[The standardized practice of laparoscopic-assisted radical right hemicolectomy in order to achieve complete mesocolic excision].
OBJECTIVE
To explore the feasibility of laparoscopic-assisted radical right hemicolectomy with the outcome being a complete mesocolic excision (CME).


METHODS
Between February 2010 and June 2011, we performed the standardized surgery of laparoscopic-assisted radical right hemicolectomy with an aim of CME on 14 patients. There were 10 males and 4 females, with an average age of 57 years (range 36 to 74 years). All the pathologic results in 14 cases were primary colonic adenocarcinoma. The TNM stages were distributed as follows: 2 in II A, 3 in II B, 3 in III A, 5 in III B and 1 in III C.


RESULTS
Surgery was successfully performed for all patients without open conversion. The average operation time was (178 ± 37) minutes (range 127 to 221 minutes), average intraoperative blood loss was (67 ± 23) ml (range 30 to 110 ml), while the average number of lymph node harvest was 21 ± 7 (range 14 to 31), and the postoperative hospital stay was (10.0 ± 2.2) days (range 7 to 15 days). Minor complications occured in 2 patients. Major complications and post-operative mortality were not observed. All the patients were followed up for 3 to 19 months, no tumor recurrence or metastasis was identified.


CONCLUSIONS
The standardized surgery of laparoscopic-assisted radical right hemicolectomy with the final outcome of CME is safe and feasible.
Department of General Surgery, the Affiliated Hexian Memorial Hospital of Southern Medical University, Guangzhou 511400, China.
Bing-gen
BG
Li
Xiang-yang
XY
Nie
Yong-zhong
YZ
He
Hui-hua
HH
Xie
Guo-zhong
GZ
Yu
Han-peng
HP
Du
Fan-dong
FD
Kong
Du-hui
DH
Gong
Wei-bin
WB
Lin
Ming-jian
MJ
Wu
D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008646:Mesocolon / Q000601:surgery*; D008875:Middle Aged