Purpose 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. Methods 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. Results 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 com- parison 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. Conclusion The short and long-term outcomes between ERC, SLC, and LC
International Journal of Colorectal Disease – Springer Journals
Published: May 29, 2018
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