Comparison of efficacy and safety between laparoscopic assisted and open total mesorectal excision in the treatment of right colon cancer in the elderly

CUI Yong; CHENG Shujie; ZHANG Yanbei; WANG Qian; HUO Ran

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Medical Journal of the Chinese People Armed Police Forces ›› 2017, Vol. 28 ›› Issue (11) : 1100-1103.

Comparison of efficacy and safety between laparoscopic assisted and open total mesorectal excision in the treatment of right colon cancer in the elderly

CUI Yong¹, CHENG Shujie², ZHANG Yanbei³, WANG Qian⁴, HUO Ran⁵

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Abstract

Objective To evaluate the safety and feasibility of laparoscopic-assisted CME (laparoscopic complete mesocolic excision, LCME) and open CME (open complete mesocolic excision, OCME) in the treatment of elderly patients with right colon cancer. Methods Data was collected retrospectively by reviewing the medical records of 170 patients of right-sided colon cancer who had undergone right colectomy in the Affiliated Hospital of Hebei University between April 2011 and September 2015. The elderly patients were equally divided into LCME group and OCME group based on the approach to colectomy. Demographic variables including age, gender, information on surgery,pathological findings and follow-up were collected and analyzed. Results The median blood loss, median time to anal exhaust, post-operative liquid food, and hospital stay were significantly shorter or lower in LCME group than those in OCME group (P<0.05). The difference of durations of surgery, operation quality grading、cardiac-cerebrovascular accidents,tumor diameter and the number of harvested lymph nodes were not statistically significant between the two groups (P>0.05). After follow-up of 48 months, the rate of local recurrence and distant metastasis showed no significant difference between the two groups (P>0.05). Conclusions LCME is a safe and feasible treatment for elderly patients with right colon cancer. It can facilitate the recovery of postoperative patients.

Key words

colon cancer / complete mesocolic excision / laparoscopic surgery / right hemicolectomy / operation quality grading / senile patients

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CUI Yong, CHENG Shujie, ZHANG Yanbei, WANG Qian, HUO Ran. Comparison of efficacy and safety between laparoscopic assisted and open total mesorectal excision in the treatment of right colon cancer in the elderly[J]. Medical Journal of the Chinese People Armed Police Forces. 2017, 28(11): 1100-1103

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