decade:Five-year survival in a single centre

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World Journal of Gastrointestinal Surgery 2017年第11期9卷 215-223页

作者： Kristian Eeg Storli kristin bentung lygre Knut B?rge Iversen Maria Decap Geir Egil Eide Department of Surgery Haraldsplass Deaconess Hospital Department of Clinical Medicine University of Bergen Centre for Clinical Research Haukeland University Hospital Department of Global Public Health and Primary Care University of Bergen

AIM To analyse clinical and long-term oncologic results after laparoscopic complete mesocolic excision(CME) for colonic cancer over a 10-year *** Consecutive patients who received laparoscopic CME at our hospital from 2007 to 2017 were prospectively registered and retrospectively analysed. In total, 341 patients were included with tumour-nodal-metastasis(TNM) stages 0-Ⅲ.RESULTS The mean age of the patients was 71.9 years. The median length of stay was 5 d. The mean lymph node harvest was 17.8. The mortality rate was 1.2%. Fifteen patients were reoperated on for anastomotic leaks. The local recurrence rate was 2.3%. Five-year TTR and cancer-specific survival CSS were 83.1% and 90.3%. The location of the tumour was not a significant variable for survival in unadjusted and adjusted survival analysis. TNM stage and anastomotic leaks were significant variables with respect to *** Laparoscopic CME results in acceptable complication rates and long-term oncologic results. It is important to avoid anastomotic leaks because of their negative effect on survival.

关键词： Complete mesocolic excision Central vascular ligature Colonic cancer Laparoscopic surgery Time to recurrence Cancer specific survival

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