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139694

COMPARATIVE STUDY BETWEEN LAPAROSCOPIC VERSUS OPEN RIGHT HEMICOLECTOMY

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Last updated: 22 Jan 2023

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Abstract

Background: Colorectal cancer (CRC) incidence and mortality rates vary markedly around the world. The right colon has a thin wall, a large caliber, and its contents are liquid; thus, obstruction is a late event in right colon cancer. Also, right colonic tumors grow large enough to be palpable through the abdominal wall before other symptoms appear. Objective: To compare between laparoscopic and open complete mesocolic excision with central vascular ligation in right colon cancer as regards technical feasibility, advantages and disadvantages of both procedures. Patients and Methods: This study was conducted on 30 patients admitted to Al-Azhar University Hospitals, and diagnosed as operable right sided colon cancer. It was prospectively conducted during the period from October 2019 to June 2020, and all the procedures were done on elective basis. Informed consents were obtained from all patients included in the study which approved by the local ethics committee of Al-Azhar University Hospitals. Patients were 7 (46.7%) males and 8(53.3%) females. Their ages ranged from 51 to 71 years with a mean age of 58.33±5.88 in laparoscopic technique, and ranged from 50 to 70 years with a mean age of 59.93±5.20 in open technique. Results: There was no statistical significant difference between the studied groups regarding the mean age, gender distribution, DM, hypertension and the tumor location. There was a statistical significant difference between the studied groups regarding the incision length as the incision of the open technique was longer than the laparoscopic technique, regarding the operative time and intraoperative blood loss as the laparoscopic technique take more time than the open technique and the intraoperative blood loss during the laparoscopic technique was less than the open technique. Conclusion: Complete mesocolic exicion(CME), with central vascular ligation is the novel key factor in the multimodal management of right colon cancer, determining a significant improvement in loco-regional control of tumors and improving the long-term oncological outcome, especially in intermediate stages of disease. it is a safe, valid, and feasible surgical method for right colon cancers, associated with smaller incisions, less operative blood loss, earlier recovery after operation, and shorter hospital stay compared with Open technique. The open technique is still superior in shorter operative time and more number of harvested lymph nodes.

DOI

10.21608/amj.2021.139694

Keywords

colorectal cancer, complete mesocolic excision, laparoscopic right colectomy

Authors

First Name

Abu El-Haggag

Last Name

Ahmed Abu El-Haggag

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Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

abuelheggag.2030@gmail.com

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First Name

Mohamed

Last Name

Ibraheem El-Anany

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Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Orcid

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First Name

Mahmoud

Last Name

Abd El-Hady Abd El-Aziz

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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Volume

50

Article Issue

1

Related Issue

20574

Issue Date

2021-01-01

Receive Date

2021-01-14

Publish Date

2021-01-01

Page Start

117

Page End

132

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_139694.html

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https://amj.journals.ekb.eg/service?article_code=139694

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12

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Original Article

Type Code

941

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Journal

Publication Title

Al-Azhar Medical Journal

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https://amj.journals.ekb.eg/

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Article

Created At

22 Jan 2023