Comparison of different approaches of laparoscopic radical resection for right colon cancer
10.11659/jjssx.03E017063
- VernacularTitle:腹腔镜下不同入路右半结肠癌根治术的疗效比较
- Author:
Chuang DING
;
Yan CHEN
;
Xinqiang ZHU
;
Lingyong KONG
- Keywords:
laparoscopy;
right colon cancer radical resection;
caudal-to-cranial;
caudal ventrolateral
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(9):687-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the advantages and disadvantages of two approaches of laparoscopic radical resection for right colon cancer.Methods The data of 41 patients with right colon cancer in our hospital from March 2015 to December 2016 were analyzed retrospectively,who were randomly divided into the caudal-to-cranial group(n=23) and classical medial-to-lateral group(n=18) according to different approaches.The operation time,intraoperative blood loss,conversion rate,the number of lymph nodes dissection,hospital stay time and postoperative complications between two groups were compared.Results The operation time,intraoperative blood loss,the conversion rate of the caudal-to-cranial group were better than those of the classical medial-to-lateral group,the differences were significant(P<0.05).There was no significant difference in hospital stay time,the number of lymph nodes dissection and postoperative complications between two groups.Conclusion Laparoscopic radical resection for right colon cancer by caudal-to-cranial approach is easy to operate and dissect,it can shorten the operation time,decrease the intraoperative blood loss,which is worthy of clinical promotion.