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Minimally invasive treatments for early colorectal cancer: comparison of endoscopic resection and laparoscopic surgery

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Affiliated Author(s)
이유진이주엽정운경백성규배성욱
Alternative Author(s)
Lee, Yoo JinLee, Ju YupJeong, Woon KyungBaek, Seong KyuBae, Sung Uk
Journal Title
Korean J Clin Oncol
ISSN
2288-4084
Issued Date
2022
Keyword
EndoscopyLaparoscopyColorectal neoplasmTreatment outcomes
Abstract
Purpose:
Endoscopic treatment and laparoscopic surgery are minimally invasive options for early treatment of colorectal cancer, however, more evidence of the long-term outcomes between the two procedures is needed to guide clinical decisions. Therefore, this study aimed to compare the oncologic outcomes between endoscopic and laparoscopic treatment for early colorectal cancer.

Methods:
The study group included 60 patients who underwent endoscopic treatment and 38 patients who underwent laparoscopic surgery for early colorectal adenocarcinoma between January 2010 and December 2013 at a single study site.

Results:
Histopathological diagnoses showed that 43 (78.3%) carcinomas in the endoscopic submucosal dissection group were mucosal to sm1, 13 (21.7%) were sm2 or deeper, and 17 high-risk cases (28.3%) in the endoscopic group underwent additional surgery. The median operation time, time to sips of water, and length of hospital stay were significantly shorter in the endoscopic group than in the laparoscopic group. The overall survival rates of patients in the endoscopic group and laparoscopic groups were 91.5% and 87.4%, respectively (P=0.391), and the disease-free survival rates were 90.4% and 87.4% (P=0.614), respectively. Systemic recurrences occurred in two patients (1.6%) in the endoscopic group and one patient (2.0%) in the laparoscopic group. Local recurrence combined with systemic recurrence in one patient (0.8%) in the endoscopic group.

Conclusion:
Endoscopic resection for early colorectal cancer can be performed safely with better short-term outcomes and comparable longterm oncological outcomes compared to laparoscopic surgery.
Department
Dept. of Internal Medicine (내과학)
Dept. of Surgery (외과학)
Publisher
School of Medicine (의과대학)
Citation
kyeong Eui Kim et al. (2022). Minimally invasive treatments for early colorectal cancer: comparison of endoscopic resection and laparoscopic surgery. Korean J Clin Oncol, 18(1), 47–55. doi: 10.14216/kjco.22006
Type
Article
ISSN
2288-4084
DOI
10.14216/kjco.22006
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44259
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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