Objective To analyze the feasibility of cranial-medial mixed dominant approach in laparoscopic radical resection of right-sided colon cancer.Methods A total of 180 patients who underwent laparoscopic radical resection of right-sided colon cancer in the First People's Hospital of Xinxiang from February 2019 to January 2023 were selected.They were divided into medial approach group(CW group,85 cases)and cranial-medial mixed dominant approach group(HCMW group,95 cases)according the approach method.Intraoperative and postoperative conditions,quality of radical resection,and the incidence of complications were compared between the two groups.Results There was no statistically difference in the rate of conversion to open surgery between the two groups(P＞0.05).The HCMW group had a shorter surgical time,less intraoperative bleeding,and a lower blood transfusion rate than the CW group(P＜0.05).There were no statistically differences in postoperative conditions,quality of radical surgery,and surgical safety between the two groups(P＞0.05).Conclusion Applying cranial-medial mixed dominant approach in laparoscopic radical resection of right-sided colon cancer will not increase the risk of complications while ensuring surgical effectiveness,and can significantly shorten operation time and reduce intraoperative blood loss.
关键词
腹腔镜/右半结肠癌根治术/头侧-中央混合入路/中央入路
Key words
laparoscope/radical resection of right-sided colon cancer/cranial-medial mixed dominant approach/medial approach
维普
万方数据