Abstract | PURPOSE: The purpose of this study was to investigate the effect of laparoscopic left colectomy (LLC) and laparoscopic sigmoidectomy ( LSD) on short-term outcomes and prognosis of sigmoid colon cancer (SCC) patients using propensity score matching (PSM). METHODS: In this retrospective study, the SCC patients who underwent LLC or LSD surgery were collected from a single clinical center from Jan 2011 to Dec 2019. Short-term outcomes and prognosis were compared between patients who received LSD surgery and LLC surgery. RESULTS: A total of 356 patients were included in this study. After 1:1 PSM analysis, there were 50 patients who underwent LLC surgery and 50 patients who underwent LSD surgery left in this study. No significant difference was found in baseline characteristics after PSM (P > .05). In comparison with the LLC surgery group, the LSD surgery group had shorter operation time (P = .003) after PSM. Moreover, the surgical procedure was not an independent predictor for overall survival (OS) (P = .918, 95% CI = .333-2.688) and disease-free survival DFS (P = .730, 95% CI = .335-2.150), but age (OS: P = .009, 95% CI = 1.010-1.075; DFS: P = .014, 95% CI = 1.007-1.061) and tumor stage (OS: P = .004, 95% CI = 1.302-3.844; DFS: P < .01, 95% CI = 1.572-4.171) were the independent risk factors for OS and DFS in SCC patients. CONCLUSION: There was no significant difference between the two surgical procedures for prognosis of SCC patients. However, the possible reasons for changing the surgical procedures should be cautious by surgeons.
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Authors | Wei Tao, Fei Liu, Yu-Xi Cheng, Bin Zhang, Xiao-Yu Liu, Wei Zhang, Dong Peng |
Journal | Cancer control : journal of the Moffitt Cancer Center
(Cancer Control)
2023 Jan-Dec
Vol. 30
Pg. 10732748231210676
ISSN: 1526-2359 [Electronic] United States |
PMID | 37982606
(Publication Type: Journal Article)
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Topics |
- Humans
- Sigmoid Neoplasms
(surgery, etiology)
- Treatment Outcome
- Propensity Score
- Retrospective Studies
- Colectomy
(adverse effects, methods)
- Prognosis
- Laparoscopy
(methods)
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