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Comparing the initiation of adjuvant chemotherapy after robotic and laparoscopic colon cancer surgeries: A case-controlled study with propensity score matching

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Author(s)
Sanghoon KimSung Uk BaeSeong Kyu BaekWoon Kyung Jeong
Keimyung Author(s)
Bae, Sung UkBaek, Seong KyuJeong, Woon Kyung
Department
Dept. of Surgery (외과학)
Journal Title
대한종양외과학회지
Issued Date
2020
Volume
16
Issue
1
Keyword
Colonic neoplasmAdjuvant chemotherapyMinimally invasive surgeryRobotic surgical procedureLaparoscopy
Abstract
Purpose:
Early initiation of adjuvant chemotherapy after colon cancer surgery has shown better oncologic outcomes in previous studies. However, the clinical impact of robotic and laparoscopic surgeries on the initiation of adjuvant chemotherapy has not been widely evaluated. Hence, the study’s aim was to compare the influence of both surgical approaches on the initiation of adjuvant chemotherapy after colon cancer surgery.

Methods:
From June 2011 to September 2017, 289 patients underwent curative robotic or laparoscopic surgery followed by adjuvant chemotherapy for stage II and III colon cancer. To control for different demographic factors in the two groups, propensity score case matching was used at a 1:4 ratio. Finally, 190 patients were matched with 38 patients of the robotic surgery group and 152 patients of the laparoscopic surgery group.

Results:
The operation time was longer in the robotic surgery group (297 minutes vs. 170 minutes, respectively; P<0.001). However, conversion rate, number of retrieved lymph nodes, first flatus, first soft diet, length of stay, postoperative complication rate, and Clavien-Dindo grade were not significantly different between the two groups. Additionally, there was no difference in the time to initiation of adjuvant chemotherapy between the two groups (31.5 days vs. 29.0 days, respectively; P=0.226). Disease-free and overall survival rates were also not significantly different.

Conclusion:
Robotic and laparoscopic surgeries showed no different impact on the initiation of adjuvant chemotherapy. This finding suggests that the two surgical approaches offer similar postoperative outcomes.
Keimyung Author(s)(Kor)
배성욱
백성규
정운경
Publisher
School of Medicine (의과대학)
Citation
Sanghoon Kim et al. (2020). Comparing the initiation of adjuvant chemotherapy after robotic and laparoscopic colon cancer surgeries: A case-controlled study with propensity score matching. 대한종양외과학회지, 16(1), 9–17. doi: 10.14216/kjco.20003
Type
Article
ISSN
2288-4084
Source
http://www.kjco.org/journal/view.php?number=343
DOI
10.14216/kjco.20003
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42785
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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