Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center
Purpose Laparoscopic approach to colonic tumor requires skill set and resources to be established as routine standard of care in most centers around the world. It presents particular challenge in country like Pakistan due to economic constrain and lack of teaching and training opportunities availabl...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2022-06-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2021-00045-0006.pdf |
| _version_ | 1811325586196398080 |
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| author | Muhammad Fahd Shah Awais Naeem Ihtisham ul Haq Shehryar Riaz Osama Shakeel Sofoklis Panteleimonitis Shahid Khattak Aamir Ali Syed Amjad Parvaiz |
| author_facet | Muhammad Fahd Shah Awais Naeem Ihtisham ul Haq Shehryar Riaz Osama Shakeel Sofoklis Panteleimonitis Shahid Khattak Aamir Ali Syed Amjad Parvaiz |
| author_sort | Muhammad Fahd Shah |
| collection | DOAJ |
| description | Purpose Laparoscopic approach to colonic tumor requires skill set and resources to be established as routine standard of care in most centers around the world. It presents particular challenge in country like Pakistan due to economic constrain and lack of teaching and training opportunities available for surgeons to be trained to deliver such service. The aim of this study is to look into changing practice of our institution from conventional approach of open to laparoscopic surgery for right colon cancer. Methods Consecutive patients between January 2010 to December 2018 who presented to Shaukat Khanum Memorial Cancer Hospital and Research Centre with diagnosis of right colon (cecum, ascending and transverse colon) adenocarcinoma and underwent surgical resections were included in this study. Results A total of 230 patients with adenocarcinoma of the right colon underwent curative resections during the study period. Of these, 141 patients (61.3%) underwent laparoscopic surgery while open resection was performed in 89 patients (38.7%). Five-year disease-free survival (DFS) of patients with American Joint Committee on Cancer (AJCC) stage III (80.9% vs. 54.8%, P = 0.021) was significantly better if these patients underwent laparoscopic surgery while a trend toward better DFS (96.7% vs. 84.1%, P = 0.111) was also observed in AJCC stage II patients, although this difference was not significant. Conclusion This study demonstrates the adoption of a laparoscopic approach for right colon cancer over 10 years. With a standardized approach and using the principle of oncological surgery, we incorporated this in our minimally invasive surgery practice at our institution. |
| first_indexed | 2024-04-13T14:36:59Z |
| format | Article |
| id | doaj.art-74658d18b17a435191a2263d24f98de3 |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-04-13T14:36:59Z |
| publishDate | 2022-06-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-74658d18b17a435191a2263d24f98de32022-12-22T02:43:01ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222022-06-0138322322910.3393/ac.2021.00045.00061824Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer centerMuhammad Fahd Shah0Awais Naeem1Ihtisham ul Haq2Shehryar Riaz3Osama Shakeel4Sofoklis Panteleimonitis5Shahid Khattak6Aamir Ali Syed7Amjad Parvaiz8 Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgery, School of Health and Care Professions, University of Portsmouth, Portsmouth, United Kingdom Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, PakistanPurpose Laparoscopic approach to colonic tumor requires skill set and resources to be established as routine standard of care in most centers around the world. It presents particular challenge in country like Pakistan due to economic constrain and lack of teaching and training opportunities available for surgeons to be trained to deliver such service. The aim of this study is to look into changing practice of our institution from conventional approach of open to laparoscopic surgery for right colon cancer. Methods Consecutive patients between January 2010 to December 2018 who presented to Shaukat Khanum Memorial Cancer Hospital and Research Centre with diagnosis of right colon (cecum, ascending and transverse colon) adenocarcinoma and underwent surgical resections were included in this study. Results A total of 230 patients with adenocarcinoma of the right colon underwent curative resections during the study period. Of these, 141 patients (61.3%) underwent laparoscopic surgery while open resection was performed in 89 patients (38.7%). Five-year disease-free survival (DFS) of patients with American Joint Committee on Cancer (AJCC) stage III (80.9% vs. 54.8%, P = 0.021) was significantly better if these patients underwent laparoscopic surgery while a trend toward better DFS (96.7% vs. 84.1%, P = 0.111) was also observed in AJCC stage II patients, although this difference was not significant. Conclusion This study demonstrates the adoption of a laparoscopic approach for right colon cancer over 10 years. With a standardized approach and using the principle of oncological surgery, we incorporated this in our minimally invasive surgery practice at our institution.http://coloproctol.org/upload/pdf/ac-2021-00045-0006.pdfminimally invasive surgical procedureslaparoscopyright hemicolectomyascending colon |
| spellingShingle | Muhammad Fahd Shah Awais Naeem Ihtisham ul Haq Shehryar Riaz Osama Shakeel Sofoklis Panteleimonitis Shahid Khattak Aamir Ali Syed Amjad Parvaiz Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center Annals of Coloproctology minimally invasive surgical procedures laparoscopy right hemicolectomy ascending colon |
| title | Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center |
| title_full | Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center |
| title_fullStr | Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center |
| title_full_unstemmed | Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center |
| title_short | Laparoscopy offers better clinical outcomes and long-term survival in patients with right colon cancer: experience from national cancer center |
| title_sort | laparoscopy offers better clinical outcomes and long term survival in patients with right colon cancer experience from national cancer center |
| topic | minimally invasive surgical procedures laparoscopy right hemicolectomy ascending colon |
| url | http://coloproctol.org/upload/pdf/ac-2021-00045-0006.pdf |
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