Abstract:
Objective To evaluate the safety and feasibility effects of hand-assisted laparoscopic extended right hemicolectomy for right colon cancer.
Methods Hand-assisted laparoscopic extended right hemicolectomy was performed on 21 patients from January 2009 to January 2012, and the clinical data of those patients was analyzed retrospectively.
Results Among the 21 patients, 20 cases received radical right hemicolectomy, 1 cases transferred to open palliative surgery.The mean operating time was (146±23)min, mean intraoperative blood loss was (92±59)ml, mean number of lymphnodes dissected was 25.3, the mean time of anal aerofluxus was (44.3±6.2)h.There was no perioperative death, and the postoperative complications occurred in 4 of 21 cases (19%), including pulmonary infection in 1 patient, incision infection in 1 patient and lymphatic fistulas in 2 cases. After follow-up from 6 to 29 months, 2 patients died of peritoneal and liver metastasis respectively, the other 19 cases were still alive.
Conclusions Extended right hemicolectomy can be perfectly performed by hand assisted laparoscopic surgery.The long-term results need further evaluation.
Key words:
Laparoscopes,
Colonic neoplasms,
Surgical procedures, minimally invasive,
Lynrph node excision
Yi CAO, Yi LIU, Zheng-rong LI, Zhi-gang JIE. Application of hand-assisted laparoscopic extended right hemicolectomy in patients with right colon carcinoma[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2013, 02(01): 20-24.