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Short term results in a population based study indicate advantage for laparoscopic colon cancer surgery versus open
Department of Surgery, SSORG - Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 416 85, Gothenburg, Sweden; Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Örebro universitet, Institutionen för medicinska vetenskaper. Department of Surgery, Örebro University Hospital, Örebro, Sweden.ORCID-id: 0000-0003-4939-4189
Örebro universitet, Institutionen för medicinska vetenskaper. Department of Surgery, Örebro University Hospital, Örebro, Sweden.ORCID-id: 0000-0002-6671-7130
School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
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2023 (Engelska)Ingår i: Scientific Reports, E-ISSN 2045-2322, Vol. 13, nr 1, artikel-id 4335Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The aim of this study was to compare LAP with OPEN regarding short-term mortality, morbidity and completeness of the cancer resection for colon cancer in a routine health care setting using population based register data. All 13,683 patients who were diagnosed 2012-2018 and underwent elective surgery for right-sided or sigmoid colon cancer were included from the Swedish Colorectal Cancer Registry and the National Patient Registry. Primary outcome was 30-day mortality. Secondary outcomes were 90-day mortality, length of hospital stay, reoperation, readmission and positive resection margin (R1). Weighted and unweighted multi regression analyses were performed. There were no difference in 30-day mortality: LAP (0.9%) and OPEN (1.3%) (OR 0.89, 95% CI 0.62-1.29, P = 0.545). The weighted analyses showed an increased 90-day mortality following OPEN, P < 0.001. Re-operations and re-admission were more frequent after OPEN and length of hospital stay was 2.9 days shorter following LAP (P < 0.001). R1 resections were significantly more common in the OPEN group in the unweighted and weighted analysis with P = 0.004 and P < 0.001 respectively. Therefore, the favourable short-term outcomes following elective LAP versus OPEN resection for colon cancer in routine health care indicate an advantage of laparoscopic surgery.

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Nature Publishing Group, 2023. Vol. 13, nr 1, artikel-id 4335
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Kirurgi
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URN: urn:nbn:se:oru:diva-105108DOI: 10.1038/s41598-023-30448-8ISI: 000984357200029PubMedID: 36927758Scopus ID: 2-s2.0-85150312979OAI: oai:DiVA.org:oru-105108DiVA, id: diva2:1744846
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Göteborgs universitetCancerfondenAnna-Lisa och Bror Björnssons stiftelse
Anmärkning

Funding agency:

ALF Sahlgrenska University Hospital, 'Agreement concerning research and education of doctors' ALFGBG-716581

Tillgänglig från: 2023-03-21 Skapad: 2023-03-21 Senast uppdaterad: 2023-12-07Bibliografiskt granskad

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Matthiessen, PeterDehlaghi Jadid, Kaveh

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