Clinical Contrastive Study between Caudal-to-crainal and Medial-to-lateral Approaches for Laparoscopic Right Hemicolectomy

Shu Ruo; Liu Tong Lei; Tian Yan; Fang Shi Xu; Luo Hua You

Article Contents

Article Navigation > Journal of Kunming Medical University > 2018 > 39(05): 78-82

Shu Ruo , Liu Tong Lei , Tian Yan , Fang Shi Xu , Luo Hua You . Clinical Contrastive Study between Caudal-to-crainal and Medial-to-lateral Approaches for Laparoscopic Right Hemicolectomy[J]. Journal of Kunming Medical University, 2018, 39(05): 78-82.

Citation:

Shu Ruo , Liu Tong Lei , Tian Yan , Fang Shi Xu , Luo Hua You . Clinical Contrastive Study between Caudal-to-crainal and Medial-to-lateral Approaches for Laparoscopic Right Hemicolectomy[J]. Journal of Kunming Medical University, 2018, 39(05): 78-82.

Citation:

Shu Ruo , Liu Tong Lei , Tian Yan , Fang Shi Xu , Luo Hua You . Clinical Contrastive Study between Caudal-to-crainal and Medial-to-lateral Approaches for Laparoscopic Right Hemicolectomy[J]. Journal of Kunming Medical University, 2018, 39(05): 78-82.

PDF( 213 KB)

Clinical Contrastive Study between Caudal-to-crainal and Medial-to-lateral Approaches for Laparoscopic Right Hemicolectomy

Funds:

基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2015FB024);

Received Date: 2018-03-10

Abstract

Abstract

Objective To compare the short-term therapeutic effects of the caudal-to-crainal and medial-to-lateral approaches for laparoscopic right hemicolectomy. Me thod The clinical data of 124 patients underwent laparoscopic right hemicolectomy in the department of gastrointestinal surgery, the First Affiliated Hospital of Kunming Medical Universitiy from, June 2014 to June 2016, were analyzed retrospectively. According the surgical operation, the patients were divided into two groups, caudal-to-crainal group with 48 patients, and medial-to-lateral group with 76 patients. The characteristics, opertation time, volum of blood loss during operation, the number of lymph node dissection, the rate of conversion to laparotomy, postoperative eating time, postoperative ventilation time, postoperative hospital stay time, postoperative complications of the two groups were analyzed to compare the short-term therapeutic effects. Re s ult No significant differences were found in the sexual distinction, age, BMI, the volume blood loss during the operation, the number of lymph node dissection, the rate of conversion to laparotomy, postoperative eating time, postoperative ventilation time, postoperative hospital stay time, postoperative complications between the two groups (P>0.05) .Significant differences were found in the operation time [caudal-to-crainal group vs medial-to-lateral group (123.49 ±14.19 min VS 140.57 ±25.40 min) ]and the blood loss of the operation[caudal-to-crainal group vs medial-to-lateral group (60.63±24.00 ml vs77.24±36.90 ml) ].Conclus ionThe caudal-to-crainal approach for laparoscopic right hemicolectomy is more simple, practicable, with less blood loss during the operation and safer, which worth being recommended in right-hemicolectom-surgery.
- Right-hemicolectom-surgery,
- Laparoscopic,
- Caudal-to-crainal approach,
- Medial-to-lateral approach

FullText(HTML)

References(21)

References

[1]肖毅, 邱辉忠, 吴斌, 等.腹腔镜下根治性右半结肠切除术的手术效果和肿瘤学疗效[J].中华外科杂志, 2014, 52 (4) :249-253.
[2] 李国新, 赵丽瑛.腹腔镜中间入路扩大右半结肠癌D3根治术[J].中华消化外科杂志, 2012, 11 (3) :200-203.
[3]	[3] WEST N P, HOHENBERGER W, WEBER K, et al.Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon[J].J Clin Oncol, 2010, 28 (2) :272-278.
[4]	[4] VELDKAMP R, KUHRY E, HOP W C, et al.Colon cancer laparoscopic or open resection study group (COLOR) .Laparoscopic surgery versus open surgery for colon cancer:short-term out-comes of a randomised trial[J].Lancet Oncol, 2005, 6 (7) :477-484.
[5]	[5]LACY A M, GARCA-VALDECASAS J C, DELGADO S, et al.Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer:Arandomised trial[J].Lancet, 2002, 359 (9325) :2224-2229.
[6]	[6]WANG C L, QU G, XU H W.The short-and long-term outcomes of laparoscopic versus open surgery for colorectal cancer:a meta-analysis[J].Int J Colorectal Dis, 2014, 29 (3) :309-320.
[7]	[7] MORNEAU M, BOULANGER J, CHARLEBOIS P, et al.Laparoscopic versus open surgery for the treatment of colorectal cancer:A literature review and recommendations from the Comitéde l'évolution des pratiques en oncologie[J].Can J Surg, 2013, 56 (5) :297-310.
[8]	[8]THEOPHILUS M, PLATELL C, SPILSBURY K.Longterm survival following laparoscopic and open colectomy for colon cancer:A meta-analysis of randomized controlled trials[J].Colorectal Dis, 2014, 16 (3) :75-81.
[9] 李国新, 赵丽瑛.结肠癌切除标准化手术-全结肠系膜切除术[J].中华胃肠外科杂志, 2012, 15 (1) :14-16.
[10]孙艳武, 池畔, 林惠铭, 等.腹腔镜与开腹完整结肠系膜切除术的疗效比较[J].中华胃肠外科杂志, 2012, 15 (1) :24-27.
[11]	[11] TONG D K, LAW W L.Laparoscopic versus open right hemico-lectomt for carcinoma of the colon[J].JSLS, 2007, 11 (1) :76-80.
[12]李美荣, 张锐江, 吴桂堂, 等.单切口腹腔镜辅助右半结肠切除术手术入路的探讨[J].腹腔镜外科杂志, 2013, 18 (9) :679-681.
[13]郝云鹤, 王连臣, 候本新, 等.腹腔镜下不同入路行右半结肠癌根治术临床疗效观察[J].海南医学, 2015, 26 (17) :2598-2599.
[14]张锐明, 江腾.腹腔镜两种中间入路在右半结肠癌根治术中的疗效比较[J].中国医药科学, 2017, 7 (4) :157-159.
[15]	[15] FEROCIF, LENZIE, GARZIA, et al.Intracorporeal versus extracorporeal anastomosis after laparoscopic right hemicolectomy for cancer:a systematic review and meta-analysis[J].Int J Colorectal Dis, 2013, 28 (9) :1177-1186.
[16]王伟, 罗立杰, 郑燕生.肥胖患者腹腔镜辅助下右半结肠癌根治术不同入路效果比较[J].广东医学, 2011, 32 (23) :3106-3107.
[17]王峰, 李正平.不同入路腹腔镜根治术治疗右半结肠癌的临床效果[J].中国医药导报, 2016, 13 (25) :80-83.
[18]陈炜.腹腔镜下右半结肠癌根治术不同手术入路的疗效比较[J].中华临床医师杂志, 2014, 8 (14) :2619-2622.
[19]王晓斌.腹腔镜辅助下右半结肠癌根治术不同入路效果分析[J].当代医学, 2014, 20 (9) :8-9.
[20]雷晓东, 邓伟均, 李苏明, 等.入路位置对手助腹腔镜右半结肠癌根治术的效果影响[J].国际医药卫生导报, 2013, 18 (19) :2846-2849.
[21]韩亮, 刘磊, 王辉.腹腔镜根治性右半结肠癌切除术不同手术入路的比较[J].华中科技大学学报 (医学版) , 2015, 44 (4) :464-467.

Relative Articles(20)

Relative Articles

[1]	Chengmin SHI, Tong ZHANG, Zhizhong WU, Huayou LUO, Yujian ZENG. Comparative Analysis of the Anterior and Posterior Approaches of the Posterior Rectus Sheath in Single-port TEP Surgery. Journal of Kunming Medical University, 2023, 44(5): 107-110. doi: 10.12259/j.issn.2095-610X.S20230522
[2]	Quanchang ZHANG, Qiaolian WU, Yu LIU, Xin ZHAO. The Impact of Laparoscopic and Open Total Mesocolon Resection on Platelet Activation，Incidence of Complications，and Tumor Recurrence in Colon Cancer Patients. Journal of Kunming Medical University, 2023, 44(9): 104-109. doi: 10.12259/j.issn.2095-610X.S20230919
[3]	Feng Zi Hao . Clinical Efficacy of Laparoscopic Operation Combined with Dexamethasone Cavity Flushing in Endometriosis. Journal of Kunming Medical University,
[4]	Jiang Yun Yan . Clinical Nursing Experience in Laparoscopic Operation and Laparotomy for Cervical Cancer. Journal of Kunming Medical University,
[5]	Luo Li Jun . . Journal of Kunming Medical University,
[6]	Li Wen Liang . . Journal of Kunming Medical University,
[7]	Zhang Chuan Bo . . Journal of Kunming Medical University,
[8]	Yu Tao . . Journal of Kunming Medical University,
[9]	Luo Cong . . Journal of Kunming Medical University,
[10]	Li Juan . . Journal of Kunming Medical University,
[11]	Ma Yuan . . Journal of Kunming Medical University,
[12]	Guo Shu Jing . . Journal of Kunming Medical University,
[13]	Wang Ying . . Journal of Kunming Medical University,
[14]	Duan Yuan Yuan . . Journal of Kunming Medical University,
[15]	Yang Bao Xiang . . Journal of Kunming Medical University,
[16]	Zhang Hai Jing . . Journal of Kunming Medical University,
[17]	Ma Jin Xia . . Journal of Kunming Medical University,
[18]	. . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,