Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels

Aim of investigation. To evaluate morphological characteristics of the resected specimen after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer. Material and methods. The investigation was designed as retrospective-prospective comparative case-match study. From archi...

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Main Authors: P. V. Tsarkov, I. V. Reshetov, I. A. Tulina, A. Yu. Kravchenko, D. N. Fedorov, A. V. Leontyev
Format: Article
Language:Russian
Published: Gastro LLC 2018-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/87
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author P. V. Tsarkov
I. V. Reshetov
I. A. Tulina
A. Yu. Kravchenko
D. N. Fedorov
A. V. Leontyev
author_facet P. V. Tsarkov
I. V. Reshetov
I. A. Tulina
A. Yu. Kravchenko
D. N. Fedorov
A. V. Leontyev
author_sort P. V. Tsarkov
collection DOAJ
description Aim of investigation. To evaluate morphological characteristics of the resected specimen after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer. Material and methods. The investigation was designed as retrospective-prospective comparative case-match study. From archival cases and prospectively collected database cases with left-sided colon cancer stage I-III treated by complete mesocolic excision (CME) with D3-lymphadenectomy were selected. Patients who underwent open surgery formed the first group. The second group included patients after laparoscopic surgery. Results. Each group consisted of 54 patients. There were no significant differences in terms of age, gender, body mass index, tumor location, and tumor stage between the two groups. No statistically significant difference in specimen morphological characteristics after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer was observed. Conclusion. The feasibility and safety of laparoscopic technique in treatment of left-sided colon cancer is reasonable regarding to the specimen quality. Similar clinical and pathological results suggest that there is no oncological difference between open and laparoscopic techniques with D3-lymphadenectomy for left-sided colon cancer. However, further studies are required to estimate long-term oncological results.
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spelling doaj-art-9c3f28802e2242abaa98bda5a6815dca2025-02-10T16:14:28ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-01265829110.22416/1382-4376-2016-5-82-9187Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallelsP. V. Tsarkov0I. V. Reshetov1I. A. Tulina2A. Yu. Kravchenko3D. N. Fedorov4A. V. Leontyev5State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»State educational government-financed institution of higher professional education «Sechenov First Moscow state medical university»Aim of investigation. To evaluate morphological characteristics of the resected specimen after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer. Material and methods. The investigation was designed as retrospective-prospective comparative case-match study. From archival cases and prospectively collected database cases with left-sided colon cancer stage I-III treated by complete mesocolic excision (CME) with D3-lymphadenectomy were selected. Patients who underwent open surgery formed the first group. The second group included patients after laparoscopic surgery. Results. Each group consisted of 54 patients. There were no significant differences in terms of age, gender, body mass index, tumor location, and tumor stage between the two groups. No statistically significant difference in specimen morphological characteristics after open and laparoscopic surgery with D3-lymphadenectomy for left-sided colon cancer was observed. Conclusion. The feasibility and safety of laparoscopic technique in treatment of left-sided colon cancer is reasonable regarding to the specimen quality. Similar clinical and pathological results suggest that there is no oncological difference between open and laparoscopic techniques with D3-lymphadenectomy for left-sided colon cancer. However, further studies are required to estimate long-term oncological results.https://www.gastro-j.ru/jour/article/view/87мезоколонэктомияд3-лимфо-диссекциялапароскопическая мезоколонэктомияциркулярная граница резекцииметастатический индекс
spellingShingle P. V. Tsarkov
I. V. Reshetov
I. A. Tulina
A. Yu. Kravchenko
D. N. Fedorov
A. V. Leontyev
Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
мезоколонэктомия
д3-лимфо-диссекция
лапароскопическая мезоколонэктомия
циркулярная граница резекции
метастатический индекс
title Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
title_full Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
title_fullStr Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
title_full_unstemmed Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
title_short Laparoscopic and open surgery with D3-lymphadenectomy in patients with left-sided colon cancer: clinical and pathological parallels
title_sort laparoscopic and open surgery with d3 lymphadenectomy in patients with left sided colon cancer clinical and pathological parallels
topic мезоколонэктомия
д3-лимфо-диссекция
лапароскопическая мезоколонэктомия
циркулярная граница резекции
метастатический индекс
url https://www.gastro-j.ru/jour/article/view/87
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AT ivreshetov laparoscopicandopensurgerywithd3lymphadenectomyinpatientswithleftsidedcoloncancerclinicalandpathologicalparallels
AT iatulina laparoscopicandopensurgerywithd3lymphadenectomyinpatientswithleftsidedcoloncancerclinicalandpathologicalparallels
AT ayukravchenko laparoscopicandopensurgerywithd3lymphadenectomyinpatientswithleftsidedcoloncancerclinicalandpathologicalparallels
AT dnfedorov laparoscopicandopensurgerywithd3lymphadenectomyinpatientswithleftsidedcoloncancerclinicalandpathologicalparallels
AT avleontyev laparoscopicandopensurgerywithd3lymphadenectomyinpatientswithleftsidedcoloncancerclinicalandpathologicalparallels