Open Access

Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center

  • Authors:
    • Octavian Enciu
    • Adelaida Avino
    • Valentin Calu
    • Elena Adelina Toma
    • Adrian Tulin
    • Raluca Tulin
    • Iulian Slavu
    • Laura Răducu
    • Andra-Elena Balcangiu-Stroescu
    • Daniela-Elena Gheoca Mutu
    • Luminiţa Florentina Tomescu
    • Adrian Miron
  • View Affiliations

  • Published online on: May 20, 2022     https://doi.org/10.3892/etm.2022.11382
  • Article Number: 455
  • Copyright: © Enciu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Despite concerns regarding oncologic safety, laparoscopic surgery for colon cancer has been proven in several trials in the lasts decades to be superior to open surgery. In addition, the benefits of laparoscopic surgery can be offered to other patients with malignant disease. The aim of the present study was to compare the quality of oncologic resection for non‑metastatic, resectable colon cancer between laparoscopic and open surgery in terms of specimen margins and retrieved lymph nodes in a medium volume center in Romania. A total of 219 patients underwent surgery for non‑metastatic colon cancer between January 2017 and December 2020. Of these, 52 underwent laparoscopic resection, while 167 had open surgery. None of the patients in the laparoscopic group had positive circumferential margins (P=0.035) while 12 (7.19%) patients in the open group (OG) had positive margins. A total of three patients in the laparoscopic group (5.77%) and seven patients (4.19%) in the OG had invaded axial margins. While the number of retrieved lymph nodes was not correlated with the type of procedure [laparoscopic group 16.12 (14±6.56), OG 17.31 (15±8.42), P=0.448], the lymph node ratio was significantly higher in the OG (P=0.003). Given the results of the present study, it is safe to conclude that laparoscopic surgery is not inferior to open surgery for non‑metastatic colon cancer in a medium volume center.
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July-2022
Volume 24 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Enciu O, Avino A, Calu V, Toma EA, Tulin A, Tulin R, Slavu I, Răducu L, Balcangiu-Stroescu A, Gheoca Mutu D, Gheoca Mutu D, et al: Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center. Exp Ther Med 24: 455, 2022
APA
Enciu, O., Avino, A., Calu, V., Toma, E.A., Tulin, A., Tulin, R. ... Miron, A. (2022). Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center. Experimental and Therapeutic Medicine, 24, 455. https://doi.org/10.3892/etm.2022.11382
MLA
Enciu, O., Avino, A., Calu, V., Toma, E. A., Tulin, A., Tulin, R., Slavu, I., Răducu, L., Balcangiu-Stroescu, A., Gheoca Mutu, D., Tomescu, L. F., Miron, A."Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center". Experimental and Therapeutic Medicine 24.1 (2022): 455.
Chicago
Enciu, O., Avino, A., Calu, V., Toma, E. A., Tulin, A., Tulin, R., Slavu, I., Răducu, L., Balcangiu-Stroescu, A., Gheoca Mutu, D., Tomescu, L. F., Miron, A."Laparoscopic vs. open resection for colon cancer‑quality of oncologic resection evaluation in a medium volume center". Experimental and Therapeutic Medicine 24, no. 1 (2022): 455. https://doi.org/10.3892/etm.2022.11382