XXXX in the splenic flexure: comparison of short-term outcomes of laparoscopic and open colectomy.

@entity1 @entity548 @entity5 @entity190 @entity260 @entity694
BACKGROUND: Laparoscopic surgery for @entity694 in the splenic flexure (SF @entity5 ) is technically demanding and has not been evaluated in randomized clinical trials. This study aimed to evaluate the safety and feasibility of laparoscopic surgery for SF @entity5 . METHODS: Thirty-three @entity1 undergoing laparoscopic surgery for SF @entity5 (LAC group) were retrospectively compared with 22 @entity1 undergoing open surgery for SF @entity5 (OC group) between April 2003 and June 2010. RESULTS: Left hemicolectomy was the most performed procedure in both groups (79% vs. 82%). Median operating time was significantly longer (209 vs. 178 min) and estimated @entity190 was significantly lower (15 vs. 113 mL) in the LAC group than in the OC group. Conversion to open surgery was needed for 1 (3%) @entity1 because of @entity548 near the pancreas. @entity5 stage was more advanced in the OC group than in the LAC group, but N stages were similar between groups. The median number of lymph nodes harvested was significantly higher in the LAC group than in the OC group (16 vs. 12). The rate of @entity260 was significantly lower in the LAC group than in the OC group (6% vs. 36%). Time to flatus (1 vs. 3 d), time to liquid diet (2 vs. 5 d), and hospital stay (12 vs. 16 d) were significantly shorter in the LAC group than in the OC group. CONCLUSIONS: Laparoscopic surgery for SF @entity5 is feasible.
