两孔法腹腔镜辅助右半结肠癌完整系膜切除术技术要点及短期疗效

doi:10.13418/j.issn.1001-165x.2022.2.21

Abstract

Abstract: Objective　To investigate the feasibility and safety of single-incision plus one assist port laparoscopic complete mesorectal excision (CME) in the treatment of right colon cancer.　Methods　The clinical data of 17 patients with right-sided colon cancer who underwent single-incision plus one assist port laparoscopic complete mesorectal excision in the department of Gastrointestinal Surgery of Guangdong Provincial People's Hospital from March 2019 to December 2019 were retrospectively analyzed. The surgical indicators and efficacy were evaluated.　Results　In this group of 17 patients, the incision length was (5.6±3.1) cm, the operation time was (126.0±27.8) min, the intraoperative blood loss was (21.2±14.9) mL, the number of detected lymph nodes was (33.8±11.2), and the 75th percentile of positive lymph nodes was 1（range: 0-9). The time of first exhaustion after surgery was (1.5±0.6) d. The first time for consumption of liquid was (1.3±0.6) d, and the time of first meal semifluid was (4.1±2.3) d. There were five postoperative complications including lymphatic fistula in 3 cases, abdominal bleeding in 1 case, and pulmonary infection in 1 case, the average postoperative hospitalization was (7.9±4.5) d.　Conclusions　Single-incision plus one assist port laparoscopic complete mesorectal excision for the treatment of right colon cancer is safe and feasible. During the lymph nodes dissection operation, attention should be paid to avoid injury on the gastro-colonic vein.

Key words: Single-incision plus one assist port; , , Right colon cancer; , , Complete mesorectal excision

CLC Number:

R616.2

Hu Weixian, Wang Junjiang, Wu Deqing, Wu Wulin, Lv Zejian, Li Yong, Cai Guanfu, Yao Xueqing. Short-term efficacy and technical strategy of single-incision plus one assist port laparoscopic complete mesorectal excision (CME) of right colon cancer[J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 228-233.

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Short-term efficacy and technical strategy of single-incision plus one assist port laparoscopic complete mesorectal excision (CME) of right colon cancer

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