Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2005 Jan 21;11(3):323-6.
doi: 10.3748/wjg.v11.i3.323.

Laparoscopic versus open right hemicolectomy with curative intent for colon carcinoma

Min-Hua Zheng  1 , Bo Feng, Ai-Guo Lu, Jian-Wen Li, Ming-Liang Wang, Zhi-Hai Mao, Yan-Yan Hu, Feng Dong, Wei-Guo Hu, Dong-Hua Li, Lu Zang, Yuan-Fei Peng, Bao-Ming Yu
Affiliations
Comparative Study

Laparoscopic versus open right hemicolectomy with curative intent for colon carcinoma

Min-Hua Zheng et al. World J Gastroenterol. .

Abstract

Aim: Laparoscopic surgery, especially laparoscopic rectal surgery, for colorectal cancer has been developed considerably. However, due to relatively complicated anatomy and high requirements for surgery techniques, laparoscopic right colectomy develops relatively slowly. This study was designed to compare the outcomes of laparoscopic right hemicolectomy (LRH) with open right hemicolectomy (ORH) in the treatment of colon carcinoma.

Methods: Between September 2000 and February 2003, 30 patients with colon cancer who underwent LRH were compared with 34 controls treated by ORH in the same period. All patients were evaluated with respect to surgery-related complications, postoperative recovery, recurrence and metastasis rate, cost-effectiveness and survival.

Results: Among 30 LRH, 2 (6.7%) were converted to open procedure. No significant differences were observed in terms of mean operation time, blood loss, post-operative complications, and hospital cost between LRH and ORH groups. Mean time for bowel movement, hospital stay, and time to resume early activity in the LRH group were significantly shorter than those in the ORH group (2.24+/-0.56 vs 3.25+/-1.29 d, 13.94+/-6.5 vs 18.25+/-5.96 d, 3.94+/-1.64 vs 5.45+/-1.82 d respectively, P<0.05). As to the lymph node yield, the specimen length and total cost for operation and drugs, there was no significant difference between the two groups. Local recurrence rate and metachronous metastasis rate had no marked difference between the two groups. Cumulative survival probability at 40 mo in LRH group (76.50%) was not obviously different compared to the ORH group (74.04%).

Conclusion: LRH in patients with colon cancer has statistically and clinically significant advantages over ORH. Thus, LRH can be regarded as a safe and effective procedure.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Cumulative survival probability of LRH group and ORH group (cancer-related mortality only). The difference between the two groups was not statistically significant.
See this image and copyright information in PMC

References

    1. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy) Surg Laparosc Endosc. 1991;1:144–150. - PubMed
    1. Khalili TM, Fleshner PR, Hiatt JR, Sokol TP, Manookian C, Tsushima G, Phillips EH. Colorectal cancer: comparison of laparoscopic with open approaches. Dis Colon Rectum. 1998;41:832–838. - PubMed
    1. Zheng MH, Cai JL, Lu AG, Li JW, Wang ML, Dong F, Hu YY, Yu BM. Clinical study on the security of laparoscopic radical operation for malignant tumor of the large bowel. J Surg Concepts Pract. 2003;8:361–364.
    1. Leung KL, Meng WC, Lee JF, Thung KH, Lai PB, Lau WY. Laparoscopic-assisted resection of right-sided colonic carcinoma: a case-control study. J Surg Oncol. 1999;71:97–100. - PubMed
    1. Hu JK, Zhou ZG, Chen ZX, Wang LL, Yu YY, Liu J, Zhang B, Li L, Shu Y, Chen JP. Comparative evaluation of immune response after laparoscopical and open total mesorectal excisions with anal sphincter preservation in patients with rectal cancer. World J Gastroenterol. 2003;9:2690–2694. - PMC - PubMed

Publication types