Splenic flexure adenocarcinoma: A national cohort analysis of extent of surgical resection and outcomes.

ABSTRACT:

Aim

The optimal extent of resection for splenic flexure adenocarcinoma remains debated. These tumours straddle the left- and right-sided vasculature with lymphatic drainage in a watershed area; current guidelines recommend either segmental or extended colectomy. We analysed surgical management of splenic flexure tumours and compared outcomes between approaches.

Method

The Surveillance, Epidemiology and End Results database was searched for adults with Stage I-III splenic flexure adenocarcinoma, 2004-2019.

Results

Of 5238 patients, 55% underwent extended colectomy. Compared to segmental colectomy, these patients were more likely to have advanced stage. On multivariable analysis, age ≤ 65 years remained independently associated with extended colectomy. Although fewer no

SUBMITTER: Kohn JF 

PROVIDER: S-EPMC11576260 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature