To investigate the 3-year clinical outcome of laparoscopic radical right hemicolectomy for colon cancer through cephalic-caudal-middle approach.

From January 2015 to April 2017, clinical data of 83 patients with right hemicolon cancer who received laparoscopic radical right hemicolectomy were analyzed retrospectively . According to the intraoperative approach, 40 cases who received tractional intermediate approach were divided into the intermediate approach group, and 43 cases who received cephalic-caudal-middle approach were divided into the mixed approach group. Statistical software SPSS20.0 were used for data analysis. Measurement data such as surgical indicators and postoperative recovery were expressed as (±s), and were examined by using independent t test. Count data such as complications, recurrence rate, and metastasis rate were expressed as percentages, and chi-square test was used, A P value of <0.05 was considered as statistically significant difference.

The operation time and intraoperative blood loss in the mixed approach group were lower than those in the intermediate approach group respectively (P<0.05). There were no significant difference between χ² groups in terms of anal exhaust time, initial diet time, abdominal drainage time, length of hospital stay, number of lymph node dissections, recurrence rate and metastasis rate at 3 years after operation (P>0.05). The total incidence of complications in the mixed approach group was much lower than in the intermediate approach group (7.0% vs. 22.5%), with significant difference (P<0.05).

Compared with the intermediate approach, the cephalic-caudal-middle approach could effectively shorten the operation time, reduce intraoperative blood loss and reduce the risk of postoperative complications.