Role of right hemicolectomy in patients with low-grade appendiceal mucinous adenocarcinoma

被引：19
作者：
Nasseri, Yosef Y. [1 ,2 ]
Zhu, Ruoyan [1 ,2 ]
Sutanto, Christine [1 ,2 ]
Wai, Christina [3 ,4 ]
Cohen, Jason S. [1 ,2 ]
Ellenhorn, Joshua [1 ,2 ]
Artinyan, Avo [3 ,4 ]
机构：
[1] Surg Grp Los Angeles, 8635 West 3rd St,Suite 880, Los Angeles, CA 90048 USA
[2] Cedars Sinai Med Ctr, 8700 Beverly Blvd, Los Angeles, CA 90048 USA
[3] Verity Med Grp, Surg Oncol & Colorectal Surg, 400 Race St, San Jose, CA 95126 USA
[4] St Vincents Med Ctr, 2131 West 3rd St, Los Angeles, CA 90057 USA
来源：
AMERICAN JOURNAL OF SURGERY | 2019年 / 218卷 / 06期
关键词：
Low grade appendiceal mucinous; adenocarcinoma; Appendectomy; Right hemicolectomy; Appendiceal adenocarcinoma; Appendiceal neoplasm; NEOPLASMS; CLASSIFICATION; SURVIVAL;
D O I：
10.1016/j.amjsurg.2019.07.035
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: There is little consensus with regards to the most appropriate surgical management for low-grade appendiceal mucinous adenocarcinomas (LAMA), though right hemicolectomy is usually recommended. Methods: The SEER database was queried for all patients with non-metastatic LAMA. Disease specific and overall survival was compared by surgery type: 1) appendectomy, 2) formal right hemicolectomy 3) non-formal colectomy (including ileocecectomy). Results: A total of 579 patients with non-metastatic LAMA were identified. 133 (23%), 404 (70%), and 42 (7%) of patients had stage I, II, and III disease, respectively. 99 (17.1%) had appendectomy, 87 (15%) had non-formal colectomy, and 302 (52.2%) had formal right hemicolectomy. We observed no significant differences in disease specific or overall survival by surgery type. Controlling for age and stage, surgery type was not a significant predictor of disease specific or overall survival. Conclusion: In patients with localized LAMA, right hemicolectomy did not increase disease specific or overall survival. Right hemicolectomy should be reserved for LAMA patients with positive margins post appendectomy. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码：1239 / 1243
页数：5
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