Short-term clinical outcome of laparoscopic complete mesocolic excision surgery in treating elderly patients with right colon cancer

Abstract

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