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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (01): 99-102. doi: 10.3877/cma.j.issn.1674-3946.2022.01.028

• Original Article • Previous Articles     Next Articles

Long-term follow-up of single plus one hole versus conventional porous laparoscopy for radical resection of right colon cancer

Yuehua Lei1,(), Wenxing Chen1, Dengchao Wang1   

  1. 1. Department of gastrointestinal hernia and abdominal wall surgery, the Fourth People’s Hospital, Zigong Sichuan Province 643000, China
  • Received:2021-07-06 Online:2022-02-26 Published:2022-02-12
  • Contact: Yuehua Lei
  • Supported by:
    medical research Youth Innovation Project of Sichuan Province in 2018(Q18027)

Abstract:

Objective

To analyze the mid-and long-termeffects of single-hole plus one-hole l versus traditional porous laparoscopy for radical resection of right colon cancer.

Methods

Retrospective analysis of the case data of 100 patients with right colon cancer from January 2013 to May 2015. 50 patients with right hemicolectomy by one hole laparoscopy were enrolled into the two hole group,and 50 patients with right hemicolectomy by traditional porous laparoscopy were enrolled into the porous group. SPSS23.0 software was used for processing. Surgical indicators and quality of life questionnaire(GQOLI-74)were expressed by(

xˉ
±s)and independent t test. The complication rate and recurrence rate were expressed by percentage,and χ2 Test;Survival rate is tested by Log Rank method. P<0.05 was considered statistically significant.

Results

The operation time,intraoperative blood loss,total incision length,intestinal function recovery time and 48 h VAS score in the two-port group were lower than those in the porous group(P<0.05);There was no significant difference in the number of lymph node dissection,incidence of complications,survival rate and tumor recurrence rate between the two groups(P>0.05). The physical function,social function,and psychological function scores in GQOLI-74 scale at 1 year postoperatively were higher than those of the porous group(P<0.05).

Conclusion

The number,safety and long-term prognosis of lymph node dissection in the radical resection of right colon cancer by single-port plus one-port laparoscopy are similar to those by traditional porous laparoscopy,but the former is less traumatic,less painful,and higher quality of life.

Key words: Colonic Neoplasms, Laparoscopes, Colectomy, Comparative Effectiveness Research, Prognosis

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