title: [Short-term efficacy comparison of complete mesocolic excision and traditional colon cancer resection].
abstract: OBJECTIVE
  To investigate the short-term efficacy of complete mesocolic excision (CME).
  
  
  METHODS
  Clinical data of 62 cases of colon cancer (I-III phase) with radical resection including CME surgery group of 31 cases and traditional surgery group of 31 cases from January 2011 to October 2011 in Peking University People's Hospital were retrospective analyzed.
  
  
  RESULTS
  The number of removed lymph node in CME and traditional resection group was 22.5±1.8 and 17.6±1.3 respectively (P<0.05) and the positive rate of lymph node in mesentery root was 9.7% (3/31) in CME surgery group. Operative blood loss was (123.5±17.6) ml and (143.5±15.3) ml in CME and traditional resection group without significant difference (P>0.05). Except for more abdominal drainage volume of 3 days post-operation in CME group (P<0.05), the postoperative recovery indicators of postoperative drainage tube removed time, exhaust time, eating time, and the socioeconomic effects indicators of postoperative hospitalization, hospitalization costs were not significantly different between two groups (all P>0.05). Postoperative intestinal obstruction occurred in 3 cases and 4 cases, lymph fistula in 2 cases and 0 case, wound dehiscence in 1 case and 1 case in CME group and traditional resection group respectively. Postoperative complication rate was not significantly different (19.4% vs. 16.1%, P>0.05).
  
  
  CONCLUSIONS
  Compared with traditional radical surgery, CME sweeps lymph nodes more thoroughly, including lymph nodes of mesocolic roots, and does not affect postoperative recovery and increase the risk of postoperative complications.
authors.affiliation: Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Tie
authors.initials: T
authors.lastname: Wang
authors.forename: Ying-jiang
authors.initials: YJ
authors.lastname: Ye
authors.forename: Ya-mei
authors.initials: YM
authors.lastname: Han
authors.forename: Zhi-dong
authors.initials: ZD
authors.lastname: Gao
authors.forename: Peng
authors.initials: P
authors.lastname: Guo
authors.forename: Xiao-dong
authors.initials: XD
authors.lastname: Yang
authors.forename: Ke-wei
authors.initials: KW
authors.lastname: Jiang
authors.forename: Mu-jun
authors.initials: MJ
authors.lastname: Yin
authors.forename: Shan
authors.initials: S
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008646:Mesocolon / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome