横结肠癌保留回盲瓣手术方式
Abstract
Background: To evaluate the feasibility and safety of a new surgical method, complete laparoscopic extended right
hemicolectomy with preservation of the ileocecal junction in right-transverse colon cancer.
Methods: We retrospectively analyzed and compared the data of consecutive patients with right-transverse colon
cancer who underwent complete laparoscopic extended right hemicolectomy with preservation of the ileocecal
junction (n = 23) and conventional complete laparoscopic extended right hemicolectomy (n = 34) in our hospital
between October 2017 to May 2019, respectively.
Results: The overall operation time of the ileocecal junction-preserved group was significantly shorter than that of
the control group (p = 0.048). There was no difference in the number of harvested lymph nodes, metastatic lymph
nodes, and rate of metastatic lymph nodes (p > 0.05). The ileocecal junction-preserved group showed shorter time
of first flatus, lower frequency of postoperative diarrhea, and shorter duration of postoperative hospitalization.
Furthermore, it also showed that the defecation frequency was lower in the ileocecal junction-preserved group
than the control group on the 1st, 3rd, and 6th month (p < 0.05), and the number of patients who defecated at
night or defecated four times or more a day was less in the ileocecal junction-preserved group than control group
on the 1st month (p < 0.05).
Conclusion: The complete laparoscopic extended right hemicolectomy with preservation of the ileocecal junction
promises as a safe and feasible surgical procedure for right-transverse colon cancer, associated with earlier recovery
of bowel function, shorter operation time, and similar pathological outcomes when compared to the conventional
laparoscopic procedure.
Keywords: Ileocecal junction-preserved, Colon cancer, Complete laparoscopy, Right hemicolectomy, Bowel function
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