Laparoscopic-assisted right hemicolectomy in grass-roots hospitals:a report of 20 cases

Objective:To explore the feasibility and safety of laparoscopic-assisted right hemicolectomy for right colon cancer in grass-roots hospitals.Methods:Clinical data of 20 patients who underwent laparoscopic-assisted right hemicolectomy for right colon cancer between Mar.2011 and Mar.2014 were retrospectively analyzed,there were 13 males and 7 females,the average age was( 55 ±20) years.Dukes staging:1 case was in stage A,8 cases were in stage B,and 11 in stage C.Results:Twenty operations were successful,the average operation time was( 150 ± 50) min,intraoperative blood loss was( 200 ± 100) ml,the average postoperative intestinal peristalsis recovery time were( 48 ± 12) h and hospital stay was( 10 ± 2) d.2 patients suffered from pulmonary infection without complications such as postoperative bleeding,infection of incision,intestinal fistula or deaths.All patients were followed up for( 6 ± 3) months,no complications were found.Conclusions:On the premise of familiar anatomy,fine operation and close cooperation,laparoscopic-assisted right hemicolectomy can be safe,feasible,minimally invasive in grass-roots hospitals.Laparoscopic operation has advantages of favorable visual field,clear exploration under direct view,easy identification of anatomy structure and rapid recovery