Application effect of caudal approach combined with intermediate approach in patients with right colon cancer undergoing laparoscopic radical resection
Objective To investigate the application effect of caudal approach combined with intermediate approach in patients with right colon cancer undergoing laparoscopic radical resection.Method A total of 80 patients with right colon cancer who underwent laparoscopic radical resection were divided into control group and study group using ran-dom number table method,with 40 cases in each group.The control group underwent laparoscopic right hemicolectomy via intermediate approach,while the study group underwent laparoscopic right hemicolectomy via caudal approach com-bined with intermediate approach.The surgical related indicators,postoperative recovery indicators,and incidence of complications were compared between the two groups.Result The surgery time in study group was significantly shorter than that in control group,and the intraoperative blood loss was significantly less than that in control group,the differenc-es were statistically significant(P<0.01).There was no statistically significant difference in the number of lymph node dissections between the two groups(P>0.05).The postoperative extubation time,first exhaust time,first liquid food in-take time,and hospitalization time in study group were significantly shorter than those in control group,and the differenc-es were statistically significant(P<0.01).The total effective rate of complications in study group was 7.50%,which was not significantly different from 12.50%in control group(P>0.05).Conclusion In laparoscopic right hemicolectomy,se-lecting caudal approach combined with intermediate approach can optimize surgical related indicators,promote postopera-tive recovery,and not increase the risk of complications.
right colon cancercaudal approachintermediate approachsurgical related indicatorcomplication
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