Abstract:
Objective To explore the clinical outcome of laparoscopic CME for right colon cancer during follow-up period.
Methods From June 2014 to June 2016, clinical data of 94 patients with right colon cancers, who received laparoscopic CME, were analyzed retrospectively, including 50 cases in LCME group (laparoscopic complete mesocolic excision) and 44 cases in OCME group (open complete mesocolic excision). Statistical analysis were performed by using SPSS 21.0 software. Measurement data such as Perioperative indicators and Immunological index were expressed as (±s) and were examined by using independent t test. Count data were examined by using χ2 test. Kaplan-meier method was used to analyze survival. A P value <0.05 was considered as statistically significant difference.
Results (1) Compare with OCME group, there were several advantages in LCME group, including less incision length and intraoperative blood loss, more harvested lymph nodes, faster gastrointestinal tract recovery, shorted analgesic pump drip time and hospital stay (P<0.05). (2) The levels of T lymphocyte subsets and NK cells in LCME group were better than those in OCME group respectively (P<0.05). (3) There were no significant difference between the two groups in terms of 3 years disease-free survival and all survival (P>0.05). There were no significant difference in quality of life between two groups.
Conclusion LCME could ahieve less bleeding, less trauma, less pain and faster recovery, with safety and feasibility, .It is worth of clinical promotion.
Key words:
Colonic neoplasms,
Laparoscopes,
Mesentery,
Complete mesocolic excision
Liang Chen, Dong Xiao, Jiancang Ma. Clinical outcome of laparoscopic CME for right colon cancer during follow-up period[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2020, 14(02): 148-151.