Comparison of the effect of CME and traditional colon resection in the treatment of colon cancer

Abstract

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