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LAPAROSCOPIC COMPLETE MESOCOLIC EXCISION FOR LEFT COLON CANCER
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Abstract
Background: Laparoscopic complete mesocolic excision (CME) for the treatment of colon cancer has improved long-term survival and become the standard procedure in surgical management of colon cancer. Objectives: Evaluate mid-term outcomes of laparoscopic complete mesocolic excision in stage I - III left colon cancer and the quality of oncologic specimens. Patients and methods: The prospective study of patients diagnosed left colon cancer. The patients underwent laparoscopic complete mesocolic excision between January 2018 and July 2021 at Binh Dan Hospital. Results: 68 patients (38 females and 30 males) were included. The mean age is 58,35 ± 10,67 years. The mean operative time was 180,56 ± 40,30 minutes. The mean volume of intraoperative blood loss was 100,20± 27,56ml. There were no complication during operation. Post operative complications occurred in 13,23% of patient, included 7,35% of surgical site infection, 4.41 % of anatomosis leakage and 21,47% of postoperative obtruction. The mean length of stay was 8,24 ± 4,82 days. The mean number of lymph nodes retrieval was 17,42 ± 4,52 nodes. There were 42,64% of patients with node metastasis. The length of speciment was 38,56 ± 8,20 cm. The percentage of surviving patients who didn’t have metastasis is 87,3%. Conclusions: Laparoscopic complete mesocolic excision is safe to treat left colon cancer with less postoperative complication and improve the mid-term oncological outcome. The quatily of oncologic speciment is good.
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Keywords
left colon cancer, complete mesocolic excision
References
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