title: Comparison of laparoscopic versus open complete mesocolic excision for right colon cancer.
abstract: OBJECTIVE
  To explore the feasibility, safety, efficacy, and short-term oncologic outcomes of laparoscopic-assisted complete mesocolic excision (CME) for right colon cancer.
  
  
  METHODS
  The clinical data from 102 patients with right colon cancer who underwent laparoscopic CME (n = 53; LS group) and open CME (n = 49; OS group) from June 2012 to December 2013 were retrospectively reviewed. Outcomes of the two groups were compared.
  
  
  RESULTS
  There were no conversions to open surgery in the LS group. The operative time in the LS group was similar to that in the OS group (194 ± 57 vs. 177 ± 51 min, respectively, p = 0.118). Intraoperative blood loss was significantly less in the LS group compared with the OS group (94 ± 56 vs. 118 ± 60 ml, respectively, p = 0.039). There was no difference in the total number of harvested lymph nodes (14 ± 6 vs. 13 ± 5, respectively, p = 0.313). The time to resume liquid diet (3 ± 2 vs. 5 ± 2 d, p < 0.001) and length of hospital stay (11 ± 4 vs. 14 ± 6 d, p = 0.002) were significantly shorter in the LS group. The rate of complications was similar between the groups (4% vs. 12%, respectively, p = 0.222). No recurrences were noted in either group during follow-up (range, 6-24 months).
  
  
  CONCLUSIONS
  Laparoscopic CME is a safe, feasible, and effective minimally invasive procedure for right colon cancer.
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Jiang-Long
authors: JL
authors: Huang
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China. Electronic address: drweihb@126.com.
authors: Hong-Bo
authors: HB
authors: Wei
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Jia-feng
authors: JF
authors: Fang
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Zong-Heng
authors: ZH
authors: Zheng
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Tu-Feng
authors: TF
authors: Chen
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Bo
authors: B
authors: Wei
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Yong
authors: Y
authors: Huang
authors: Department of Gastrointestinal Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, GuangZhou, 510630, China.
authors: Jian-pei
authors: JP
authors: Liu
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D061887:Conversion to Open Surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008198:Lymph Nodes / Q000601:surgery; D008297:Male; D008646:Mesocolon; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Complete mesocolic excision; Laparoscopy; Laparotomy; Right hemicolectomy