Comparison of Different Operation Routes of Laparoscopic Right Hemicolectomy
10.3870/j.issn.1672-0741.2015.04.020
- VernacularTitle:腹腔镜根治性右半结肠癌切除术不同手术入路的比较
- Author:
Liang HAN
;
Lei LIU
;
Hui WANG
- Publication Type:Journal Article
- Keywords:
laparoscopy;
right hemicolectomy;
up-to-down;
medial-to-lateral
- From:
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2015;(4):464-467
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the different operation routes of laparoscopic right hemicolectomy (up‐to‐down vs.medial‐to‐lateral dissection sequences ).Methods In total ,56 cases enrolled in the Central Hospital of Wuhan between Janu‐ary 2013 and January 2014 were randomly divided into the up‐to‐down group and medial‐to‐lateral group.Statistical data in terms of general information ,operation time ,blood loss ,rate of conversion to open surgery ,number of lymph nodes harvested , postoperative complications ,time to first bowel movement and hospital stay time were compared and analyzed.Results The up‐to‐down group has the advantages of shorter operation time [(128.24 ± 21.14) min vs.(166.45 ± 30.23) min ,P<0.01] ,lower conversion rate(0% vs.7.14% ,P=0.035)and less blood loss= [(45.67 ± 10.66) mL vs.(78.45 ± 40.28) mL ,P<0.01] than the medial‐to‐lateral group.However ,there were no significant differences in terms of general information ,number of lymph nodes harvested ,rate of postoperative complications ,time to first bowel movement and hospital stay time (all P>0.05) .Conclu‐sion Taking the superiority of broad perspective ,clear image ,safety and less blood loss into consideration ,the up‐to‐down op‐eration route of laparoscopic right hemicolectomy deserves clinical recommendation.
