To explore the clinical effect of laparoscopic D3 radical resection for right colon cancer.

Data of 60 patients with right hemicolon cancer in our hospital from January 2013 to October 2018 were retrospectively analyzed, all of whom underwent right hemicolon cancer D3 radical resection. From January 2013 to June 2015, 30 patients were divided into the open group. 30 patients from July 2015 to October 2018 were divided into the laparoscopic group. Statistical software SPSS 20.0 was used for data analysis. Statistical software SPSS 20.0 was used for data analysis. Measurement data such as perioperative relevant indicators , inflammatory response and immune function indicators were expressed as (±s) and were examined by independent t test. The incidence of complications were examined by chi square test. A P value of <0.05 was considered as statistically significant.

Compare with Open group, there was longer operation time, less intraoperative blood loss, quicker postoperative exhaust and defecation time, earlier intestinal rumbling recovery time, shorter time to get out of bed and hospitalization in the Laparoscopic group, with statistically significant differences respectively(P<0.05). There were no significant differences in terms of preoperative WBC, CRP and serum gastrin (GS) levels between two groups (P>0.05). There was no significant difference of preoperative CD4, CD8 and CD4/CD8 between the two groups (P>0.05), but the CD4 and CD4/CD8 in laparoscopic group were significantly higher than those in open group, and CD8 was significantly lower than that in open group (P<0.05). There was no significant difference of postoperative complications between the two groups (P>0.05).

Laparoscopic D3 radical resection for right colon cancer is safe and feasible with less trauma, less bleeding and rapid recovery.