The early results of laparoscopic complete mesocolic excision for right colon cancer

  • Nguyễn Anh Tuấn Bệnh viện Trung ương Quân đội 108
  • Trần Mạnh Hà Bệnh viện Quân y 87
  • Lương Ngọc Cương Bệnh viện Trung ương Thái nguyên
  • Nguyễn Văn Dư Bệnh viện Trung ương Quân đội 108
  • Nguyễn Tô Hoài Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Right colon cancer, complete mesocolic excision

Abstract

Objective: To evaluate the early results of laparoscopic complete mesocolic excision for right colon cancer. Subject and method: A prospective study on primary right colon cancer patients were performed laparocopic complete mesocolic excision from 05/2019 to 03/2020 at Gastrointestinal Tract Surgery Department of 108 Military Central Hospital. Result: There were 45 patients who were performed laparocopic complete mesocolic excision for right colon cancer. Male 34 (75.56%). The mean operative time was 135.78 ± 22.43 minutes, intraoperative complication was 2.22%, mean blood loss was 14.09 ± 10.98 ml. There was no conversion to open surgery. R0 resection was 100%. The main postoperative complications included 1 patient with anatomosis fistula (2.22%) and 1 patient with anatomosis bleeding (2.22%). The mean number of harvested lymph nodes was 17.38 ± 10.71 and the patients with more than 11 lymph nodes were 86.67%. The mean hospitalization stay after surgery was 8.53 ± 2.23 days. Conclusion: Laparoscopic complete mesocolic excision for right colon cancer is safe, few complications, ensure of oncology and feasible for widespread implementation

Article Details

References

1. Kang J et al (2014) Laparoscopic right hemicolectomy with complete mesocolic excision. J Surgical endoscopy 28(9): 2747-2751.
2. Pedrazzani C et al (2020) Complete mesocolic excision versus standard laparoscopic colectomy in right-sided colon cancer: Analysis of short-term results from a single Italian center. European Journal of Surgical Oncology 46(2): 95.
3. Nguyễn Phú Tuấn (2017) Nghiên cứu đặc điểm và mối liên quan di căn hạch với một số yếu tố tiên lượng ung thư đại tràng phải được phẫu thuật triệt căn. Luận văn thạc sĩ Y học, Học viện Quân y.
4. Nguyễn Anh Tuấn, Nguyễn Tô Hoài, Nguyễn Văn Dư (2017) Kết quả phẫu thuật nội soi cắt nửa đại tràng phải tại Bệnh viện Trung ương Quân đội 108. Tạp chí Y-Dược lâm sàng 108. 12(9).
5. Zhu DJ et al (2015) Three surgical planes identified in laparoscopic complete mesocolic excision for right-sided colon cancer. World journal of surgical oncology 14(1): 7.
6. Ting Li and Xiang-Ling Meng WC, (2018) Safety and short-term efficacy of a laparoscopic complete mesocolic excision for the surgical treatment of right hemicolon cancer. Clinical surgery research communications 2: 29-33.
7. El-Fol HA et al (2019) Laparoscopic versus open complete mesocolic excision with central vascular ligation in right colon cancer. International Surgery J 6(5): 1566-1573.
8. Adamina M et al (2012) Laparoscopic complete mesocolic excision for right colon cancer. J Surgical endoscopy 26(10): 2976-2980.
9. Shin et al (2014) Complete mesocolic excision with D3 lymph node dissection in laparoscopic colectomy for stages II and III colon cancer: long-term oncologic outcomes in 168 patients. Techniques in Coloproctology 18: 09.
10. Sheng QS et al (2017) Complete mesocolic excision in right hemicolectomy: Comparison between hand-assisted laparoscopic and open approaches. Annals of surgical treatment research 92(2): 90-96.