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

Volume 39 Issue 05

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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.

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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.

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

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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

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References(21)

References

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