Effect of Caudal Combined Midline Approach in Laparoscopic D3 Radical Resection of Right Colon Cancer
Objective:To investigate the effect of effect of caudal combined midline approach in laparoscopic D3 radical resection of right colon cancer.Method:A total of 82 patients with colon cancer who treated with laparoscopic D3 radical resection of right colon cancer in Shaowu Municipal Hospital from October 2023 to March 2024 were selected as the study objects,the patients were randomly divided into the control group(n=41)and the observation group(n=41).The observation group was used the caudal combined midline surgical approach,and the control group was used the conventional midline surgical approach,two groups were observed for 1 week after surgery.The surgical indicators,postoperative recovery,tumor markers[carbohydrate antigen 199(CA199),carcinoembryonic antigen(CEA)]levels and complications within 1 week after operation were compared between two groups.Result:There were no significant differences in the number of lymph node dissection and the first defecation time between two groups(P>0.05);compared with the control group,the observation group had shorter operation time,first postoperative exhaust time and drainage tube removal time,and less amount of intraoperative blood loss,the differences were statistically significant(P<0.05).At 1 week after operation,the levels of CEA and CA199 in two groups were decreased,and compared with the control group,the observation group were lower,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications within 1 week after operation between two groups(P>0.05).Conclusion:The application of the caudal combined midline approach in laparoscopic D3 radical resection of right colon cancer can effectively reduce the amount of intraoperative blood loss,shorten the operation time,accelerate the recovery of postoperative gastrointestinal function,reduce the level of tumor markers,and the safety is comparable to that of the midline approach.
Colon cancerLaparoscopy D3 radical operation for right colon cancerSurgical approach
万方数据
维普
