The Cranial-caudal Mixed Medial Approach for Laparoscopic Right Hemicolectomy

Jie Wang

Status: Completed

Conditions: Postoperative Complications; Intraoperative Blood Loss; Pathology

Treatments: Procedure: The cranial-caudal mixed medial approach

Study type: Interventional

Funder types: Other

Identifiers

NCT05923151

SubeiH

Details and patient eligibility

About

To explore the feasibility and effectiveness of the cranial-caudal mixed medial approach in laparoscopic right hemicolectomy with complete mesocolic excision. Laparoscopic right hemicolectomy using the cranial-caudal mixed medial approach is safe and feasible, can shorten the operation time, reduce the risk of intraoperative bleeding, and has good clinical results.

Full description

The data of patients undergoing laparoscopic right hemicolectomy performed in the same surgical group of gastrointestinal surgery at Northern Jiangsu People's Hospital from February 2017 to June 2022 were retrospectively analyzed. According to different surgical approaches, patients were divided into the cranial-caudal mixed medial approach group and the medial approach group.

Intraoperative and postoperative data were collected. Intraoperative data is obtained through surgical records and pathological reports, including total operation time, Laparoscopic procedure time, Intraoperative blood loss, sample length, number of lymph nodes collected, and number of positive lymph nodes. Postoperative data includes exhaust time, liquid intake time, postoperative hospitalization and complications. Among them, complications are short-term postoperative complications (surgical related complications, non-surgical related complications) within the first 30 days after surgery (or throughout the hospitalization period, if more than 30 days, and are classified according to the Clavien-Dindo classification method.

To explore the feasibility and effectiveness of the cranial-caudal mixed medial approach in laparoscopic right hemicolectomy with complete mesocolic excision.

Enrollment: 148 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age range: 18-70 years old
• Right colon cancer confirmed by colonoscopy and pathological diagnosis
• Single primary tumor without distal metastasis
• Laparoscopic operation

Exclusion criteria

• Age below 18 and above 70 years old
• Patients who need urgent surgery
• Persons with a history of malignant tumors
• Multiple primary tumors or distant metastases

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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148 participants in 2 patient groups

The cranial-caudal mixed medial approach group

Experimental group

Description:

75 patients were diagnosed with right colon cancer and underwent the cranial-caudal mixed medial approach for laparoscopic right hemicolectomy with complete mesocolic excision.

Treatment:

Procedure: The cranial-caudal mixed medial approach

the medial approach group

Other group

Description:

73 patients were diagnosed with right colon cancer and underwent the medial approach for laparoscopic right hemicolectomy with complete mesocolic excision.

Treatment:

Procedure: The cranial-caudal mixed medial approach