To analyze the safety and outcome of modified combined approach laparoscopic radical resection for right colon cancer.

The clinical data of 137 patients with right colon cancer underwent laparoscopic radical resection from January 2017 to August 2019 were analyzed retrospectively. According to the different surgical approaches, 65 patients were divided into the intermediate group via a complete intermediate approach, 72 patients were divided into the combined group via modified combined approach. Statistical analysis were performed by using SPSS23.0 software. The operation-related indicators and the quality of life measurement scale (QLQ C-30) were expressed as (±s), and were examined by using independent t test. Postoperative complications and the survival rate within 1 year after the operation were expressed as percentages and were analyzed by Using χ² test, the survival rate was analyzed by using the Kaplan-meier method. A P value of <0.05 was considered as statistically significant difference.

The operation time and intraoperative blood loss in the combined group were much lower than those in the intermediate group (P<0.05). There was no statistically significant difference in terms of harvested lymph nodes, exhaust time, and hospitalization days between two groups (P>0.05). There was no statistically significant difference in terms of the complications and the 1-year survival (P>0.05). The postoperative QLQ C-30 score of the combined group was higher than that of the intermediate group (P<0.05).

The modified combined approach laparoscopic radical resection of right colon cancer is safe and reliable, which could effectively shorten the operation time, reduce intraoperative blood loss, control the risk of complications, and improve the quality of life.