Abstract:
Objective To explore the difference between laparoscopic and open complete mesorectal excision(CME)for colon cancer on postoperative recovery、surgical quality and interim outcome.
Methods During December 2010 to September 2014, 164 cases of colon cancer were included in Laparoscopic Department of Zibo Central Hospital affiliated to Binzhou Medical college, of which 92 patients were assigned to laparoscopic CME and 72 to laparotomy open procedure.Surgical quality, postoperative recovery、postoperative infection, the degree of cancer radical resection, and interim outcome were compared between the two groups.
Results 134(81, 7%)out of 164 patients received follow-up, with a median time of 21 months.The differences of proximal and distal surgical margin length, number of lymph nodes dissection, surgical time and local tumor recurrence rates(4.3% and 4.2%)were not statistically significant(P>0.05), but laparoscopic CME were better than the laparotomy open group in the blood loss、time of flatus passage, bed time and incision infection rates.
Conclusion Compared to laparotomy open CME, Laparoscopic CME can significantly shorten the time of postoperative recovery and achieve the same range of cancer radical resection and has a broad application prospect.
Key words:
Colorectal neoplasms,
Laparoscopy,
Mesocolon,
Comp Study
Jian-lin WU, Hong GE, Zhi-min LIU, Qi-zuo XU, Cheng-cai ZHANG, Guang-feng SHI, Lin ZHU, Ce CAO. Clinical comparison between laparoscopic and open complete mesorectal excision of 164 cases with colon cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(03): 260-265.