Short term results of laparoscopic versus open complete mesocolic excision for right-sided colon cancer
10.3760/cma.j.issn.1007-631X.2014.01.005
- VernacularTitle:腹腔镜与开腹全结肠系膜切除术治疗右半结肠癌的疗效比较
- Author:
Yudong HAN
;
Jingxiang SONG
;
Chen LIN
;
Zaizhong ZHANG
;
Xiaohuang TU
- Publication Type:Journal Article
- Keywords:
Colon neoplasm;
Laparoscopes;
Treatment outcome;
Complete mesocolic excision
- From:
Chinese Journal of General Surgery
2014;29(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficiency between laparoscopic and open complete mesocolic excision for right-sided colon cancer.Methods Between January 2011 and August 2012,a total of 134 patients with right-sided colon cancer who underwent CME at Fuzhou General Hospital of Nanjing Military Command were divided into laparoscopic (71) and open (63) groups.The intraoperative parameters,pathology,postoperative course and short-term outcomes were compared between groups.The chi-test and the student t test were used for statistics.Result There were no significant differences in the length of distal (P=0.427) and proximal margin (P=0.515),tumor diameter (P =0.440) and number of lymph nodes dissected (P =0.377).Postoperatively patients were followed for up to 12 months,no significant differences were found in local regional recurrence rates (4.2％ vs 1.6％) (P =0.622) and distal metastasis rates (5.6％ vs 3.2％) (P =0.684) between the two groups.The mean operative time (P =0.134) and postoperative complication rate (P =0.977) were similar.The mean intraoperative blood loss was less (P =0.000),bowel flatus passed earlier (P =0.000) and hospital stay shorter (P =0.000) in laparoscopic than that in open group.Conclusions Laparoscopic CME has the same oncologic clearance effects and short-term follow-up result compared with open CME for right-sided colon cancer,and laparoscopic CME is minimally invasive,less bleeding,less pain and quick recovery.
