To compare the short-term therapeutic effects of the caudal and medial approaches for laparoscopic right hemicolectomy.

The clinical data of eighty-eight patients who underwent laparoscopic right hemicolectomy in the First Affiliated Hospital of Bengbu Medical College from January 2016 to January 2018 were analyzed retrospectively. According to the surgical operation, the patients were divided into caudal approach group with 44 patients, and medial approach group with 44 patients. Relevant indexes of operation, recovery rate and incidence of complications were compared between the two groups.

The operative time and intraoperative blood loss in the caudal approach group were (112.7±42.1) min and (51.7±4.8) ml, significantly less than (130.5±37.2) min and (72.3±5.6) mlin the medial approach group, with statistically significant differences (P<0.05). However, there were no statistically significant differences in the number of positive lymph nodes, conversion rate, time of extubation, postoperative drainage volume, time of anal exhaust and defecation, postoperative hospital stay and postoperative complications between the two groups.

The caudal approach for laparoscopic radical resection of right colon cancer is safe, effective, easy to master, which is worthy of clinical promotion and application.