Laparoscopic vs open extended right hemicolectomy for colon cancer

被引：0

作者：

Li-Ying Zhao ^{[1
]}

Pan Chi ^{[2
]}

Wei-Xing Ding ^{[3
,4
]}

Shun-Rong Huang ^{[5
]}

Si-Fen Zhang ^{[6
]}

Kai Pan ^{[7
,8
]}

Yan-Feng Hu ^{[1
]}

Hao Liu ^{[1
]}

Guo-Xin Li ^{[1
]}

机构：

[1] Department of General Surgery,Nanfang Hospital,Southern Medical University

[2] Department of General Surgery,Union Hospital,Fujian Medical University

[3] Department of Gastrointestinal Surgery,The First Peoples Hospital of Foshan

[4] Department of Gastrointestinal Surgery,the Tenth Hospital of Tongji University

[5] Department of General Surgery,The People’s Hospital of Guangxi Zhuang Autonomous Region

[6] Rectal Disease Center of the 2nd affiliated Medical College of Guangzhou Traditional Chinese Medico-pharmaceutical University

[7] Department of Gastrointestinal Surgery,Shenzhen Peoples Hospital

[8] The Second Affiliated Hospital of Jinan University

来源：

World Journal of Gastroenterology | 2014年 / 20卷 / 24期

基金：

国家高技术研究发展计划(863计划);

关键词：

Colon cancer; Laparoscopic surgery; Extended right hemicolectomy; D3; lymphadenectomy; Survival;

D O I：

暂无

中图分类号：

R735.35 [];

学科分类号：

100214 ;

摘要：

AIM:To evaluate the feasibility,safety,and oncologic outcomes of laparoscopic extended right hemicolectomy(LERH)for colon cancer.METHODS:Since its establishment in 2009,the Southern Chinese Laparoscopic Colorectal Surgical Study(SCLCSS)group has been dedicated to promoting patients’quality of life through minimally invasive surgery.The multicenter database was launched by combining existing datasets from members of the SCLCSS group.The study enrolled 220 consecutive patients who were recorded in the multicenter retrospective database and underwent either LERH(n=119)or open extended right hemicolectomy(OERH)(n=101)for colon cancer.Clinical characteristics,surgical outcomes,and oncologic outcomes were compared between the two groups.RESULTS:There were no significant differences in terms of age,gender,body mass index(BMI),history of previous abdominal surgery,tumor location,and tumor stage between the two groups.The blood loss was lower in the LERH group than in the OERH group[100(100-200)mL vs 150(100-200)mL,P<0.0001].The LERH group was associated with earlier first flatus(2.7±1.0 d vs 3.2±0.9 d,P<0.0001)and resumption of liquid diet(3.6±1.0 d vs 4.2±1.0 d,P<0.0001)compared to the OERH group.The postoperative hospital stay was significantly shorter in the LERH group(11.4±4.7 d vs 12.8±5.6 d,P=0.009)than in the OERH group.The complication rate was 11.8%and17.6%in the LERH and OERH groups,respectively(P=0.215).Both 3-year overall survival[LERH(92.0%)vs OERH(84.4%),P=0.209]and 3-year disease-free survival[LERH(84.6%)vs OERH(76.6%),P=0.191]were comparable between the two groups.CONCLUSION:LERH with D3 lymphadenectomy for colon cancer is a technically feasible and safe procedure,yielding comparable short-term oncologic outcomes to those of open surgery.

引用

页码：7926 / 7932

页数：7

共 18 条

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