Clinical Outcomes of Surgical Therapy (COST) was a landmark study demonstrating that laparoscopic-assisted colectomy had oncologic outcomes similar to those of open colectomy for @entity694 , but transverse @entity694 (TCCs) were excluded from that study. Oncologic results of a laparoscopic resection for @entity8214 are unknown. This single-institution retrospective 3:1 case-matched review examined @entity1 treated for @entity8214 from January 1, 1996, to April 15, 2009. Laparoscopic colectomy (LC) and open colectomy (OC; extended right, extended left, and total abdominal) cases completed for Stage I to III adenocarcinoma of the transverse colon (hepatic flexure, transverse colon, and splenic flexure) were analyzed. @entity1 were matched for age, @entity5 location, and stage. Primary endpoints were overall survival and disease-free survival. Secondary endpoints were length of stay and pathologic parameters. One hundred and twenty-three OC cases were matched with 41 LC cases. There were four conversions (9.7%) in the LC group. Length of stay was reduced by 28% in the LC group (P = 0.02). Complication rate and severity were similar between the two groups (29% vs 24%; P = 0.68). Lymph node harvest was higher in the LC group than in the OC group (23.3 vs 18.6; P = 0.03). All pathologic margins were clear, and no local recurrence was found in either group. Five-year overall survival (61% vs 59%; P = 0.39) and disease-free survival (88% vs 82%; P = 0.23) were similar in the two groups. Short-term recovery was faster and lymph node harvest was improved in the LC group. Thus, laparoscopic management of @entity8214 is a safe and feasible procedure.

Comparison of long-term follow up of laparoscopic versus open colectomy for transverse XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity8214 :: ('MESH:C536943', 'Disease') :: ['TCC'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colon cancer', 'colon cancers'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor']
@entity694 :: (MESH:D003110,Disease) :: ['colon cancer']
