Left hand control technology in complete mesocolic excision in patients with right colon cancer
0
Citation
0
Reference
20
Related Paper
Abstract:
Objective To investigate the left hand control technology in complete mesocolic excision( CME) in patients with right colon cancer. Methods Seventy patients with right colon cancer were divided into study group and control group( 35 cases each),in which,the full right colon mesentery resection and left hand control technology was used in the study group,and conventional surgical methods in the control group. Surgical results and prognosis were compared. Results Operative time,blood loss,postoperative exhaust defecation time,postoperative complications,length of hospital stay had no significant difference between two groups,but there was significant difference between the two groups in the number of lymph node dissection. In study group,the mean number of lymph node dissection was significantly higher than the control. Follow- up in study group found that 3 cases had recurrence( 8. 82%) and 1 patient died( 2. 94%),but in control group,we found 9 cases of recurrence( 27. 3%) and 6 cases( 18. 18%) died. Recurrence and mortality in study group was significantly lower than the control group. Conclusion The left hand control technique in CME can significantly improve overall survival rate in patients with right colon cancer compared with conventional surgical procedures.Keywords:
Colon resection
Cite
Objective: To compare the clinical effect of different surgical approach in hand-assisted laparoscopic hemicolectomy for right colon carcinoma. Methods: 80 patients with right colon carcinoma who came to our hospital from January, 2008 March, 2013 were randomly divided into the experimental group and the control group. There were 40 cases in each group. The experimental accepted lateral approach while the control group accepted intermediate approach. The general situation and short-term effect of the two groups was compared. Results: Operative time(131.3±17.5)min and blood loss(57.9±16.5)mL of the experimental group was significantly less than that ofthe control group([187.3±16.2)min and(104.5±19.8)mL, t=14.852 and 11.435,P=0.000 and0.000]. Difference of specimens resected length, number of lymph node dissection, postoperative body temperature returned to normal time, exhaust time and hospital stay between the two groups was not statistically significant differences(t=1.620 and 0.121, P=0.109 and 0.728). The difference of complication rate between the two groups was not statistically significant different(10.0% vs17.5%, χ2=0.949, P=0.330). Conclusion: In hand-assisted laparoscopic hemicolectomy for right colon carcinoma, lateral approach has less bleeding and shorter operative time, but Intermediate approach is more conducive to the anatomical structure of the radical exposure and tumor.
Colon carcinoma
Hemicolectomy
Right hemicolectomy
Cite
Citations (0)
Objective
To compare the short-term clinical outcome of laparoscopic complete mesocolic excision (CME) and traditional laparoscopic radical resection in treating elderly patients with right colon cancer.
Methods
From January 2015 to June 2017, a retrospective analysis was performed in 57 elderly patients with right colon cancer, while 31 cases in CME group and 26 cases in traditional group. Statistical analysis were performed by using SPSS22.0 software. Harvested lymph nodes and perioperative indicators were expressed as mean±standard deviation (±s) and were examined by using t test. Post-operative complication rate was examined by using Chi-square test. A P value <0.05 was considered as significant difference.
Results
The number of removed lymph nodes and positive lymph nodes in CME group were (23.2±4.8) and (4.6±0.7) were significantly more than that (17.2±3.3) and (3.3±0.4) in traditional group; There were no difference between two groups in terms of operation time, intraoperative blood loss, resected specimen length, first flatus time, average hospitalization time and postoperative complication rate (P>0.05).
Conclusion
Laparoscopic complete mesocolic excision in treating the elderly patients with right colon cancer is feasible and safe, with advantage of more extensive lymph node dissection, without increasing surgical risks and postoperative complications, which is worthy of clinical promotion.
Key words:
Colonic Neoplasms; Aged; Mesocolon; Laparoscopy
Cite
Citations (0)
Objective To assess the feasibility and safety of complete mesocolic excision (CME) in elective radical resection for right hemi-colon cancer. Methods The clinical data of 35 cases undergoing radical right hemi-colon resection with CME and 36 patients with traditional procedures were retrospectively analyzed to explore the effect and surgical outcomes between the two groups. Results There were no significant differences in age , gender, and tumor location between the two groups. No difference was found in mean operation time between the two groups. The mean blood loss was (138.3 ±82.5)ml in the CME group,significantly less than (181.9 ±53.7)ml in the traditional surgery group (P0.05). There were no significant differences in T , N, and TNM stages between the two groups. The mean number of lymph nodes harvested was (17.7±5.8) in the CME group, significantly higher than (13.6±2.5) in the traditional group (P0.05). There were no differences in postoperative infectious and non-infectious complication rates between the two groups , and there were no severe complication such as ureteral injury both in the two groups. Conclusions The application of CME in radical resection for right hemi-colon cancer is feasible, safe and effective. CME can improve the surgical quality with the integrity of mesocolon, and have more harvested lymph nodes and satisfactory postoperative complication rate.
Cite
Citations (0)
Objective: To investigate the safety and efficacy of laparoscopic complete mesocolic excision( CME) with a medialto-lateral approach for the treatment of right colonic cancer. Methods: Eighty patients with right colon cancer underwent radical right hemicolectomy were included. All patients were randomly divided into observation group and control group. Patients in observation group were given laparoscopic CME in middle approach,and patients in control group received laparoscopic CME in conventional lateral approach. The operation time,intraoperative and postoperative complications were compared between the two groups. Results: The number of harvested lymph node in observation group was obviously more than that in control group,the difference was statistically significant( P 0. 05). The postoperative drainage volume and time in observation group was obviously less than that in control group,the differences were statistically significant( P 0. 05). The plasma D-lactic acid level was significantly increased at 2 h after surgery. The plasma D-lactic acid level was normal at 24 h after surgery in observation group,the level at 24 h after surgery in control group was still higher than the normal and lower than at 2 h after surgery. The plasma D-lactic acid level was normal at 48 h after surgery in both groups. Conclusions: The medium approach is in accord with radical right hemicolectomy under CME principle,with better anatomic plane and safety. The medium approach can ensure enough lymph node removal and more complete resection of tumor.
Hemicolectomy
Cite
Citations (0)
Objective To compare the safety and effect of complete mesocolic excision （ CME） and tradi-tional colon resection in the treatment of colon cancer .Methods 58 colon cancer patients received CME were selected as A group,and 58 colon cancer patients received traditional colon resection during the same time were selected as B group.The effect of surgery,postoperative recovery and postoperative complications were compared between the two groups.Results The average blood loss in A group was （95.5 ±15.8）mL,which was less than （138.4 ±23.5）mL in B group （t=32.718,P〈0.05）.There was no significant difference in number of lymph nodes dissection at stageⅠand Ⅱbetween the two groups （t=0.085,0.078,all P〉0.05）.The number of lymph nodes dissection at stage Ⅲin A group was more than that in B group（t=3.548,P〈0.05）.3 days after operation,the average drainage in A group was （223.1 ±19.4）mL,which was more than （134.1 ±16.8）mL in B group （t=13.975,P〈0.05）.There were no significant differences in drainage tubes unplugged time ,flatus time,eating time and the total hospitalization time between the two groups（t=0.018,0.000,0.000,0.012,all P〉0.05）.There were 3 cases with complication in A group,and the incidence rate was 5.17%,while 6 cases in B group,the incidence rate was 10.34%,the incidence rate of complication in A group was significantly lower than that in B group （χ2 =3.785,P〈0.05）.Conclusion It has the feature of fine dissecting to operate CME and it was conducive to quality control of colon cancer surgery .It has better security and definite effect .It is worthy of clinical application .
Key words:
Colorectal neoplasms ; Complete mesocolic excision ; Surgical procedures
Group B
Group A
Cite
Citations (0)
Objective
To investigate the clinical application effect of complete mesocolic excision in right colon cancer surgery.
Methods
Clinical data of 60 patients who underwent right colon cancer surgery in Huizhou Third People’s Hospital from July 2016 to January 2018 were retrospectively analyzed, patients were divided into control group and observation group randomly, with 30 cases in each group. Patients in control group were treated by traditional surgical methods, while patients in observation group were treated by complete mesocdic excision, and the basic surgical indicators and incidence of complications of the two groups were compared.
Results
The intraoperative blood loss [(162.05±10.17)ml], operative time [(168.08±11.71)min] of observation group were less than those of control group [(235.28±10.05)ml, (225.07±12.35)min], the total number of lymph node cleaning of observation group (25.08±9.61) was more than that of control group (12.51±11.62), the difference was statistically significant (P<0.05). The incidence of complications in observation group (3.33%) was significantly lower than that in control group (23.33%), P<0.05.
Conclusions
The complete mesocolic excision is conductive to reduction of operation time and intraoperative blood loss, increase in total number of lymph node dissection. At the same time, it is also helpful to reducing the incidence of complications.
Key words:
Complete mesocolic excision; Right colon cancer surgery; Clinical effect analysis
Cite
Citations (0)
Objective To compare the clinical effects of laparoscopy and traditional open surgery in the treatment of left colon cancer.Methods 58 patients with left colon cancer were randomly divided into the control group (27 cases) and the treatment group (31 cases).The control group was treated by traditional open surgery,the treatment group was treated by laparoscopic surgery.The operative time,blood loss,postoperative analgesia,postoperative exhaust time,length of hospital stay and number of lymph node dissection of the two groups were observed and compared.The postoperative complications were observed.Results The blood loss,postoperative analgesia,postoperative exhaust time,length of hospital stay of treatment group were less than those of the control group (t =0.648,0.619,0.588,0.497,all P ＜ 0.05) ; while the operative time,the number of lymph nodes dissection of the two groups showed no significant differences (t =0.135,0.209,all P ＞ 0.05).The incidence rate of postoperative complications of the control group was 18.5％,which was significantly higher than 9.7％ of the treatment group (x2 =17.03,P ＜ 0.05).Conclusion Laparoscopic surgery in the treatment of left colon cancer has less blood loss,shorter hospital stay,fewer complications,it has high clinical application value.
Key words:
Laparoscopy; Colorectal surgery; Colonic neoplasms
Open surgery
Cite
Citations (0)
Objective
To investigate the clinical value of complete mesocolic excision and traditional radical operation for patients with colon cancer.
Methods
Sixty-six colon cancer patients admitted to the Second People’s Hospital of Datong from December 2015 to September 2016 were selected and divided into control group and study group according to the random number table method, with 33 cases in each group. Patients in the study group were treated by complete mesocolic excision, while patients in the control group were treated by traditional radical operation. The operation, postoperative complications, inflammatory factors, immune function and outcomes of follow-up were compared between the two groups.
Results
There was no significant difference in operation time between the study group and control group (P>0.05). The volume of bleeding, time of extubation, time of first anal exhaust and postoperative hospital stay in the study group were less than those in the control group (P 0.05). The levels of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) increased in both groups 24 hours after operation, but the increases in the study group were lower than those in the control group (P 0.05). The incidence of postoperative complications in the study group (6.06%, 2/33) was lower than that in the control group (21.21%, 7/33), P<0.05. The recurrence rate (3.03%, 1/33) and mortality rate (0, 0/33) of the study group were lower than those of the control group (21.21%, 7/33; 15.15%, 5/33), P<0.05.
Conclusions
Complete mesocolic excision is effective and safe in the treatment of colon cancer, which is beneficial to the long-term prognosis of patient.
Key words:
Colon cancer; complete mesocolic excision; Traditional radical operation
Cite
Citations (0)
Objective To observe the feasibility and safety of the clinical application of the D3 radical operation with the laparoscopic intermediate approach for the right colon cancer. Methods 120 cases with the right colon cancer patients in our hospital were divided randomly into the observation group (60 cases)and the control group (60 cases).The control group underwent the conventional laparotomy while the observation group underwent the D3 radical operation with the laparoscopic intermediate approach for the right colon cancer.The related index of operation,the tumor radical index and the postoperative complications of the two groups were observed. Results The average intraoperative bleeding of the observation group was less than the control group (P 0.05). The average operation time,the intestinal exhaust time, recovery liqid diet time and the hospital time of the observation group were shorter than the control group (P 0.05). Compared with the control group,the average operation resection specimen length,the number of lymph node dissection of the observation group had no statistical difference ( P 0.05).Patients in the observation group the incidence of postoperative complications was 13.33%,control group 31.67%.Comparing the 2 groups, the difference was significant (P 0.01). Conclusion The D3 radical operation with the laparoscopic intermediate approach for the right colon cancer can effectively reduce the operation bleeding;shorten the operation time,intestinal exhaust time, recovery liqid diet time and the hospital time. It has good feasibility and safety and its radical effect of the tumor is good with less postoperative complications.
Cite
Citations (0)
Objective
To investigate the effect of laparoscopic complete mesocolic excision of colon cancer on short-term and long-term prognosis of patients.
Methods
The clinical data of 80 patients with colon cancer admitted to our hospital from April 2008 to April 2013 were retrospectively collected. The patients were divided into laparoscopic group and open group according to different surgical methods, each 40 cases. They were given laparoscopic complete mesocolic radical resection and traditional laparotomy respectively. Data analysis was performed by statistical software SPSS21.0. The short-term efficacy index of the two groups was compared by two independent samples t test. The complication rate and long-term prognosis of the two groups were compared by χ2 test.
Results
The intraoperative blood loss and anal exhaust time of the laparoscopic group were shorter than those of the open group (P 0.05); The total incidence of postoperative complications in the laparoscopic group was 5.0%, which was lower than 22.5% in the open group, but the difference was not statistically significant (χ2 =3.5294, P>0.05). The 3-year recurrence rate was 10.0% in the laparoscopic group, which was significantly lower than 30.0% in the open group. The difference was statistically significant χ2 =5.0000, P<0.05). The 3-year survival rate in the laparoscopic group was 95.0%, which was significantly higher than 80.0% in the open group. The difference was statistically significant (χ2 =6.2745, P<0.05).
Conclusion
Laparoscopic complete mesocolic excision for the treatment of colon cancer can significantly reduce intraoperative blood loss, shorten anal exhaust time, which lymph node dissection was complete, complication rate is lower, and short-term and long-term prognosis are all better, the effect is significant and it is worthy of promotion and application.
Key words:
Colonic neoplasms; Laparoscopes; Treatment outcome; Postoperative complications; Complete mesorectal excision
Cite
Citations (0)