Abstract
Objective: To explore the safety and the short-term curative effect of the application of assisted laparoscopic radical resection for the mid transverse colon cancer. Methods: A retrospective analysis of 25 cases clinical data of radical resection of mid transverse colon cancer from March 2006 to March 2014 in our hospital. Cases were divided into two groups, laparoscopic group with 12 cases and open group with 13 cases. Intra-operative observation indexes (operation time, bleeding volume, the number of dissected lymph nodes), post-operative recovery indexes (flatus time, liquid food intake time, ambulation time, hospitalization time), post-operative complication (incision site infection, abdominal bleeding, intra-abdominal infection, anastomotic fistula, intestinal obstruction and re-hospitalization within 30 days, mortality) and patient’s five-year overall survival were observed in two groups. Results: Operation methods including the principle of complete mesocolic excision (CME), colon dissection along the anatomical plane and safe anastomosis method were applied in Laparoscopic group. Average surgery time of Laparoscopic group was longer than open group, but there was no statistically significant difference between the two groups (p > 0.05). Intra-operative blood loss in the Laparoscopic group was obviously lower than open group; the difference was statistically significant (p < 0.05). The number of lymph node dissection in laparoscopic group was higher than open group (p < 0.05). Laparoscopic group in the postoperative recovery index including recovery of bowel function, ambulation time and hospitalization time was shorter than that of the open group after operation (P < 0.05). Conclusion: The use of laparoscopic radical resection for the mid transverse colon cancer resulted in acceptable short term curative effects.
Highlights
Colorectal cancer is the most common malignancy of the gastrointestinal tract
Operation methods including the principle of complete mesocolic excision (CME), colon dissection along the anatomical plane and safe anastomosis method were applied in Laparoscopic group
The use of laparoscopic radical resection for the mid transverse colon cancer resulted in acceptable short term curative effects
Summary
Colorectal cancer is the most common malignancy of the gastrointestinal tract. Currently surgery is the only possible way to cure colorectal cancer. After nearly 20 years of development, the laparoscopic radical operation in colorectal cancer is a considerable progress, especially in the colon. There had been a lot of multi-center prospective randomized controlled studies showing that the laparoscopic radical surgery in colorectal cancer had the same long-term effect as that with open operation, which has been more and more accepted by the surgeons [14] [15] [16]. 25 patients underwent surgery for the treatment of the mid transverse colon cancer, of which 12 patient underwent assisted laparoscopic radical resection from March 2006 to March 2014. The aim of this study is to assess the short term curative effects of laparoscopic assisted surgery for resection of mid transverse colon cancer
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