title: [Short-term efficacy of laparoscopic-assisted right hemicolectomy with D3 lymph node dissection in colon cancer].
abstract: OBJECTIVE
  To explore the feasibility and short-term efficacy of laparoscopic-assisted D3 lymph node dissection for right colon cancer with a medial-to-lateral approach.
  
  
  METHODS
  Clinical data of 61 patients with right colon cancer undergoing D3 lymph node dissection from March 2006 to June 2010 were analyzed retrospectively. Among them,29 underwent laparoscopic-assisted right hemicolectomy (LARH group) and 32 underwent open right hemicolectomy (ORH group). The number of lymph node harvest, operative details, and complication rate were compared between the two groups.
  
  
  RESULTS
  The mean number of lymph node harvest did not differ significantly between the two groups (16.9±3.8 vs. 15.4±3.6). As compared to ORH group, although the operative time was significantly longer [(214.4±37.9) min vs. (193.3±28.8) min] in LARH group, the mean blood loss [(83.4±38.0) ml vs. (192.7±43.6) ml], time to first flatus [(44.6±20.8) h vs. (70.4±80.0) h], time to resumption of soft diet[(32.5±10.6) h vs. (59.7±10.4) h], and postoperative hospital stay [(11.2±2.2) d vs. (13.8±2.8) d] were more favorable(all P<0.05). Complication rate was lower in LARH group(10.4% vs. 9.4%), however the difference was not statistically significant.
  
  
  CONCLUSIONS
  LARH with D3 lymph node dissection is oncologically comparable with ORH for right colon cancer. It is a safe and feasible procedure associated with rapid postoperative recovery.
authors.affiliation: Department of Surgical Oncology, Fujian Medical University, Fuzhou 350001,China. gxguan1108@163.com
authors.forename: Guo-xian
authors.initials: GX
authors.lastname: Guan
authors.forename: Xing
authors.initials: X
authors.lastname: Liu
authors.forename: Wei-zhong
authors.initials: WZ
authors.lastname: Jiang
authors.forename: Zhi-fen
authors.initials: ZF
authors.lastname: Chen
authors.forename: Hui-shan
authors.initials: HS
authors.lastname: Lu
mesh_terms: D000368:Aged; D003082:Colectomy / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome