Standardized laparoscopic right hemicolectomy technique for colon cancer.
OBJECTIVE
We analysed our experience of laparoscopic surgical treatment vs traditional surgery of right colon cancer.


METHODS
A series of 27 patients was treated from January 2001 to December 2005 out of a total of 927 surgical colorectal operations in the same period (147 with the laparoscopic approach). Inclusion and exclusion criteria are reported. We compared this group with 25 patients treated by the same surgical group with open surgery. The mean operative time, the distance from the distal margin of resection, the number of lymphnodes, the mean period of canalization and the mean hospital stay are reported.


RESULTS
In the laparoscopic group, the mean operative time was 124.8+/-36.3 min vs open surgery group of 94+/-23.6 min; the distance from the distal margin was 6.7+/-3.1 cm vs 6.4+/-2.1 cm; number of lymphnodes was 15.2+/-4.3 vs 18.7+/-2.9 nodes; and canalization 1.7+/-0.9 vs 2.7+/-0.7 days. The hospital stay was 6.8+/-1.7 vs 7.2+/-0.8 days.


CONCLUSIONS
We consider laparoscopic right colon resection a safe procedure but it needs good laparoscopic practice and the observance of inclusion criteria.
Del Rio
P
P
Department of Surgical Science, General Surgery and Organ Transplantation, University of Parma, Parma, Italy. paolo.delrio@unipr.it
Dell'Abate
P
P
Soliani
P
P
Tacci
S
S
Arcuri
M F
MF
Sianesi
M
M
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome