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Completely medial access by page-turning approach for laparoscopic right hemi-colectomy: 6-year-experience in single center

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Abstract

Background

To investigate the safety and feasibility of the completely medial access by page-turning approach (CMAP) for laparoscopic right hemi-colectomy.

Methods

In this retrospective study, the data from 72 patients who underwent laparoscopic right hemi-colectomy with CMAP were analyzed and compared with data from 124 patients who underwent the conventional medial approach performed by the same surgical team from September 2011 to March 2017.

Result

Complete mesocolic excision (CME) was achieved in 67 of 72 patients (93.1%) with laparoscopic CMAP. The average operation time, blood loss, and specimen length was 135.9 ± 28.3 min, 63.2 ± 32.2 ml, and 23.9 ± 4.7 cm, respectively. The number of lymph nodes harvested was 20.6 ± 7.7, the time-to-flatus was 2.5 ± 0.8 days, the time-to-fluid intake was 3.2 ± 0.8 days, and the average hospital stay was 8.9 ± 4.7 days. No intra-operative complications occurred in this study. The vessel-related complication and total post-operative complication rate was 2.78% (2/72) and 6.94% (5/72), respectively.

Conclusions

Laparoscopic CMAP was an alternative approach for CME in laparoscopic right hemi-colectomy, which was proved safe and feasible for right colon cancer.

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Author information

Correspondence to Minhua Zheng or Bo Feng.

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Disclosures

Ziri He, Sen Zhang, Pei Xue, Xialin Yan, Leqi Zhou, Jianwen Li, Mingliang Wang, Aiguo Lu, Junjun Ma, Lu Zang, Hiju Hong, Feng Dong, Hao Su, Jing Sun, Luyang Zhang, Minhua Zheng, and Bo Feng have no conflicts of interest or financial ties to disclose.

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He, Z., Zhang, S., Xue, P. et al. Completely medial access by page-turning approach for laparoscopic right hemi-colectomy: 6-year-experience in single center. Surg Endosc 33, 959–965 (2019) doi:10.1007/s00464-018-6525-1

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Keywords

  • Complete mesocolic excision
  • Laparoscopic right hemi-colectomy
  • Anatomic variation
  • Medial access
  • Bleeding
  • Page-turning approach