Use of laparoscope complete mesocolic excision in the surgical treatment of right colon cancer

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Author:
WANG Da-guang(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
SUO Jian(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
ZHANG Yang(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
YU Jin-hai(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
CHEN Yan(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
HE Liang(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
SUN Xuan(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
XIA Ming-jie(Department of Gastrointestinal Surgery, The First Hospital, Jilin University, Changchun 130021, China)
Journal Title:
Chinese Journal of Gastrointestinal Surgery
Issue:
Volume 15, Issue 09, 2012
DOI:
10.3760/cma.j.issn.1671-0274.2012.09.027
Key Word:
Colon neoplasms ; Complete mesocolic excision ; Laparoscope ; Standardization operation

Abstract: Objective To investigate the efficacy of laparoscope complete mesocolic excision (CME) for right colon cancer.Methods The clinical data of 49 cases of right colon cancer without metastasis and intestinal obstruction who underwent elective laparoscope CME by the same group of surgeons between October 2009 and June 2011 at the First Hospital of Jilin University were analyzed retrospectively.Results Among the 49 cases with CME,the median number of total lymph node retrieved was 22.The positive rate of lymph node in patients with stage Ⅲ disease was 16.3%.The median operative time of all the cases was 145 min.The mean intraoperative blood loss was 75 ml.The median time to flatus passage and defecation was 3 days and 6 days respectively.The median hospital stay was 12 days.The overall postoperative complication rate was 12.2% (6/49).Conclusion Laparoscope complete mesocolic excision for right colon cancer is safe and feasible.

  • [1]Hohenberger W,Weber K,Matzel K,et al.Standardized surgery for colonic cancer:complete mesocolic excision and central ligation——technical notes and outcome.Colorectal Dis,2009,11 (4):354-364.
  • [2]West NP,Morris EJ,Rotimi O,et al.Pathology grading of colon cancer surgical resection and its association with survival:a retrospective observational study.Lancet Oncol,2008,9 (9):857-865.
  • [3]Gall FP,Hermanek P.Change and current status of surgical treatment of colorectal cancer.Report of experiences of the Erlangen Surgical University Clinic.Chirurg,1992,63(4):227-234.
  • [4]Birgisson H,Talback M,Gunnarsson U,et al.Improved survival in cancer of the colon and rectum in Sweden.Eur J Surg Oncol,2005,31 (7):845-853.
  • [5]Iversen LH,N(φ)rgaard M,Jepsen P,et al.Trends in colorectal cancer survival in northern Denmark:1985-2004.Colorectal Dis,2007,9:210-217.
  • [6]韩永坚,刘牧之.临床解剖学丛书(腹、盆部分册).北京:人民卫生出版社,1992:356-357.
  • [7]李国新,赵丽瑛.结肠癌切除标准化手术——全结肠系膜切除术.中华胃肠外科杂志,2012,15(1):14-16.
  • [8]叶颖江,高志冬,王杉,等.完整结肠系膜切除在结肠癌手术治疗中的应用.中国实用外科杂志,2011,31(6):494-496.
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