Modified Superior Mesenteric Artery Approach Totally Laparoscopic Radical Resection for Right Colon Cancer
10.3969/j.issn.1009-6604.2024.05.003
- VernacularTitle:改良肠系膜上动脉入路完全腹腔镜右半结肠癌根治术
- Author:
Lishuai XU
1
;
Hao HU
;
Cheng YANG
;
Qingsheng FU
;
Jiawei WANG
;
Xu ZHANG
;
Xiaoxu HUANG
;
Li XU
Author Information
1. 皖南医学院第一附属医院胃肠外科,芜湖 241000
- Keywords:
Right colon cancer;
Superior mesenteric artery;
D3 lymphadenectomy
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(5):334-338
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and feasibility of a modified superior mesenteric artery(SMA)approach in totally laparoscopic complete mesocolic excision(CME)and D3 lymphadenectomy for right colon cancer.Methods A retrospective analysis was performed on clinical data of 77 cases of totally laparoscopic radical surgery for right colon cancer from April 2021 to April 2023.Before August 2022,42 cases underwent traditional SMA approach(control group,only marking with the ileocolic vascular pedicle as the tail of SMA),while after August 2022,35 cases underwent modified SMA approach(modified group,marking with the Treitz's ligament and ileocolic vascular pedicle as the head and tail of SMA,respectively).There was no statistically significant difference in general information between the two groups(P>0.05).The intraoperative conditions,postoperative recovery,and postoperative complications were compared between the two groups.Results Compared with the control group,the modified group had a shorter surgical time[(147.3±35.8)min vs.(173.4±29.9)min,t =-3.428,P =0.001].There were no statistically significant differences in the number of lymph node dissection,number of positive lymph nodes,drainage volume,exhaust time,postoperative hospital stay,and incidence of complications between the two groups(P>0.05).Conclusion The modified SMA approach for totally laparoscopic radical resection of right colon cancer shortens the surgical time,reduces the difficulty and risk of surgery,and has high safety and feasibility.
