Comparison study of laparoscopic vs open left hemicolectomy for descending colon cancer

doi:10.3877/cma.j.issn.2095-3224.2015.06.10

Abstract

Abstract:

Objective

To evaluate short-time outcomes of laparoscopic (LAP) surgery vs open surgery (OS) for descending colon cancer.

Methods

Clinical data of 72 patients who received LAP or OS left hemicolectomy in our hospital from January 2013 to December 2014 were collected and analyzed. These patients were divided into LAP group (n=38) and OS group (n=34). The operation time, intraoperative blood loss and short-time outcomes were compared between two groups.

Results

There was no significant difference in operation time and complication rate between two groups. The intraoperative blood loss was significantly less in the LAP group than in the OS group (88.16±65.18 ml vs 132.35±82.46 ml, P<0.05). The mean postoperative exsufflation time and hospital stay time were shorter in the LAP group than in the OS group (P<0.05).

Conclusions

LAP for descending colon cancer is a technically safe and feasible procedure. Compared to OS, LAP has advantages including less intraoperative blood loss, faster recovery and shorter hospital stay.

Key words: Colorectal neoplasms, Laparoscopes, Surgical procedures, operative

Yifei Feng, Juan Li, Dongsheng Zhang, Qiang Fei, Yong Wang, Zan Fu, Yueming Sun. Comparison study of laparoscopic vs open left hemicolectomy for descending colon cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(06): 620-622.

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URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2015.06.10

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2015/V04/I06/620

Figures/Tables 1

References 10

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临床特征	LAP（n=38）	OS（n=51）	P
手术时间（min）	105.53±20.43	99.71±19.19	0.218
出血量（ml）	88.16±65.18	132.35±82.46	0.013
总淋巴结数（n）	16.16±2.14	14.50±2.43	0.003
阳性淋巴结数（n）	1.11±2.43	1.29±2.71	0.756
住院天数（d）	6.95±2.05	8.38±2.50	0.009
术后进食时间（d）	2.66±1.56	5.03±2.22	0.000
下床时间（d）	2.97±1.70	3.76±1.37	0.035
手术并发症数（n）	3（7.89%）	5（9.80%）	0.463
粘连性肠梗阻（n）	1（2.63%）	2（3.92%）	0.599

临床特征	LAP（n=38）	OS（n=51）	P
手术时间（min）	105.53±20.43	99.71±19.19	0.218
出血量（ml）	88.16±65.18	132.35±82.46	0.013
总淋巴结数（n）	16.16±2.14	14.50±2.43	0.003
阳性淋巴结数（n）	1.11±2.43	1.29±2.71	0.756
住院天数（d）	6.95±2.05	8.38±2.50	0.009
术后进食时间（d）	2.66±1.56	5.03±2.22	0.000
下床时间（d）	2.97±1.70	3.76±1.37	0.035
手术并发症数（n）	3（7.89%）	5（9.80%）	0.463
粘连性肠梗阻（n）	1（2.63%）	2（3.92%）	0.599

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