Effect of laparoscopic complete mesocolic excision (CME) for right colon cancer

Abstract

Objective To evaluate the experience of laparoscopic complete mesocolic excision (CME) for right colon cancer. Methods 45 patients with right colon cancer underwent laparoscopic CME were selected as research subjects(laparoscopy group), and 40 patients with right colon cancer underwent open CME were selected as control group(open group). The clinical effects of the two groups were observed. Results All the 45 cases were successfully performed with laparoscopic CME and 40 specimens were evaluated pathologically as mesocolic plane surgery.The average time for passage of flatus in the laparoscopy group [(3.43±0.72)d] was less than that in the open group [(4.10±0.99)d, P=0.039, P 0.05). The overall postoperative complication rate of the laparoscopy group was 13.33%, which was lower than 22.50% of the open group, but the difference was not statistically significant between the two groups(P=0.268, P>0.05). Conclusion Laparoscope complete mesocolic excision for right colon cancer is safe and feasible. Key words: Right colon cancer; Laparoscopy; Complete mesocolic excision