Safety analysis of the caudal approach for laparoscopic right hemicolectomy

doi:10.3877/cma.j.issn.1674-0793.2020.02.013

Abstract

Abstract:

Objective

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

Methods

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.

Results

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.

Conclusion

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.

Key words: Colorectal surgery, Caudal approach, Medial approach, Laparoscopic, Right-hemicolectomy-surgery

Zhenghong Le, Mulin Liu, Yan Feng. Safety analysis of the caudal approach for laparoscopic right hemicolectomy[J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(02): 129-132.

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Figures/Tables 10

References 13

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组别	例数	年龄(岁,±s)	性别(例)		肿瘤部位(例)			肿瘤分期(例)
组别	例数	年龄(岁,±s)	男	女	结肠肝区	升结肠	回盲部	T1	T2	T3
中间入路组	44	53.6±11.2	26	18	15	11	18	0	18	26
尾侧入路组	44	56.7±8.3	21	23	14	9	21	0	16	28
统计值	?	t=1.475	χ²=1.142		χ²=5.125			χ²=0.192
P值	?	0.144	0.285		0.077			0.661

组别	例数	年龄(岁,±s)	性别(例)		肿瘤部位(例)			肿瘤分期(例)
组别	例数	年龄(岁,±s)	男	女	结肠肝区	升结肠	回盲部	T1	T2	T3
中间入路组	44	53.6±11.2	26	18	15	11	18	0	18	26
尾侧入路组	44	56.7±8.3	21	23	14	9	21	0	16	28
统计值	?	t=1.475	χ²=1.142		χ²=5.125			χ²=0.192
P值	?	0.144	0.285		0.077			0.661

组别	例数	手术时间(min)	术中出血量(ml)	淋巴结总数(枚)	阳性淋巴结(枚)	排气时间(d)	排便时间(d)	拔管时间(d)	术后引流量(ml)	住院时间(d)
中间入路组	44	130.5±37.2	72.3±5.6	12.5±3.1	2.9±0.4	2.7±0.7	4.2±1.7	4.4±1.8	401.0±21.3	9.7±1.0
尾侧入路组	44	112.7±42.1	51.7±4.8	13.6±2.4	3.1±0.6	2.7±0.6	4.1±1.5	4.2±1.6	399.0±19.2	9.4±0.8
t值	?	2.102	18.527	1.861	1.840	<0.001	0.293	0.551	0.463	1.554
P值	?	0.039	<0.001	0.066	0.069	0.999	0.771	0.583	0.645	0.124

组别	例数	手术时间(min)	术中出血量(ml)	淋巴结总数(枚)	阳性淋巴结(枚)	排气时间(d)	排便时间(d)	拔管时间(d)	术后引流量(ml)	住院时间(d)
中间入路组	44	130.5±37.2	72.3±5.6	12.5±3.1	2.9±0.4	2.7±0.7	4.2±1.7	4.4±1.8	401.0±21.3	9.7±1.0
尾侧入路组	44	112.7±42.1	51.7±4.8	13.6±2.4	3.1±0.6	2.7±0.6	4.1±1.5	4.2±1.6	399.0±19.2	9.4±0.8
t值	?	2.102	18.527	1.861	1.840	<0.001	0.293	0.551	0.463	1.554
P值	?	0.039	<0.001	0.066	0.069	0.999	0.771	0.583	0.645	0.124

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