Journal of Surgery Concepts & Practice ›› 2020, Vol. 25 ›› Issue (03): 211-216.doi: 10.16139/j.1007-9610.2020.03.008

• Original article • Previous Articles     Next Articles

A retrospective study on laparoscopic complete mesocolic excision via dorsal-medial hybrid approach for right colon cancer

LIU Haishan, CAI Zhenghao, MA Junjun, SUN Jing, HE Zirui, ZANG Lu, DONG Feng, FENG Bo, ZONG Yaping, XUE Pei, ZHANG Luyang, LU Aiguo, ZHENG Minhua()   

  1. Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2020-04-10 Online:2020-05-25 Published:2020-05-25

Abstract:

Objective To investigate pathologic effects combined with postoperative results on right colon cancer with laparoscopic complete mesocolic excision(CME) via dorsal-medial hybrid approach compared with traditional medial approach. Methods A total of 68 patients with right colon cancer undergoing laparoscopic CME in our hospital between Ja-nuary and June 2017 were studied retrospectively. There were two groups including 37 cases in dorsal-medial hybrid group and 31 cases in traditional medial group. CME quality evaluated with the method proposed by West et al along with safety, short-term results and long-term prognosis were compared between two groups. Results CME completion rate was 86.5% in dorsal-medial hybrid group and 80.6% in traditional medial group without statistical difference(P=0.53). Laparoscopic dissection time in dorsal-medial group was significantly shorter than that in traditional medial group[(62.70±12.22) min vs.(70.39±11.98) min, P=0.01]. There was no statistical difference in operation time, blood loss, postoperative flatus time, postoperative complications and long-term prognosis of the patients between two groups. Conclusions Laparoscopic CME via dorsal-medial hybrid approach for right colon cancer could have less laparoscopic dissection time, and two approaches were similar in CME quality, safety and prognosis.

Key words: Colon cancer, Complete mesocolic excision, Laparoscopic radical resection for right colon cancer, Dorsal-medial hybrid approach, Traditional medial approach

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