Comparison of efficacy and safety between laparoscopic assisted and open total mesorectal excision in the treatment of right colon cancer in the elderly
CUI Yong1, CHENG Shujie2, ZHANG Yanbei3, WANG Qian4, HUO Ran5
1. Surgical Oncology, Affiliated Hospital of Hebei University,Baoding 071000,China; 2. Department of General Surgery, Affiliated Hospital of Hebei University,Baoding 071000,China; 3. Petvic Sursery, Baoding No.1 Hospital, BaoDing 071000,China; 4. Department of Pcediatrics,Baoding No.1 Hospital, BaoDing 071000,China; 5. Medical Oncology,Affiliated Hospital of Hebei University,Baoding 071000,China
Abstract：Objective To evaluate the safety and feasibility of laparoscopic-assisted CME (laparoscopic complete mesocolic excision, LCME) and open CME (open complete mesocolic excision, OCME) in the treatment of elderly patients with right colon cancer. Methods Data was collected retrospectively by reviewing the medical records of 170 patients of right-sided colon cancer who had undergone right colectomy in the Affiliated Hospital of Hebei University between April 2011 and September 2015. The elderly patients were equally divided into LCME group and OCME group based on the approach to colectomy. Demographic variables including age, gender, information on surgery,pathological findings and follow-up were collected and analyzed. Results The median blood loss, median time to anal exhaust, post-operative liquid food, and hospital stay were significantly shorter or lower in LCME group than those in OCME group (P<0.05). The difference of durations of surgery, operation quality grading、cardiac-cerebrovascular accidents,tumor diameter and the number of harvested lymph nodes were not statistically significant between the two groups (P>0.05). After follow-up of 48 months, the rate of local recurrence and distant metastasis showed no significant difference between the two groups (P>0.05). Conclusions LCME is a safe and feasible treatment for elderly patients with right colon cancer. It can facilitate the recovery of postoperative patients.
崔勇, 程树杰, 张燕北, 王乾, 霍然. 腹腔镜辅助与开腹全结肠系膜切除术治疗老年人右半结肠癌疗效和安全性的比较[J]. 武警医学, 2017, 28(11): 1100-1103.
CUI Yong, CHENG Shujie, ZHANG Yanbei, WANG Qian, HUO Ran. Comparison of efficacy and safety between laparoscopic assisted and open total mesorectal excision in the treatment of right colon cancer in the elderly. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(11): 1100-1103.
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