Highlights
- •Surgical treatment of splenic flexure colon cancer remains controversial regarding extent of colon resection.
- •Dual lymphatic drainage in splenic flexure enquiries optimal extent of surgical resection and mesenteric vascular ligation.
- •The overall and disease free survival were similar for extended and segmental colonic resection groups.
Abstract
Background
The optimal surgical treatment approach for splenic flexure colon cancers remains
controversial regarding the type of resection.
Methods
We hypothesized that both extended and segmental resections have similar surgical
and oncologic outcomes. A retrospective review of prospectively collected database
was performed on all patients who had colectomy for splenic flexure colon cancer between
1996 and 2018.
Results
Of 142 patients, 119 underwent extended resection; therefore, this group was compared
with the group which underwent segmental resection (n = 23). The groups were similar
in age, sex, ASA scores, operative times, estimated blood loss, hospital length of
stay, and postoperative complication rates (p > 0.05). Median follow-up was 9.58 years
(IQR:5.46–16.48). Multivariable regression models demonstrated no significant association
between resection approach and disease-free survival (HR 1.63 [95%CI:0.91–2.92]),
as well as overall survival (HR 1.80 [95%CI:0.97; 3.36]).
Conclusion
In the treatment of splenic flexure colon cancer, segmental colon resections have
similar oncologic outcomes when compared to extended colectomies.
Keywords
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Article Info
Publication History
Published online: November 15, 2022
Accepted:
November 10,
2022
Received in revised form:
October 30,
2022
Received:
July 10,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
☆This study was accepted as part of an oral presentation with an invited discussant at MSA 2022 Annual Meeting on August 7–9, 2022 at Grand Hotel, Mackinac Island, Michigan.
Identification
Copyright
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