The safety and short-term effect of mixed approach in laparoscopic right hemicolectomy for right colon cancer compared with middle approach: a retrospective study.

Autor: Deng SY; Peking University Health Science Center, Beijing, 100038, China., Liu MX; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Gao P; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Zhang CC; Zibo Center Hospital, Zibo, China., Xing JD; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Guo K; Peking University Health Science Center, Beijing, 100038, China., Xu K; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Tan F; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Zhang CH; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Cui M; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China., Su XQ; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Haidian District, No.52 Fucheng Road, Beijing, 100142, China. suxiangqian@bjmu.edu.cn.
Jazyk: angličtina
Zdroj: BMC surgery [BMC Surg] 2024 May 14; Vol. 24 (1), pp. 150. Date of Electronic Publication: 2024 May 14.
DOI: 10.1186/s12893-024-02405-3
Abstrakt: Purpose: To investigate whether the mixed approach is a safe and advantageous way to operate laparoscopic right hemicolectomy.
Methods: A retrospective study was performed on 316 patients who underwent laparoscopic right hemicolectomy in our center. They were assigned to the middle approach group (n = 158) and the mixed approach group (n = 158) according to the surgical approaches. The baseline data like gender、age and body mass index as well as the intraoperative and postoperative conditions including operation time, blood loss, postoperative hospital stay and complications were analyzed.
Results: There were no significant differences in age, sex, BMI, ASA grade and tumor characteristics between the two groups. Compared with the middle approach group, the mixed approach group was significantly lower in terms of operation time (217.61 min vs 154.31 min, p < 0.001), intraoperative blood loss (73.8 ml vs 37.97 ml, p < 0.001) and postoperative drainage volume. There was no significant difference in the postoperative complications like postoperative anastomotic leakage, postoperative infection and postoperative intestinal obstruction.
Conclusions: Compared with the middle approach, the mixed approach is a safe and advantageous way that can significantly shorten the operation time, reduce intraoperative bleeding and postoperative drainage volume, and does not prolong the length of hospital stay or increase the morbidity postoperative complications.
(© 2024. The Author(s).)
Databáze: MEDLINE
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