Laparoscopic Vs Open Extended Right Hemicolectomy for Colon Cancer

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2014 Jul 1

PMID 24976728

Citations 13

Authors

Li-Ying Zhao

Pan Chi

Wei-Xing Ding

Shun-Rong Huang

Si-Fen Zhang

Kai Pan

Yan-Feng Hu

Hao Liu

Guo-Xin Li

Affiliations

Soon will be listed here.

Abstract

Aim: To evaluate the feasibility, safety, and oncologic outcomes of laparoscopic extended right hemicolectomy (LERH) for colon cancer.

Methods: Since its establishment in 2009, the Southern Chinese Laparoscopic Colorectal Surgical Study (SCLCSS) group has been dedicated to promoting patients' quality of life through minimally invasive surgery. The multicenter database was launched by combining existing datasets from members of the SCLCSS group. The study enrolled 220 consecutive patients who were recorded in the multicenter retrospective database and underwent either LERH (n = 119) or open extended right hemicolectomy (OERH) (n = 101) for colon cancer. Clinical characteristics, surgical outcomes, and oncologic outcomes were compared between the two groups.

Results: There were no significant differences in terms of age, gender, body mass index (BMI), history of previous abdominal surgery, tumor location, and tumor stage between the two groups. The blood loss was lower in the LERH group than in the OERH group [100 (100-200) mL vs 150 (100-200) mL, P < 0.0001]. The LERH group was associated with earlier first flatus (2.7 ± 1.0 d vs 3.2 ± 0.9 d, P < 0.0001) and resumption of liquid diet (3.6 ± 1.0 d vs 4.2 ± 1.0 d, P < 0.0001) compared to the OERH group. The postoperative hospital stay was significantly shorter in the LERH group (11.4 ± 4.7 d vs 12.8 ± 5.6 d, P = 0.009) than in the OERH group. The complication rate was 11.8% and 17.6% in the LERH and OERH groups, respectively (P = 0.215). Both 3-year overall survival [LERH (92.0%) vs OERH (84.4%), P = 0.209] and 3-year disease-free survival [LERH (84.6%) vs OERH (76.6%), P = 0.191] were comparable between the two groups.

Conclusion: LERH with D3 lymphadenectomy for colon cancer is a technically feasible and safe procedure, yielding comparable short-term oncologic outcomes to those of open surgery.

Citing Articles

Comparison study of two anastomosis techniques in right hemicolectomy: a systematic review and pooling up analysis.

Zhang X, Tang R, Zhang C, Xia M, Shuai L, Tang H Int J Colorectal Dis. 2025; 40(1):50.

PMID: 39994012 PMC: 11850514. DOI: 10.1007/s00384-025-04835-8.

Body mass index-based predictions and personalized clinical strategies for colorectal cancer in the context of PPPM.

Gu Y, Chen L, Gu M, Xu H, Li J, Wu L EPMA J. 2022; 13(4):615-632.

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Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review.

Sica G, Vinci D, Siragusa L, Sensi B, Guida A, Bellato V Surg Endosc. 2022; 37(2):846-861.

PMID: 36097099 PMC: 9944740. DOI: 10.1007/s00464-022-09548-5.

Intracorporeal versus extracorporeal anastomosis in laparoscopic right hemicolectomy: a retrospective cohort study of anastomotic complications.

Frigault J, Avoine S, Drolet S, Letarte F, Bouchard A, Gagne J Ann Coloproctol. 2022; 39(2):147-155.

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Analysis of 20 patients with laparoscopic extended right colectomy.

Zheng H, Xu J, Liu Y, Sun Y World J Clin Cases. 2022; 10(2):528-537.

PMID: 35097078 PMC: 8771377. DOI: 10.12998/wjcc.v10.i2.528.

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