International Journal of Colorectal Disease

, Volume 28, Issue 5, pp 623–629

Long-term results of laparoscopy-assisted radical right hemicolectomy with D3 lymphadenectomy: clinical analysis with 177 cases

  • Ding-Pei Han
  • Ai-Guo Lu
  • Hao Feng
  • Pu-Xiong-Zhi Wang
  • Qi-Feng Cao
  • Ya-Ping Zong
  • Bo Feng
  • Min-Hua Zheng
Original Paper

DOI: 10.1007/s00384-012-1605-5

Cite this article as:
Han, DP., Lu, AG., Feng, H. et al. Int J Colorectal Dis (2013) 28: 623. doi:10.1007/s00384-012-1605-5

Abstract

Purposes

To study the feasibility, safety, and short-/long-term outcomes of laparoscopy-assisted right hemicolectomy with D3 lymphadenectomy for colon cancer.

Methods

The clinical data of 177 cases that underwent laparoscopy-assisted radical right hemicolectomy with D3 lymphadenectomy for colon cancer between Jun 2003 and Sep 2010 was collected; the safety of operation, status of recovery, complication, oncological outcomes, and results of short-/long-term follow-up were analyzed.

Results

No case died in this study; five cases (2.82 %) were converted to open surgery. Four cases (2.26 %) underwent hand-assisted laparoscopic right hemicolectomy. The average operation time was 133 ± 36 min, and the blood loss was 94 ± 34 ml. The average time for passage of flatus, liquid food eating, and hospitalization were 2.1 ± 0.7, 3.2 ± 0.5, and 10.4 ± 2.7 day, respectively. The total number of lymph nodes removed was 15.2 ± 10.1. Postoperative complications were observed in 23 of 177 patients (12.99 %). The median follow-up period was 54 months; port-site recurrence was observed in one patient; local recurrence was found in five cases (2.82 %); distant metastasis was found in 21 cases (11.86 %). The cumulative overall survival of all stages at 12, 36, 60, and 72 months was 97.18 %, 83.73 %, 70.37 %, and 68.99 %, respectively. The cancer-specific survival was 98.73 % (12 months), 87.81 % (36 months), and 80.17 % (60 months).

Conclusions

Laparoscopy-assisted right hemicolectomy with D3 lymphadenectomy can be successfully performed for right colon cancer with the advantages of minimally invasive surgery. Moreover, the results implied appropriate short- and long-term outcomes.

Keywords

Laparoscopy Right hemicolectomy Colonic neoplasm D3 lymphadenectomy 

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Ding-Pei Han
    • 1
  • Ai-Guo Lu
    • 1
  • Hao Feng
    • 1
  • Pu-Xiong-Zhi Wang
    • 1
  • Qi-Feng Cao
    • 1
  • Ya-Ping Zong
    • 1
  • Bo Feng
    • 1
  • Min-Hua Zheng
    • 2
  1. 1.Department of General Surgery, Ruijin HospitalShanghai Minimally Invasive Surgery Center, Shanghai Jiaotong University School of MedicineShanghaiPeople’s Republic of China
  2. 2.Minhang Branch of Ruijin HospitalShanghai Minimally Invasive Surgery Center, Shanghai Jiaotong University School of MedicineShanghaiPeople’s Republic of China