Effect of laparoscopic complete mesocolic excision ( CME) for right colon cancer
10.3760/cma.j.issn.1008-6706.2018.05.004
- VernacularTitle:右半结肠癌腹腔镜下完整结肠系膜切除的临床效果
- Author:
Fubo YE
1
;
Xiongwen ZHU
;
Guiyang WU
;
Zaiping CHEN
;
Xiaoyan JIN
Author Information
1. 台州市立医院胃肠外科
- Keywords:
Right colon cancer;
Laparoscopy;
Complete mesocolic excision
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(5):557-560
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the experience of laparoscopic complete mesocolic excision (CME) for right colon cancer.Methods 45 patients with right colon cancer underwent laparoscopic CME were selected as research subjects(laparoscopy group),and 40 patients with right colon cancer underwent open CME were selected as control group(open group).The clinical effects of the two groups were observed .Results All the 45 cases were successfully performed with laparoscopic CME and 40 specimens were evaluated pathologically as mesocolic plane surgery. The average time for passage of flatus in the laparoscopy group [(3.43 ±0.72)d] was less than that in the open group [(4.10 ±0.99)d,P =0.039,P <0.05].The average time of leaving bed [(3.39 ±0.66)d] in the laparoscopy group was significantly less than that in the open group [(4.20 ±0.79)d,P =0.005,P <0.05].The mean operative time of the laparoscopy group [(160.93 ±20.91)min] was longer than that of the open group [(103.00 ±24.29)min,P =0.000,P <0.05].The average number of total lymph nodes removed of the laparoscopy group [(23.16 ±8.21)] was higher than that of the open group [(19.06 ±7.48)],but the difference was not statistically significant between the two groups (P =0.102,P >0.05).The overall postoperative complication rate of the laparoscopy group was 13.33%,which was lower than 22.50% of the open group,but the difference was not statistically significant between the two groups(P =0.268,P >0.05).Conclusion Laparoscope complete mesocolic excision for right colon cancer is safe and feasible.
