Clinical investigation of laparoscopic and laparoscopic-assisted right hemicolectomy for right hemi-colon carcinoma
Objective To compare the clinical effects of total laparoscopic right hemicolectomy and laparoscopic assisted right hemicolectomy in the treatment of right colon cancer.Methods The data of 82 patients undergoing laparoscopic right hemicolectomy treated in Changzhou No.2 People's Hospital from October 2020 to October 2023 were retrospectively analyzed,including 41 cases in the total laparo-scopic group and 41 cases in the laparoscopic-assisted group.Intraoperative indexes(operation time,num-ber of dissected lymph nodes)and postoperative indexes(postoperative exhaust time,length of hospital stay,length of auxiliary incision,postoperative pain degree,incidence of complications)were compared between the total laparoscopic group and the laparoscopic-assisted group using t-test,chi square analysis or Fisher's exact test.Results The operative time[(152.76±8.84)min vs.(151.59±9.31)min,t=0.086,P＞0.05],the number of dissected lymph nodes[(21.27±1.52)vs.(21.65±1.41),t=0.065,P＞0.05]and the incidence of complications[19.5％(7/41)vs.17.1％(8/41),x2=0.085,P＞0.05]in the total laparoscopic group were basically similar to those in the laparoscopic-assisted group.The postoperative exhaust time in the total laparoscopic group was significantly earlier than that in the lapa-roscopic-assisted group[(2.00±0.24)d vs.(3.14±0.37)d,t=11.209,P＜0.01].The hospital stay in the total laparoscopic group was significantly shorter than that in the laparoscopic-assisted group[(6.03±0.24)days vs.(7.40±0.35)days,t=12.976,P＜0.05].The postoperative pain degree was significantly lower in the total laparoscopic group than that in the laparoscopic-assisted group[(2.49± 0.51)points vs.(4.32±0.47)points,t=6.101,P＜0.05].The auxiliary incision length in the total laparoscopic group was significantly shorter than that in the laparoscopic-assisted group[(3.91±0.25)cm vs.(5.37±0.49)cm,t=16.055,P＜0.01].Conclusion Total laparoscopic resection of the right half colon in patients with right half colon cancer can effectively reduce the length of the auxiliary incision,re-duce the degree of postoperative pain,shorten the length of hospital stay,and promote postoperative reha-bilitation,which is more in line with the concept of rapid rehabilitation.
Total laparoscopyLaparoscopic assistanceResection of the right colon
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