Tóm tắt

Surgery is the most important indication for radical treatment of colon cancer and the long-term results can be improved by improving the surgical treatment. Objectives: To assess the clinical outcomes of laparoscopy for right colon cancer. Subject and method: The database was created by retrospectively reviewing hospital of the patients who underwent laparoscopic right hemicolectomy in 108 Military Central Hospital (from April 2015 to June 2018). Results: Tumor site often occurred at ascending colon and hepatic flexure (66.2%). Patients commonly were operated at stages I - II based on phathology (70.3%). The median size of tumor was 4.8 ± 1.8 cm. Lymph node harvest was 19.7 ± 7.1. The rate of positive lymph nodes was 28.4%. The average of operation time was 105.7 ± 30.5 minutes. The mean time of hospital stay was 8.7 ± 2 days. Two patients (2.8%) were converted to open surgery. The rate of postoperative complication was 9.7%. There was one case of anastomotic leakage, three cases with surgical site infection and one case of postoperative mortality. The three-year overall survival rate of all stages was 91.9%. The 3-year overall survival rates according to stages were 100% in stage I, 90.5% in stage II, and 88.6% in stage III. Conclusion: Laparoscopic complete mesocolic excision in right colon cancer treatment is technically feasible, safe and with acceptable complication rate. * Keywords: Right colonic cancer; Complete mesocolic excision; Laparoscopy; Oncologic outcome.

Abstract

Surgery is the most important indication for radical treatment of colon cancer and the long-term results can be improved by improving the surgical treatment. Objectives: To assess the clinical outcomes of laparoscopy for right colon cancer. Subject and method: The database was created by retrospectively reviewing hospital of the patients who underwent laparoscopic right hemicolectomy in 108 Military Central Hospital (from April 2015 to June 2018). Results: Tumor site often occurred at ascending colon and hepatic flexure (66.2%). Patients commonly were operated at stages I - II based on phathology (70.3%). The median size of tumor was 4.8 ± 1.8 cm. Lymph node harvest was 19.7 ± 7.1. The rate of positive lymph nodes was 28.4%. The average of operation time was 105.7 ± 30.5 minutes. The mean time of hospital stay was 8.7 ± 2 days. Two patients (2.8%) were converted to open surgery. The rate of postoperative complication was 9.7%. There was one case of anastomotic leakage, three cases with surgical site infection and one case of postoperative mortality. The three-year overall survival rate of all stages was 91.9%. The 3-year overall survival rates according to stages were 100% in stage I, 90.5% in stage II, and 88.6% in stage III. Conclusion: Laparoscopic complete mesocolic excision in right colon cancer treatment is technically feasible, safe and with acceptable complication rate. * Keywords: Right colonic cancer; Complete mesocolic excision; Laparoscopy; Oncologic outcome.