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Laparoscopic vs open right hemicolectomy in colon carcinoma: A propensity score analysis of the DGAV StuDoQ|ColonCancer registry

PLoS Neglected Tropical Diseases Jul 03, 2019

Jurowich C, et al. - Researchers examined short-term postoperative outcomes following laparoscopic vs open resection for right-sided colon cancer. From the German Society for General and Visceral Surgery StuDoQ|ColonCancer registry, they included 4.997 patients who underwent oncological right hemicolectomy without additional interventions. Of these, 4.062 (81.3%) underwent open and 935 (18.7%) underwent laparoscopic surgery. As per propensity score analysis, the laparoscopic route was correlated with significantly shorter length of postoperative hospital stay and a significantly longer operation time. Higher ASA status, higher age and increasing BMI were identified as risk factors for postoperative complications, anastomotic insufficiency, ileus, reoperation and positive MTL30. These factors were not influenced by the surgical access route (open / lap), but the laparoscopic group did have markedly fewer lymph nodes retrieved. These findings do not suggest relevant advantages of the minimally invasive laparoscopic access route.
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