Open AccessLaparoscopic versus Open Complete Mesocolic Excision for Right Colon Cancer
Author(s) -
Ali Zedan,
Essam Elshiekh,
Mohamed Omar,
Mohamad Raafat,
Salah Mabrouk Khallaf,
Haisam Atta,
Marwa T. Hussien
Publication year - 2021
Publication title -
international journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.432
H-Index - 22
eISSN - 2090-1410
pISSN - 2090-1402
DOI - 10.1155/2021/8859879
Subject(s) - medicine , surgery , colorectal cancer , laparoscopy , statistical significance , cancer
Results The mean operative time was significantly longer in the LCME group than that in the OCME group with less mean intraoperative blood loss. Conversion was required in 4 patients (8.3%) in the LCME group. The use of laparoscopy increased the number of harvested lymph nodes compared to the open approach (39.81 ± 16.74 vs. 32.65 ± 12.28, respectively, P =0.010). The laparoscopic approach was associated with a shorter time interval to first flatus as well as shorter time interval to liquid and normal diet after surgery. The postoperative hospital stay was significantly shorter in the LCME group. The complication rate was slightly lower in the LCME (14.7%) than in the OCME group (27.2%) ( P =0.252). The 3-year OS in the LCME group was similar to that in OCME (78.2% vs. 63.2%, respectively, P value = 0.423). The three-year DFS in the laparoscopic group was higher (74.5%) than the open group (60.0%), but did not reach statistical significance ( P value = 0.266).Conclusions In conclusion, laparoscopic CME right hemicolectomy is a technically feasible and safe procedure if surgeon expertise is present. LCME has long-term oncologic outcomes (recurrence and survival) comparable to open surgery for management of patients with stage II or III colon cancer.