The application of total laparoscopy in radical resection of right hemicolon cancer

doi:10.3877/cma.j.issn.2095-3224.2015.03.13

Abstract

Abstract:

Objective

To evaluate the application of total laparoscopy in radical resection of right hemicolon cancer.

Methods

Retrospectively collect the data of 13 patients who underwent total laparoscopic radical resection from February 2013 to November 2014.

Results

Operation time was 127~175 min, with an average of 153 min.The mean intraoperative blood loss was 160 ml(range, 100~250 ml). Bowel movement recovery time was 1~4 days(mean, 2.3 days). Postoperative pathological examination revealed no residual or infiltration of tumor cells in stump.Infection of incision did not occur in all cases, neither did bleeding, leakage or stenosis of anastomosis.The length of postoperative hospital stay was 5~7 days, with an average of 6.2 days.13 cases were followed up for 2~23 months, which showed no tumorrecurrence and port-site metastasis in all cases.

Conclusions

Total laparoscopic radical resection for cancer of right hemicolon was safe and feasible.

Key words: Colonic neoplasms, Laparoscopy, Anastomosis, surgical

Guo-cong WU, Zhong-tao ZHANG. The application of total laparoscopy in radical resection of right hemicolon cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(03): 285-288.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2015.03.13

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2015/V04/I03/285

Figures/Tables 1

References 11

[1]	丁卫星．腹腔镜下右半结肠切除术适应证选择和规范实施．中国实用外科杂志，2011，6: 536-537，540.
[2]	池畔．腹腔镜辅助根治性右半结肠切除术式及其评价．外科理论与实践，2006，5: 377-379.
[3]	Cheung HY, Leung AL, Chung CC, et al.Endo-laparoscopic colectomy without mini-laparotomy for left-sided colonic tumors.World J Surg, 2009, 33(6): 1287-1291.
[4]	Erguner I, Aytac E, Baca B, et al.Total laparoscopic approach for the treatment of right colon cancer: a technical critique.Asian J Surg, 2013.36(2): 58-63.
[5]	Casciola L, Ceccarelli G, Di Zitti L, et al.Laparoscopic right hemicolectomy with intracorporeal anastomosis.Technical aspects and personal experience.Minerva Chir, 2003, 58(4): 621-627.
[6]	Bergamaschi R, Schochet E, Haughn C, et al.Standardized laparoscopic intracorporeal right colectomy for cancer: short-term outcome in 111 unselected patients.Dis Colon Rectum, 2008, 51(9): 1350-1355.
[7]	HellanM, AndersonC, PigazziA.Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy.JSLS, 2009, 13(3): 312-317.
[8]	Bergamaschi R, Haughn C, Reed JF, et alLaparoscopicintracorporealileocolic resection for Crohn's disease: is it safe? .Dis Colon Rectum, 2009, 52(4): 651-656.
[9]	SteinSA, BergamaschiR.Extracorporeal versus intracorporealileocolic anastomosis.Tech Coloproctol, 2013, 17(1): 35-39.
[10]	Chang K, Fakhoury M, Barnajian M, et al.Laparoscopic right colon resection with intracorporeal anastomosis.SurgEndosc, 2013, 27(5): 1730-1736.
[11]	Raftopoulos I, Courcoulas AP, Blumberg DShould completely intracorporeal anastomosis be considered in obese patients who undergo laparoscopic colectomy for benign or malignant disease of the colon? . Surgery, 2006, 140(4): 675-682, discussion 682, 683.

[1]	Li Dai, Huiwei Deng, Huajing Guo, Furong Huang. Effect of continuous infusion of esketamine on postoperative sleep quality of patients undergoing laparoscopic colorectal cancer surgery [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 408-412.
[2]	Di Cao, Yuru Zhang. A case of pelvic floor hernia repaired by laparoscopic biological patch after radical resection of rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 115-116.
[3]	Su Yan, Bowen Huo, Huining Xu. 4K fluorescent laparoscopic extended CME plus D3 lymphadenectomy with No.206 and No.204 lymph node dissection for ascending colon cancer and hepatic flexure cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 14-14.
[4]	Kai Li, Lin Chen, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a U-shaped memory alloy wire in transumbilical single-port laparoscopic appendectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 15-15.
[5]	Hongwei Yao, Pengyu Wei, Jiale Gao, Zhongtao Zhang. Continuous improvement in the standardization of laparoscopic D3 dissection in patients undergoing laparoscopic colectomy for right colon cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 1-4.
[6]	Xiaohui Du, Jianxin Cui. The strategy of D3 lymph node dissection for laparoscopic radical right hemicolectomy on right colon cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 5-8.
[7]	Yanbing Zhou, Xiaodong Liu. Choice of digestive tract reconstruction after laparoscopic right colectomy of colon cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 9-13.
[8]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[9]	Feilong Meng, Shuai Hua, Ying Zhang, Guanghai Lu. Application of transumbilical single-port laparoscopic retrosheath approach in total extraperitoneal inguinal hernia repair [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 658-660.
[10]	Mingchao Yi, Xin Wang, Han Xiang, Huaidong Su, Wei Zhang. Clinical application of a T-type memory wire in transumbilical single-hole laparoscopic cholecystectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 599-599.
[11]	Tao Ma, Chunwei Ye, Tao Liu, Wenxi Peng, Zhipeng Li. Comparison of laparoscopic and open disconnected pyeloplasty in the treatment of ureteropelvic junction obstruction in children [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 605-610.
[12]	Cheng Liu, Cong Lai, Jian Huang, Jianchen Wang, Xiyun Luo, Kewei Xu. Feasibility study of EDGE SP1000 single hole surgical robot assisted laparoscopic partial ureterectomy with end-to-end anastomosis in pigs [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 642-646.
[13]	Jiahui Zhao, Yongxing Wang, Tao Peng, Mingchuan Li, Dechao Wei, Yili Han, Zhu Hou, Yongguang Jiang, Yong Luo. Risk factors of prolonged operation time and higher intraoperative blood loss in retroperitoneal laparoscopic radical nephrectomy [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 575-580.
[14]	Bangqi Wang, Bote Chen, Haojian Lin, Huiyang Xu, Zhenwei Wang, Xuefeng Yuan, Kangjian Lin, Xiaofu Qiu. Application of laparoscopic pyeloplasty combined with ureteroscopy in the treatment of ureteropelvic junction obstruction complicated with calyx calculi [J]. Chinese Journal of Endourology(Electronic Edition), 2023, 17(06): 597-600.
[15]	Bing Lan, Huaiming Wang, Hui Wang, Bo Ma. Research progress on locally advanced colon cancer with bladder invasion [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 505-511.

Please choose a citation manager

Content to export