Propensity score analysis of postoperative and oncological outcomes after surgical treatment for splenic flexure colon cancer

International Journal of Colorectal Disease
J Martín ArévaloA Espí-Macías

Abstract

The surgical treatment of splenic flexure colon cancer (SFCC) is somehow not yet well standardized. Postoperative and oncological results of the three surgical techniques most commonly used to treat SFCC: extended right colectomy (ERC), egmental left colectomy (SLC), and left colectomy (LC) were evaluated. The study included all patients with stage I-III SFCC treated by ERC, SLC, or LC between 2005 and 2016. Postoperative and long-term outcomes after the different surgical techniques were analyzed: Propensity score matching (PSM) was performed to compare the outcomes between these surgical techniques and survival analyses were performed using the Kaplan-Meier method and log-rank tests. A total of 170 SFCC patients were operated; ERC was performed in 71 (41.76%), SLC in 36 (21.18%), and LC in 63 (37.06%). There were no significant differences in the short and long-term postoperative outcomes. Three comparison groups were developed so that PSM could be performed between the surgical technique cases: ERC (n = 59) vs. LC (n = 50); ERC (n = 50) vs. SLC (n = 33); and SLC (n = 32) vs. LC (n = 44). No differences in the short or long-term outcomes of these techniques were observed. The short and long-term outcomes between ERC, SLC, and...Continue Reading

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Citations

Aug 7, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S HajibandehA Maw
May 1, 2021·World Journal of Emergency Surgery : WJES·Nicola de'AngelisUNKNOWN SFC Study Group
Nov 24, 2021·Updates in Surgery·Camélia LabiadUNKNOWN AFC (French Surgical Association) Working Group

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