A randomized controlled study of laparoscopic radical resection of right colon cancer by using two different approaches

Objective To investigate the clinical outcome of laparoscopic right hemicolectomy by using cephalic-intermediate or caudal-intermediate approach. Methods A prospective study was conducted in 102 patients underwent laparoscopic radical resection of right colon cancer from May 2017 to May 2019. All of 102 patients were randomly divided into two groups, including 51 cases in cephalic group by using cephalic-intermediate approach, while 51 patients cases in caudal group by using caudal-intermediate approach. Statistical analysis were performed by using SPSS 24.0 software package. Count data such as rate of intraoperative vascular injury and postoperative complication were compared by using χ2 test. Measurement data such as surgical indicators, postoperative clinical indicators and tumor indexs were expressed as (±s) and examined by using independent t-test. A P value of <0.05 was considered as statistically significant difference. Results The operation time and bleeding volume in caudal group were better than those in cephalic group, with significant difference (P 0.05). Conclusion By using both two surgical approaches, radical resection of tumors could be achieved effectively in accordance with the principles of, CME. Howerve, using caudal-intermediate approach could help to decrease operation time and intraoperative bleeding volume. Key words: Colonic neoplasms; Laparoscopes; Colectomy; Prospective studies