الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of this study was to compare between laparoscopic and open complete mesocolic excision with central vascular ligation in right colon cancer as regards technical feasibility, advantages and disadvantages of both procedures. This study was conducted on 60 patients admitted to Menoufia university hospitals and diagnosed as operable right sided colon cancer. It was prospectively conducted during the period from (January 2016) to (April 2019) and all the procedures were done on elective basis. Informed consents were obtained from all patients included in the study which approved by the local ethics committee of Menoufia University Hospitals. Patients were 14 (46.7%) males and 16(53.3%) females in both groups. Their ages ranged from 51 to 71 years with a mean age of 58.33±5.88 in laparoscopic technique and ranged from 50 to 70 years with a mean age of 59.93±5.20 in open technique. The patients were classified equally into two groups: group A: Laparoscopic right hemicolectomy with complete mesocolic excision with central vascular ligation. group B: Open right hemicolectomy with complete mesocolic excision with central vascular ligation. All patients were subjected to: Full history taking, general examination, abdominal examination including DRE and PV, laboratory investigation, ECG and Echocardiography, imaging studies (chest X-ray, US abdomen, CT abdomen and pelvis), and histopathological findings (colonoscopic biopsy, tissue diagnosis). Statistical analysis of the presenting data revealed: - There was no statistical significant difference between the studied groups regarding the mean age and gender distribution (p value > 0.05). - There was no statistical significant difference between the studied groups regarding DM and hypertension (p value > 0.05). - There was no statistical significant difference between the studied groups regarding the tumor location (p value > 0.05). - There was a statistical high significant difference between the studied groups regarding the incision length as the incision of the open technique is longer than the laparoscopic technique (p value < 0.001). It also showed that, there was a statistical high significant difference between the studied groups regarding the operative time and intraoperative blood loss as the laparoscopic technique take more time than the open technique and the intraoperative blood loss during the laparoscopic technique is less than the open technique (p value < 0.001). - There was a statistical high significant difference between the studied groups regarding the hospital stay (p value < 0.001). - There was no statistical significant difference between the studied groups regarding the tumour size, the number of retrieved LNs, TNM classification and the histopathology findings (p value > 0.05). - There was no statistical significant difference between the studied groups regarding postoperative complications as ileus, regain of bowel motion, anastomotic leak, anastomotic bleeding, intraabdominal sepsis and incisional hernia (p value > 0.05). - There was no statistical significant difference between the studied groups regarding follow up duration between the studied groups (p value > 0.05). |