ISSN: 1859 - 2872
Evaluation of the results of laparocopic colectomy for right colon cancer and some related factors
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Abstract
Objective: To evaluate the intraoperative and postoperative results of laparoscopic surgery for
right-sided colon cancer and some related factors. Subject and method: A prospective study on 60 patients with right colon adenocarcinoma who underwent laparoscopic complete mesenteric excition (CME) with high ligation (HL) in the period from 1.2016 to 12.2021 at HCM Oncology Hospital. Evaluation of laparoscopic results, and oncological results. Result: Average operative time 129 minutes, average blood loss 66ml, intraoperative complications significantly related to high ligation of the right colon artery and middle colon artery compared with just resection of the ileocolic vascular (p=0.013), conversion rate to open surgery 0%. There was no postoperative mortality; postoperative complication rate was 5% and was treated conservatively. The average follow-up time was 37.8 (10-84) months, the cancer recurrence rate was 15%; T4a tumors had a significantly higher risk of recurrence compared with T1, 2, 3 (p=0.023). Conclusion: CME+HL laparoscopic right colectomy for adenocarcinoma must be feasible and highly safe. Tumor invasion to the serosa significantly increases the level lymph node metastasis of cancer recurrence.
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References
2. Phạm Trung Vỹ (2020) Nghiên cứu ứng dụng phẫu thuật nội soi một đường mổ điều trị ung thư đại tràng phải, Luận án tiến sĩ Y học, Trường Đại học Y Dược Huế.
3. Delaney PC, Jeffrey L, Ponskey et al (2015) Laparoscopic technique for right colectomy. Surgery for cancers of the gastrointestinal tract, Springer 16: 175-186.
4. Hashiguchi Y, Muro K, Saito Y et al (2019) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer. Int J Clin Oncol 25(1):
1-42. doi: 10.1007/s10147-019-01485-z.
5. Mik M, Berut M, Dziki L et al (2017) Right - and left-sided colon cancer - clinical and pathological differences of the disease entity in one organ.
Arch Med Sci 13(1): 157-162.
6. Paquette MI, Fleming F (2020) Principle of complete mesocolic excision for colon cancer. The SAGES Manual of Colorectal Surgery: 155-163.
7. Sammour T, Malakorn S, Thampy R (2019) Selective central vascular ligation (D3 lymphadenectomy) in patients undergoing minimally invasive complete mesocolic excision for colon cancer: Optimizing the risk-benefit equation. Colorectal Disease 2019. The Association of Coloproctology of Great Britain and Ireland 22: 53-61.
8. Siani LM, Lucchi A, Berti P et al (2017) Laparoscopic complete mesocolic excision with central vascular ligation in 600 right total mesocolectomies: Safety, prognostic factors and oncologic outcome.
The American Journal of Surgery: 1-6.
9. Sica GS, Vinc D, Siragusa L et al (2023) Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: A systematic review. Surgical Endoscopy 37: 846-861.
10. Stavrou E, Tzanakis N, Spartalis E et al (2022) Comparison of postoperative and oncologic outcomes in laparoscopic and open right colectomy for colon cancer: A 5-year experience. In vivo
36: 969-972.
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