To explore the curative effect of laparoscopic radical resection of colon cancer for young-middle-aged and elderly patients.

From January 2012 to February 2014, young-middle-aged and elderly-aged patients with colon cancer underwent laparoscopic colectomy were enrolled and 60 cases were divided into each groups. 28 patients in young-middle-aged group received left hemicolectomy and 32 cases underwent right hemicolectomy; 24 cases in Elderly group received left hemicolectomy, and 36 cases underwent right hemicolectomy. Statistical analysis were performed by using SPSS 18.0 software, intraoperative related indicators and the postoperative indicators were presented as (±s) and were examined by using t test; Count data was examined by using chi square test. P<0.05 was considered as significant difference.

The complication rates of patients received left hemicolectomy in the young-middle-aged group and elderly group were 7.1% (2/28) and 8.3% (2/24), with no significant difference between 2 group P>0.05.There was no significant difference in terms of 2 years recurrence rate and proximal metastasis rate within follow-up period between two groups. The complication rates of two groups underwent right-laparoscopic surgery were 15.6% (5/32) and 33.3% (12/36) respectively, with significant difference P<0.05. There was no significant difference of the incidence of postoperative complications between 2 groups received left hemicolectomy. However, the postoperative complication rates of young-middle-aged group received right hemicolectomy was significantly lower than that of elderly group.

The incidence of postoperative complications of different aged patients underwent right hemicolectomy is significantly higher than left-hemicolectomy, and complication rate of young-middle-aged patients is significantly lower than that of elderly patients.