Comparing Laparoscopic And Open Surgery In The Treatment Of Right Colon Cancer By Middle Approach CME

Objectives It is to compare “laparoscopy and open approach” with “Midlinelaparotomy approach”, both are based on (CME), in the treatment of right colon cancer;And to explore the safety, postoperative recovery and postoperative outcomes bylaparoscopic CME surgery on right colon cancer.Methods42colon cancer patients were treated under “midline laparotomy approach”based on CME, in the period of January2010to October2013, in the department of GI,Tang Shan People Hospital. In the meantime,44colon-cancer patients were treated CMEby open surgery. The two groups were compared in postoperative recovery, postoperativepathology, cancer cure index and short-term efficiency.Results The two groups have no statistical significant differences in informationage.2cases in Laparoscopic group were conversed to open in operation. The rate was4.8%(2/42). Laparoscopic group and open group average operationtime was122.4±39.02minand113.9±37.38min, there was significant difference(P<0.05); intraoperative blood losswas99.5±61.1ml and120.83±79.73ml respectively, there was significant difference(P<0.05). Exhaust time were3.41±1.97d and4.60±1.25d, there was significantdifference (P<0.05). Eating liquid times were4.75±2.12d and7.20±3.25d, there wassignificant difference (P<0.05). Postoperative pain time5±1.2h and10±2.1h, there wassignificant difference (P<0.05). Postoperative indwelling catheter time was3.62±2.31dand6.07±2.39d, there was significant difference (P<0.05). Postoperative indwellingdrainage times were6.04±3.37n and7.67±2.63n, there was no significant difference(P>0.05). Postoperative hospital stay were10.82±8.26d and13.76±8.18d, there wassignificant difference (P<0.05). Laparoscopic group and open group, the incidence ofcomplications was12.5%(5/40) and34.1%(15/44), there was significant difference(P<0.05). The length of bowel resection, lymph node dissection was no significantdifference between the two groups. There was no operative mortality in both groups. Allpatients were followed up for6months. There were no recurrence and distant metastasesin all patients.Conclusions The midline approach Laparoscopic CME is feasible and safe, comparedwith open surgery. In the midline approach, laparoscopic surgery does not increase thedifficulty of operation. Laparoscopic CME has fewer traumas, faster recovery rate andless time for hospitalization than open surgery. The short-time outcome of LaparoscopicCME is better than open surgery.