{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T07:40:19Z","timestamp":1649058019444},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>ABSTRACT  Background: Colorectal cancer is the third most common cancer in the world. In Brazil, it is the leading cause of cancer in the gastrointestinal tract.  Aim:  To evaluate the preoperative, perioperative, and postoperative risk factors for recurrence and overall survival of patients with left colon cancer operated during a ten-year period.  Methods:  Patients with left colon cancer surgically treated underwent clinical preoperative workout and cancer staging. The following factors were studied: gender, age, tumor location, T stage, lymph node yield, N stage, M stage, histological type, and tumor differentiation. It was analyzed the influence in five-year overall survival.  Results:  A total of 173 patients underwent left colectomy for colon cancer. There was a slight predominance of male gender with 50.9%. The mean age was 60.8 years old. Fifteen (8.7%) tumors were located at splenic flexure, 126 (72.8%) at sigmoid colon, and 32 (18.5%) at descending colon. The median length of hospital stay was seven days. Mean survival was 47.5 months. At 60 months seven patients (4%) lost follow-up, 38 patients (21.9%) deceased and 135 patients (78%) were alive. Overall survival time was 48 months.  Conclusion:  Advanced stages (T3-T4, N+ and M+) were the only factors associated with poor long term survival in left colon cancer.<\/jats:p>","DOI":"10.1590\/0102-6720201700020006","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T18:19:43Z","timestamp":1501697983000},"page":"103-107","source":"Crossref","is-referenced-by-count":2,"title":["PROGNOSTIC FACTORS FOR LEFT COLECTOMY FOR COLON CANCER: A TEN YEARS EXPERIENCE OF A SINGLE UNIVERSITY INSTITUTION"],"prefix":"10.1590","volume":"30","author":[{"given":"Sergio Carlos","family":"NAHAS","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caio Sergio","family":"NAHAS","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Alfonso","family":"BUSTAMANTE-LOPEZ","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Ambar","family":"PINTO","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Frederico Sparapan","family":"MARQUES","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Guilherme","family":"CAMPOS","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"CECCONELLO","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1097\/DCR.0b013e31821c4944","article-title":"The prognostic significance of extramural deposits and extracapsular lymph node invasion in colon cancer","volume":"54","author":"Al Sahaf O","year":"2011","journal-title":"Dis Colon Rectum"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1002\/bjs.9395","article-title":"Risk factors for anastomotic leakage and leak-related mortality after colonic cancer surgery in a nationwide audit","volume":"101","author":"Bakker IS","year":"2014","journal-title":"Br J Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1590\/S0004-28032011000400010","article-title":"Locally advanced colorectal cancer results of surgical treatment and prognostic factors","volume":"48","author":"Campos FG","year":"2011","journal-title":"Arq Gastroenterol"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1590\/S0102-67202011000200003","article-title":"Total de linfonodos identificados ap\u00f3s a ressec\u00e7\u00e3o do c\u00e2ncer colorretal","volume":"24","author":"Cisz K","year":"2011","journal-title":"ABCD, arq. bras. cir. dig."},{"key":"ref5","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/S1470-2045(08)70179-7","article-title":"Cancer survival in five continents a worldwide population-based study (CONCORD)","volume":"9","author":"Coleman MP","year":"2008","journal-title":"Lancet Oncol"},{"issue":"33","key":"ref6","doi-asserted-by":"crossref","first-page":"8512","DOI":"10.1200\/JCO.2005.04.0063","article-title":"Colorectal cancer surveillance: 2005 update of an American Society of Clinical Oncology practice guideline","volume":"23","author":"Desch CE","year":"2005","journal-title":"J Clin Oncol"},{"issue":"8","key":"ref7","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.ijsu.2014.05.074","article-title":"Laparoscopic versus open left colectomy in patients with sigmoid colon cancer prospective cohort study with long-term follow-up","volume":"12","author":"Desiderio J","year":"2014","journal-title":"Int J Surg"},{"key":"ref8","series-title":"AJCC Cancer Staging Manual. 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