LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

被引：3
作者：
Zhang, Tao [1 ]
Zhang, Yaqi [1 ]
Shen, Xiaonan [2 ]
Shi, Yi [3 ]
Ji, Xiaopin [1 ]
Wang, Shaodong [1 ]
Song, Zijia [1 ]
Jing, Xiaoqian [1 ]
Ye, Feng [1 ]
Zhao, Ren [1 ]
机构：
[1] Shanghai Jiao Tong Univ, Ruijin Hosp, Dept Gen Surg, Sch Med, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Ruijin Hosp, Dept GI, Sch Med, Shanghai, Peoples R China
[3] Shanghai Univ Tradit Chinese Med, Yueyang Hosp Integrated Tradit Chinese & Western, Shanghai, Peoples R China
来源：
FRONTIERS IN ONCOLOGY | 2021年 / 11卷
基金：
中国国家自然科学基金;
关键词：
colon cancer; laparoscopy; longterm outcomes; three-port laparoscopic right hemicolectomy; five-port laparoscopic right hemicolectomy; three-port laparoscopic assisted colectomy; SINGLE-INCISION; OPEN SURGERY; COLORECTAL-CANCER; RANDOMIZED-TRIAL; CLASICC TRIAL; COLECTOMY; SURVIVAL;
D O I：
10.3389/fonc.2021.762716
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Purpose The aim of this study is to compare the long-term outcomes of three-port laparoscopic right hemicolectomy (TPLRC) and five-port laparoscopic right hemicolectomy (FPLRC) with retrospective analysis. Methods A total of 182 patients who accepted laparoscopic right hemicolectomy with either three ports (86 patients) or five ports (96 patients) from January 2012 to June 2017 were non-randomly selected and analyzed retrospectively. Results More lymph nodes were harvested in the TPLRC group than in the FPLRC group [17.5 (7), 14 (8) ml, p < 0.001]. There was less blood loss in the TPLRC group [50 (80) vs. 100 (125) ml, p = 0.015]. There were no significant differences in the other short-term or oncological outcomes between the two groups. The overall survival and disease-free survival were equivalent. Conclusions TPLRC is recommendable as it guarantees short- and long-term equivalent outcomes compared with FPLRC.
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页数：7
相关论文
共 26 条
[1]   Blunt versus bladed trocars in laparoscopic surgery: a systematic review and meta-analysis of randomized trials [J].
Antoniou, Stavros A. ;
Antoniou, George A. ;
Koch, Oliver O. ;
Pointner, Rudolph ;
Granderath, Frank A. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (07) :2312-2320
[2]   A Randomized Trial of Laparoscopic versus Open Surgery for Rectal Cancer [J].
Bonjer, H. Jaap ;
Deijen, Charlotte L. ;
Abis, Gabor A. ;
Cuesta, Miguel A. ;
van der Pas, Martijn H. G. M. ;
de lange-de Klerk, Elly S. M. ;
Lacy, Antonio M. ;
Bemelman, Willem A. ;
Andersson, John ;
Angenete, Eva ;
Rosenberg, Jacob ;
Fuerst, Alois ;
Haglind, Eva .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (14) :1324-1332
[3]  
Bonjer HJ, 2009, LANCET ONCOL, V10, P44, DOI 10.1016/S1470-2045(08)70310-3
[4]   Single-Incision Versus Three-Port Conventional Laparoscopic Right Hemicolectomy: Is There Any Real Need to Go Single? [J].
Curro, Giuseppe ;
Cogliandolo, Andrea ;
Lazzara, Salvatore ;
La Malfa, Giuseppe ;
Navarra, Giuseppe .
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2012, 22 (07) :621-624
[5]  
FOURESTIER M, 1952, J Fr Med Chir Thorac, V6, P67
[6]   Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis [J].
Gash, K. J. ;
Goede, A. C. ;
Kaldowski, B. ;
Vestweber, B. ;
Dixon, A. R. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (12) :3877-3880
[7]   Single incision laparoscopic colorectal surgery: a single surgeon experience of 102 consecutive cases [J].
Geisler, D. ;
Garrett, T. .
TECHNIQUES IN COLOPROCTOLOGY, 2011, 15 (04) :397-401
[8]   Critical appraisal of learning curve for single incision laparoscopic right colectomy [J].
Haas, Eric M. ;
Nieto, Javier ;
Ragupathi, Madhu ;
Aminian, Ali ;
Patel, Chirag B. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2013, 27 (12) :4499-4503
[9]   Laparoscopic Approach to Rectal Cancer-The New Standard? [J].
Hsieh, Christine ;
Cologne, Kyle G. .
FRONTIERS IN ONCOLOGY, 2020, 10
[10]  
Jacobs M, 1991, Surg Laparosc Endosc, V1, P144
123