1. Long-Term Survival Outcomes After Minimally Invasive Surgery for Ileal Neuroendocrine Tumors.
- Author
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Yogo, Akitada, Paciorek, Alan, Kasai, Yosuke, Moon, Farhana, Hirose, Kenzo, Corvera, Carlos, Bergsland, Emily, and Nakakura, Eric
- Subjects
Hand-assisted laparoscopic surgery ,Ileal neuroendocrine tumors ,Mesenteric mass ,Minimally invasive surgery ,Propensity score ,Humans ,Male ,Female ,Neuroendocrine Tumors ,Middle Aged ,Retrospective Studies ,Survival Rate ,Follow-Up Studies ,Ileal Neoplasms ,Minimally Invasive Surgical Procedures ,Aged ,Prognosis ,Hepatectomy ,Adult - Abstract
BACKGROUND: Ileal neuroendocrine tumors (i-NETs) are characterized by their multifocality and bulky mesenteric mass. Having shown that minimally invasive surgery (MIS) utilizing a hand-access port device has favorable short-term outcomes and achieves the goals of surgery for i-NETs, we sought to analyze long-term survival outcomes of MIS. METHODS: One hundred and sixty-eight patients who underwent resection of primary i-NETs at a single institution between January 2007 and February 2023 were retrospectively studied. Patients were categorized into the MIS or open surgery cohorts on an intention-to-treat basis. Open surgery was selected mainly based on the need for hepatectomy or bulky mesenteric mass resection. Overall survival was analyzed using log-rank tests with propensity score matching (PSM) and Cox proportional hazards regression. PSM was performed to reduce standardized mean differences of the variables to
- Published
- 2024