ArticleSurgical endoscopy2016
Nationwide implementation of laparoscopic surgery for colon cancer: short-term outcomes and long-term survival in a population-based cohort.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 57 citations in OpenAlex.
- Review
- Have the recent advancements in cancer therapy and survival benefitted patients of all age groups across the Nordic countries? NORDCAN survival analyses 2002-2021.Acta oncologica (Stockholm, Sweden) · 2024Article
- Short term results in a population based study indicate advantage for laparoscopic colon cancer surgery versus open.Scientific reports · 2023Article
- Survival in Colon, Rectal and Small Intestinal Cancers in the Nordic Countries through a Half Century.Cancers · 2023Article
- Laparoscopic surgery for colorectal cancer in an elderly population with high comorbidity: a single centre experience.International journal of colorectal disease · 2022Article
- Development and Internal Validation of a Nomogram-Based Model to Predict Three-Year and Five-Year Overall Survival in Patients with Stage II/III Colon Cancer.Cancer management and research · 2022Article
- [Evidence in minimally invasive oncological surgery of the colon and rectum].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Risk factors for suboptimal laparoscopic surgery in rectal cancer patients.Langenbeck's archives of surgery · 2021Article
- Association of laparoscopic colectomy versus open colectomy on the long-term health-related quality of life of colon cancer survivors.Surgical endoscopy · 2020Article
- Effect of nalbuphine on patient controlled intravenous analgesia after radical resection of colon cancer.Oncology letters · 2020Article
- Comparison of a Five-Year Survival and Cancer Recurrence between Laparoscopically Assisted and Open Colonic Resections due to Adenocarcinoma-a Single Centre Experience.Medicina (Kaunas, Lithuania) · 2020Article
- Comparison of clinical outcomes between laparoscopic and open surgery for left-sided colon cancer: a nationwide population-based study.Scientific reports · 2020Article
- Short-term outcomes after elective colon cancer surgery: an observational study from the Norwegian registry for gastrointestinal and HPB surgery, NoRGast.Surgical endoscopy · 2019Observational
- Laparoscopic Complete Mesocolic Excision for Right-Sided Colon Cancer: Analysis of Feasibility and Safety from a Single Western Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Surgical treatment and survival from colorectal cancer in Denmark, England, Norway, and Sweden: a population-based study.The Lancet. Oncology · 2019Article
- Minimally invasive surgery for colorectal cancer remains underutilized in Germany despite its nationwide application over the last decade.Scientific reports · 2018Article
- Long-term oncologic outcomes after laparoscopic vs. open colon cancer resection: a high-quality population-based analysis in a Southern German district.Surgical endoscopy · 2018Observational
- Laparoscopic conversion in colorectal cancer surgery; is there any improvement over time at a population level?Surgical endoscopy · 2018Article
- Laparoscopic right-sided colon resection for colon cancer-has the control group so far been chosen correctly?World journal of surgical oncology · 2018Article
- Improved perioperative care is associated with improved long-term survival in colorectal cancer.International journal of colorectal disease · 2018Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRandomized trials show similar outcomes after open surgery and laparoscopy for colon cancer, and confirmation of outcomes after implementation in routine practice is important. While some studies have reported long-term outcomes after laparoscopic surgery from single institutions, data from large patient cohorts are sparse. We investigated short- and long-term outcomes of laparoscopic and open surgery for treating colon cancer in a large national cohort.
methodsWe retrieved data from the Norwegian Colorectal Cancer Registry for all colon cancer resections performed in 2007-2010. Five-year relative survival rates following laparoscopic and open surgeries were calculated, including excess mortality rates associated with potential predictors of death.
resultsAmong 8707 patients with colon cancer that underwent major resections, 16 % and 36 % received laparoscopic procedures in 2007 and 2010, respectively. Laparoscopic procedures were most common in elective surgeries for treating stages I-III, right colon, or sigmoid tumours. The conversion rate of laparoscopic procedures was 14.5 %. Among all patients, laparoscopy provided higher 5-year relative survival rates (70 %) than open surgery (62 %) (P = 0.040), but among the largest group of patients electively treated for stages I-III disease, the approaches provided similar relative survival rates (78 vs. 81 %; P = 0.535). Excess mortality at 2 years post-surgery was lower after laparoscopy than after open surgery (excess hazard ratio, 0.7; P = 0.013), but similar between groups during the last 3 years of follow-up. Major predictors of death were stage IV disease, tumour class pN+, age > 80 years, and emergency procedures (excess hazard ratios were 5.3, 2.4, 2.1, and 2.0, respectively; P < 0.001).
conclusionNationwide implementation of laparoscopic colectomy for colon cancer was safe and achieved results comparable to those from previous randomized trials.
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