The application of hand-assisted laparoscopic right hemicolectomy for right colon carcinoma in elderly obesity patients
- VernacularTitle:手辅式腹腔镜在老年肥胖患者右半结肠癌根治术中的应用
- Author:
Guanghui ZHU
;
Huanqing XIAO
;
Bo XU
;
Lihua DAI
;
Jintang XIA
- Publication Type:Journal Article
- Keywords:
Colon carcinoma;
Obesity;
Laparoscopic
- From:
Clinical Medicine of China
2008;24(8):813-815
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of bend-assisted laparoseopie fight bemicolectomy for right colon carcinoma in elderly obesity patients. Methods 20 obesity eases undergoing hand-assisted laparoscopic right bemicolectomy were retrospectively reviewed, and compared with 25 obesity cases with transabdominal right hemicolectomy in the same period. The safety, recovery, eradication and stress reaction were compared. Results In hand-assisted laparoscopic group, there were less bleeding loss, rapid recovery to normal temperature and gastrointestinal function,ont of bed activity, short-time hospitalization compared with transabdominal group(P <0.01). There were no differences in operative time, numbers of lymph nodes removed, postoperative complications and length of specimen between two gronps(P > 0.05). CRP, IL-6, adrenocorticotrophic hormone (ACTH) and cortisol were more significantly increased in two groups after operation than before operation (P < 0. 05) , and this increase was moreprominent in transabdominal group than in hand-assisted laparoacopic group (P < 0.05). Conclusion Hand-assis-ted laparoscopic right hemicolectomy is a safe and effective way for elderly obesity patients,especially in postoperative recovery and physical stress reaction.
