Clinical analysis of laparoscopic complete mesocolic excision in right colectomy.
- Author:
Jiadi XING
1
;
Hong YANG
;
Lei CHEN
;
Ming CUI
;
Zhendan YAO
;
Chenghai ZHANG
;
Nan ZHANG
;
Xiangqian SU
Author Information
- Publication Type:Journal Article
- MeSH: Colectomy; Colon, Ascending; surgery; Colonic Neoplasms; surgery; Disease-Free Survival; Humans; Laparoscopy; Lymph Nodes; Operative Time; Postoperative Complications; Postoperative Period; Retrospective Studies; Survival Rate
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(3):268-271
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the application and short-term efficacy of laparoscopic complete mesocolic excision in right colectomy.
METHODSThe data of continuous 70 cases of ascending colon cancer enrolled in the Peking University Cancer Hospital and Institute between April, 2009 and November, 2011 were analyzed retrospectively.
RESULTSA total of 65 cases received laparoscopic CME procedure and were enrolled in the final analysis. The median number of lymph nodes retrieved was 24, the median operation time was 185 min, the median blood loss was 50 ml. The overall postoperative complication rate was 9.2%(6/65), and the median time of first flatus and post-operative hospital stay was 3 days and 7 days respectively. The median 30-day hospital readmission and postoperative death were not found. The 2-years overall survival rate and disease-free survival rate were 98.5% and 83.1% respectively.
CONCLUSIONSLaparoscopic complete mesocolic excision in right colectomy is feasible and do not give patients extra burden. The short-term follow up reveals good efficacy.
