A Comparative Study of the Short-Term Efficacy of Laparoscopic Radical Resection of Right-Sided Colon Cancer with Two Different Surgeon Positions and Trocar Placements ()
ABSTRACT
Objective: To investigate the short-term efficacy of laparoscopic radical resection
of right-sided colon cancer with two different surgeon positions and trocar
placements. Methods: The data of 78 patients who underwent laparoscopic
radical resection of right-sided colon cancer between January 2018 and August
2019 were retrospectively analysed. The surgical method was selected by the patients. The patients were divided
into two groups according to the surgeons’ positioning habits and trocar
placements. The group with the lead surgeon standing between the patient’s legs
had 35 patients, and the group with the lead surgeon standing at the left side
of the patient had 43 patients. The operation time, intraoperative blood loss,
postoperative anal gas evacuation time, postoperative urinary catheter
indwelling time, postoperative hospital stay, C-reactive protein (CRP) level on
the first day after surgery, and postoperative pathological data and
complications were compared between the two groups. Results: All
patients underwent the laparoscopic radical resection of right-sided colon
cancer, none converting to laparotomy. No significant difference (P > 0.05)
in intraoperative blood loss (57.6 ± 21.3 ml vs 60.2 ± 35.3 ml), postoperative
anal gas evacuation time (3.5 ± 1.1 d vs 3.8 ± 1.3 d), postoperative urinary
catheter indwelling time (2.6 ± 1.3 d vs 2.4 ± 1.2 d), postoperative hospital
stay (7.1 ± 1.8 d vs 7.5 ± 2.1 d), or CRP level on the first day after surgery
(54.7 ± 9.6 mg/L vs 53.9 ± 8.2 mg/L) was detected between the two groups. The
operation time was shorter in the group with the lead surgeon standing between
the patient’s legs (185.2 ± 25.6 min vs 196.2 ±19.7 min) (P < 0.05). The two
groups did not differ significantly in the tumour length (4.2 ± 1.3 cm vs 3.9 ±
1.5 cm), number of dissected lymph nodes (27.5 ± 11.6 vs 25.1 ± 15.4),
pathological type, or postoperative pathological tumour-node-metastasis stage
(P > 0.05). No patients died or had anastomotic fistula during their
postoperative hospital stay, and the incidence of postoperative complications
did not differ between the two groups (22.9% (8/35) vs 23.3% (10/42); P >
0.05). Conclusion: Under the principle of radical resection, the surgeon
should adopt the most suitable standing position and trocar placement according
to the specific situation. If the surgeon stands between the patient’s legs,
this might shorten the operation time and promote a smoother surgery.
Share and Cite:
Zheng, Z. , Tang, M. , Zhang, S. , Sun, H. and Shang, J. (2022) A Comparative Study of the Short-Term Efficacy of Laparoscopic Radical Resection of Right-Sided Colon Cancer with Two Different Surgeon Positions and Trocar Placements.
Journal of Cancer Therapy,
13, 105-116. doi:
10.4236/jct.2022.133008.
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