Abstract
Objective
The aim of the study was to investigate the clinical value of superior mesenteric vascular intrathecal approach in right hemicolectomy.
Methods
We retrospectively studied the clinical data of 132 patients who had right hemicolectomy from June 2007 to June 2010, including 68 cases with superior mesenteric vascular intrathecal approach to resect specimen, and compared the operation time, blood loss, hospital stay and the number of dissected lymph nodes with patients treated with conventional surgery.
Results
Compared the vascular intrathecal approach with conventional approach, the operation time and blood loss were decreased significantly, the number of Dukes C No. 3 lymph node dissection was increased, while the incidence of postoperative complications and hospital stay were equivalent to traditional surgery group.
Conclusion
The use of vascular intrathecal approach in right hemicolectomy can significantly shorten the operation time and reduce bleeding and improve surgical radical outcomes.
Similar content being viewed by others
References
Wan XB, Han GS, Ren YK, et al. Application of blood vessel controlling skill in hemicolectomy. J Med Forum (Chinese), 2009, 30: 27–28.
Shun YF. Report of 12 cases with root 3-type right hemicolectomy. Central Plains Med J (Chinese), 2004, 31: 25–26.
Wang ZX. Analysis of 38 cases with root 3-type right hemicolectomy. Chin J Mod Drug Appl (Chinese), 2008, 2: 121.
Wang AL, Liu QL. Improved root 3-type right hemicolectomy in treatment of colon carcinoma. Shangdong Med J (Chinese), 2007, 47: 67–68.
Yu HT, Li GX, Zhang C, et al. Anatomy of the laparoscopic right hemicolectomy through medial access. Chin J Clin Anat (Chinese), 2008, 26: 477–480.
Saiura A, Yamamoto J, Ueno M, et al. Long-term survival in patients with locally advanced colon cancer after en bloc pancreaticoduodenectomy and colectomy. Dis Colon Rectum, 2008, 51: 1548–1551.
Chi P, Lin HM, Chen YC, et al. Feasibility of lymphadenectomy with skeletonization in extended right hemicolectomy by hand-assisted laparoscopic surgery. Chin J Gastrointest Surg (Chinese), 2005, 8: 410–412.
Luo Y, Wu WZ. The improved right hemicolectomy with anterograde clearance to lymph nodes in treatment of right hemicolonic carcinoma. Chin Gene Prac (Chinese), 2009, 12: 502–503.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Zhao, Y., Han, G., Ren, Y. et al. Clinical research of superior mesenteric vascular intrathecal approach in right hemicolectomy. Chin. -Ger. J. Clin. Oncol. 9, 633–636 (2010). https://doi.org/10.1007/s10330-010-0667-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10330-010-0667-5