Zheng MH, Feng B, Lu AG, Li JW, Wang ML, Mao ZH, Hu YY, Dong F, Hu WG, Li DH, Zang L, Peng YF, Yu BM. Laparoscopic versus open right hemicolectomy with curative intent for colon carcinoma. World J Gastroenterol 2005; 11(3): 323-326 [PMID: 15637736 DOI: 10.3748/wjg.v11.i3.323]
Corresponding Author of This Article
Dr. Min-Hua Zheng, Department of General Surgery, Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, China. zmhtiger@yeah.net
Article-Type of This Article
Colorectal Cancer
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jan 21, 2005; 11(3): 323-326 Published online Jan 21, 2005. doi: 10.3748/wjg.v11.i3.323
Table 1 Demographic data of LRH and ORH groups, n (%).
Parameters
LRH (n = 30)
ORH (n = 34)
P
Mean age (yr)
60.18±14.91
60.00±12.67
0.97
>70 (%)
10 (33.3)
9 (26.5)
<70 (%)
20 (66.7)
25 (73.5)
0.549
Gender (%)
Male
16 (53.3)
20 (58.8)
Female
14 (46.7)
14 (41.2)
0.659
Previous abdominal operation (%)
Yes
8 (26.7)
10 (29.4)
No
22 (73.3)
24 (70.6)
0.807
Tumor site (%)
Cecum
10 (33.3)
6 (17.6)
Ascending colon
12 (40)
15 (44.1)
Hepatic flexure
8 (26.7)
13 (38.2)
0.319
Dukes' stage (%)
A
1 (3.3)
3 (8.8)
B
13 (43.3)
16 (47.1)
C
16 (53.3)
15 (44.1)
0.578
Table 2 Comparison of surgical safety and postoperative recovery (mean±SD).
Parameters
LRH (n = 30)
ORH (n = 34)
P
Surgery-related
Operating time (min)
152.65±28.29
147.25±27.50
0.561
Blood loss (mL)
112.94±96.36
274.50±235.43
0.005
Postoperative recovery
Analgesia requirement (%)
14 (46.7)
26 (76.5)
0.014
Flatus (d)
2.24±0.56
3.25±1.29
0.012
Time to resume normal diet
5.65±2.40
7.30±2.72
0.06
Hospital stay (d)
13.94±6.53
18.25±5.96
0.043
Time to resume early activity (d)
3.94±1.64
5.45±1.82
0.013
Length of incision (cm)
6.47±4.11
17.55±1.61
<0.01
Major complications (%)
5 (16.7)
10 (29.4)
0.23
Massive haemorrhage
0
1
Anastomotic leak
0
1
Pulmonary infection
2
3
Urinary tract infection
0
1
Wound infection
2
4
Ileus
1
0
Table 3 Comparison of oncological clearance and follow-up results (mean±SD).
Parameters
LRH (n = 30)
ORH (n = 34)
t
P
Oncological clearance
Length of specimen (cm)
20.88±5.28
23.10±6.90
1.082
0.842
Lymph node yield
11.24±8.02
9.75±6.04
0.343
0.734
Epicolic and paracolic lymph nodes
6.82±4.72
7.35±4.60
1.39
0.173
Intermediate lymph nodes
2.59±2.43
1.50±2.32
1.24
0.223
Principle lymph nodes
1.82±2.53
0.90±2.00
1.031
0.31
Oncological results
Mean follow-up (mo)
27.15±7.95
26.19±7.46
0.478
0.634
Local recurrence (%)
2 (6.7)
2 (5.9)
Metachronous metastasis (%)
4 (13.3)
5 (14.7)
Cumulative survival probability (%)
76.5
74.04
-
0.851
Table 4 Comparison of expenditure for surgery and drugs (mean±SD).
Parameters
LRH (n = 30)
ORH (n = 34)
t
P
Cost for operation (RMB)
7810.70±1719.07
5018.92±845.62
6.417
<0.01
Cost for drugs (RMB)
3687.85±1977.42
5209.42±2212.37
2.188
0.035
Total cost (RMB)
11498.54±2618.86
10228.34±2372.57
1.547
0.131
Citation: Zheng MH, Feng B, Lu AG, Li JW, Wang ML, Mao ZH, Hu YY, Dong F, Hu WG, Li DH, Zang L, Peng YF, Yu BM. Laparoscopic versus open right hemicolectomy with curative intent for colon carcinoma. World J Gastroenterol 2005; 11(3): 323-326