Jianhua Dong, Xianshuo Cheng, Ming Li, Kun Yu
Department of Colorectal Surgery, Yunnan Cancer Hospital, the Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, People’s Republic of China.
Summary
Purpose: To investigate the short- and long-term outcomes of laparoscopic complete mesocolic excision (LCME) for the treatment of transverse colon cancer (TCC) in elderly patients.
Methods: Data from 147 TCC patients who underwent LCME at our hospital between January 2014 and January 2019 were retrospectively analyzed. The patients were stratified into two groups for the analysis of the clinical effectiveness of LCME: elderly group (54 patients) and non-elderly group (93 patients).
Results: The Charlson comorbidity index score of the elderly group was higher than that of the non-elderly group. The difference in the overall complications between the elderly and non-elderly groups was not statistically significant, while the incidence of pulmonary infection was higher in the elderly group than in the non-elderly group. No statistical differences were seen in the 5-year disease-free survival (DFS) and overall survival (OS) rates between the elderly and non-elderly groups. Poor tumor differentiation, T3-4 and N2 stage were independent risk factors for TCC recurrence and survival among patients.
Conclusions: LCME is a safe and effective method for the treatment of TCC in elderly patients, with comparable clinical effectiveness between the elderly and non-elderly patients.
Key words: minimally invasive surgical oncology, laparoscopy, transverse colon cancer, elderly, complete mesocolic excision.
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