Kim, Han-Gil; Ju, Young-Tae; Lee, Jin-Kwon; Hong, Soon-Chan; Lee, Young-Joon; Jeong, Chi-Young; Kim, Joo-Yeon; Park, Ji-Ho; Jang, Jae Yool; Kwag, Seung-Jin
Journal of laparoendoscopic & advanced surgical techniques. Part A
2018Sep ; 286 ( 9 ) :.
PMID : 30265591
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Kim, Han-Gil - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Ju, Young-Tae - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Lee, Jin-Kwon - 2 Department of General Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine , Changwon, Republic of Korea.
Hong, Soon-Chan - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Lee, Young-Joon - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Jeong, Chi-Young - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Kim, Joo-Yeon - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Park, Ji-Ho - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Jang, Jae Yool - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
Kwag, Seung-Jin - 1 Department of General Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine , Jinju, Republic of Korea.
ABSTRACT
BACKGROUND: The purpose of the study was to evaluate the safety and effectiveness of three-port laparoscopic right colectomy (3-LRC) for right-sided colon cancer compared with conventional five-port laparoscopic right colectomy (5-LRC). MATERIALS AND
METHODS: One hundred sixty-three patients diagnosed with right-sided colon adenocarcinoma underwent laparoscopic right colectomy (LRC) between April 2011 and December 2017. Seventy-four of these patients underwent 3-LRC procedure and 89 patients underwent 5-LRC. Clinical characteristics, perioperative short-term outcomes, and pathologic data were analyzed.
RESULTS: There were no differences in TNM stage, tumor location, estimated blood loss, complications, and open conversion rates. The operation time was shorter in the 3-LRC group than in 5-LRC group (140.9?±?27.5 minutes versus 178.2?±?38.2 minutes; P?=?.001). The number of harvested lymph nodes (28.5?±?13.9 versus 22.6?±?11.7; P?=?.004) was also higher in the 3-LRC group. The first passage of flatus and first oral diet were significantly faster in the 3-LRC group than in the 5-LRC group (2.8?±?1.0 days versus 4.0?±?1.2 days; P?=?.001, 3.6?±?2.9 days versus 5.0?±?1.5 days; P?=?.001). The number of patients who required analgesics is less in the 3-LRC group (32.4% versus 43.8%; P?=?.583). CONCLUSION: 3-LRC for right-sided colon cancer is technically feasible and is associated with a short operation time. We believe that 3-LRC effectively reduces the costs associated with equipment and manpower and represents a standard procedure.
keyword
colon cancer; laparoscopy; reduced port; right colectomy; three ports
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