Complete mesocolic excision in laparoscopy-assisted right hemicolon carcinoma radical resection

VernacularTitle:完整结肠系膜切除在腹腔镜辅助右半结肠癌根治术中的应用
Author: Xingfeng QIU ; Zhijian YE ; Feng YAN ; Li LIN ; Sibo YUAN ; Zhijie DING ; Zhenfa WANG ; Zhongquan QI ; Zhongchen LIU
Publication Type:Journal Article
Keywords: Colonic neoplasms; Laparoscopy; Mesocolon
From: Chinese Journal of General Surgery 2012;27(3):213-215
CountryChina
Language:Chinese
Abstract: Objective To evaluate complete mesocolic excision in laparoscopy-assisted right hemicolon carcinoma radical resection. Methods Laparoscopy-assisted right hemicolon carcinoma radical resection with complete right-side mesocolic excision was performed in 36 cases between June 2010 and July 2011 at Zhongshan Hospital,Xiamen University. Results The operations were completed successfully without conversion to open surgery.The mean operative time was (134 ±22) min.The blood loss was (95 ±53 ) ml.The median number of total lymph nodes removed was 15.7.The average time for passage of flatus was (3.1 ± 1.2) d.The postoperative complications were observed in 6 of 36 cases (17％) including lymphatic fistulas in 4 patients,pulmonary infection in 1 patient and postoperative bleeding in 1 case.Conclusions Laparoscopy-assisted complete right-side mesocohc excision can be successfully performed for right hemicolon carcinoma,and the lymphoid tissue could be eliminated maximally.The long-term results need further evaluation.