Comparison of the effects of laparoscope and open complete mesocolic excision in the treatment of right colon cancer
10.3760/cma.j.issn.1008-6706.2019.22.007
- VernacularTitle: 腹腔镜与开腹全结肠系膜切除手术治疗右半结肠癌的疗效比较
- Author:
Feng LU
1
;
Gang WANG
;
Jingrong ZHOU
;
Lei QIU
;
Xiuwei YANG
;
Yongchang MIAO
Author Information
1. Department of Gastrointestinal Surgery, the Second People's Hospital of Lianyungang, Lianyungang, Jiangsu 222000, China
- Publication Type:Journal Article
- Keywords:
Colon neoplasm;
Surgical procedures, operative;
Mesocolon;
Laparocopes;
Postoperative complications;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(22):2716-2720
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effects of laparoscope and open complete mesocolic excision (CME) in the treatment of right colon cancer.
Methods:The retrospective case-control study was adopted.The clinical data of 139 patients with right colon cancer who underwent CME at the Second People's Hospital of Lianyungang from January 2014 to November 2017 were collected.The patients were divided into laparoscopy group(55 cases) and open group(84 cases). The postoperative recovery and oncology efficacy were compared.
Results:The operation time in the laparoscopy group[(172.8±25.9)min]was longer than that in the open group[(142.3±20.6)min](t=7.387, P<0.05), but the blood loss of the laparoscopy group[(111.6±36.7)mL] was less than that in the open group[(150.1±61.1)mL](t=4.017, P<0.05). There was no statistically significant difference in numbers of lymph nodes harvested.Compared with open group, there were advantages in the laparoscopy group such as less anal exhaust time, less postoperative eating liquid diet time and shorter hospitalization time, the differences were statistically significant (t=4.695, 5.517, 4.642, all P<0.05). There was no statistically significant difference in postoperative complication rate (P>0.05). There were no statistically significant differences in the cumulative recurrence rate, cumulative survival rate and cumulative survival rate between the two groups after 3 years (all P>0.05).
Conclusion:Laparoscopic CME is minimally invasive and quick recovery, and laparoscopic CME has the same oncologic clearance effects, and is worthy of clinical application.
