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Laparoscopic Hemicolectomy vs Laparoscopic Transverse Colectomy
Table 3: Correlations between both included groups of patients underwent both surgical techniques regarding
operative, postoperative, and outcome findings
Management surgical technique
Extended right and left
hemicolectomy Transverse colectomy Total
Postoperative data N % N % N % p
Duration of hospital stay, days * 5 (4–8) 7 (5–9) 6 (4–9) 0.014
10 12.5% 4 10.0% 16 13.3% 0.963
18 22.5% 8 20.0% 28 23.3%
20 25.0% 12 30.0% 31 25.8%
9 22.5% 10 25.0% 26 21.7%
7 17.5% 6 15.0% 19 15.8%
30-day morbidity No 76 95.0% 38 95.0% 114 95.0% 1
Yes 4 5.0% 2 5.0% 6 5.0%
30-day mortality No 78 97.5% 39 97.5% 117 97.5% 1
Yes 2 2.5% 1 2.5% 3 2.5%
Operative time minute * 125 (100–150) 105 (100–150) 110 (90–150) <0.001 £
Operative complications 0 78 98.0% 36 90.0% 114 95.0% 0.002
1 2 2.0% 4 10.0% 6 5.0%
Postoperative 0 76 95.0% 34 85.0% 107 89.2% 0.017
complications 1 4 5.0% 6 15.0% 13 10.8%
Relapse No 64 80.0% 32 80.0% 96 80.0% 1
Yes 16 20.0% 8 20.0% 24 20.0%
Death No 70 87.5% 36 90.0% 107 89.2% 0.917
Yes 10 12.5% 4 10.0% 13 10.8%
All variables were compared using Chi-square test except (*) Mann–Whitney U-test

Table 4: Correlations between both included groups of patients underwent both surgical techniques regarding survival rates
Censored Survival Survival time, months 95% confidence interval
Survival analysis Total N N of events N Percent rate, % Sig. Mean Std. error Lower bound Upper bound
Relapse-free survival
Extended right and left 80 16 32 80.00% 0.8 0.587 31.15 1.537 28.137 34.163
hemicolectomy
Transverse colectomy 40 8 32 80.00% 0.8 31.15 1.537 28.137 34.163
Overall 120 24 96 80.00% 0.8 31.383 0.851 29.715 33.051
Progression-free survival
Extended right and left 80 16 32 80.00% 0.8 0.957 31.15 1.537 28.137 34.163
hemicolectomy
Transverse colectomy 40 8 32 80.00% 0.8 31.15 1.537 28.137 34.163
Overall 120 24 96 80.00% 0.8 31.383 0.851 29.715 33.051
Overall survival
Extended right and left 80 10 35 87.50% 0.875 0.984 33.325 1.128 31.115 35.535
hemicolectomy
Transverse colectomy 40 4 36 90.00% 0.895 34 0.947 32.143 35.857
Overall 120 13 107 89.20% 0.89 33.842 0.571 32.723 34.961

that survival outcomes are similar between both procedures so
suMMAry And conclusIon we concluded that hemicolectomy is a better surgical approach
In the current study, we correlate transverse colectomy and for the management of cancer located in the mid-transverse colon
hemicolectomy whether right or left aiming at detecting the regarding operative and short-term outcomes than transverse
best management surgical approach and we showed that colectomy, but regarding oncological, survival, and long-term
hemicolectomy is better regarding radicalism of management, outcomes, both techniques are considered technically and
better recovery, and less incidence of complications. We showed oncologically safe and feasible.

World Journal of Laparoscopic Surgery, Volume 14 Issue 3 (September–December 2021) 219