A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery
BackgroundFor laparoscopic right hemicolectomy, the intermediate approach is commonly employed. However, this approach possesses several disadvantages. In this study, we compare priority access to the small bowel mesentery and the intermediate approach.MethodsThe clinical data of 196 patients admitt...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-01-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1064377/full |
| _version_ | 1797960688022323200 |
|---|---|
| author | Feng Pi Xudong Peng Chaozheng Xie Gang Tang Yuhao Qiu Zhenzhou Chen Zhengqiang Wei |
| author_facet | Feng Pi Xudong Peng Chaozheng Xie Gang Tang Yuhao Qiu Zhenzhou Chen Zhengqiang Wei |
| author_sort | Feng Pi |
| collection | DOAJ |
| description | BackgroundFor laparoscopic right hemicolectomy, the intermediate approach is commonly employed. However, this approach possesses several disadvantages. In this study, we compare priority access to the small bowel mesentery and the intermediate approach.MethodsThe clinical data of 196 patients admitted to the First Hospital of Chongqing Medical University for laparoscopic right hemicolectomy from January 2019 to January 2022 were retrospectively collected and divided into the small bowel mesenteric priority access and traditional intermediate access groups. The operative time, intraoperative bleeding, number of lymph node dissection, postoperative anal venting time, toleration of solid and liquid intake, and postoperative hospital stay and complications were compared between the two different approaches.ResultsIn total, 81 cases of small bowel mesenteric priority access and 115 cases of intermediate approach for right hemi-colonic radical resection were compared. The operative time was 191.98 ± 46.05 and 209.48 ± 46.08 min in the small bowel mesenteric priority access and intermediate access groups, respectively; the difference was statistically significant. There were no significant differences in the intraoperative bleeding and lymph node clearance. However, the scatter plot analysis showed that severe intraoperative bleeding was relatively less frequent in the small mesenteric priority access group, compared with that in the intermediate approach group. Additionally, there were no statistically significant differences in the first exhaust and defecation times, hospital stay after operation, toleration of solid and liquid intake, and postoperative complication between the two groups.ConclusionIn laparoscopic right hemicolectomy, the small bowel mesenteric priority approach can significantly shorten the operation time compared with the intermediate approach. It can reduce intraoperative bleeding and the operation is simple and safe to perform, making it suitable for less experienced surgeons. Therefore, the small bowel mesenteric priority approach has the potential to be a suitable alternative and deserves further clinical promotion and application. |
| first_indexed | 2024-04-11T00:48:58Z |
| format | Article |
| id | doaj.art-5f92ac75c5af4b58b937e3e5037ce8db |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T00:48:58Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-5f92ac75c5af4b58b937e3e5037ce8db2023-01-05T10:31:14ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10643771064377A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesenteryFeng PiXudong PengChaozheng XieGang TangYuhao QiuZhenzhou ChenZhengqiang WeiBackgroundFor laparoscopic right hemicolectomy, the intermediate approach is commonly employed. However, this approach possesses several disadvantages. In this study, we compare priority access to the small bowel mesentery and the intermediate approach.MethodsThe clinical data of 196 patients admitted to the First Hospital of Chongqing Medical University for laparoscopic right hemicolectomy from January 2019 to January 2022 were retrospectively collected and divided into the small bowel mesenteric priority access and traditional intermediate access groups. The operative time, intraoperative bleeding, number of lymph node dissection, postoperative anal venting time, toleration of solid and liquid intake, and postoperative hospital stay and complications were compared between the two different approaches.ResultsIn total, 81 cases of small bowel mesenteric priority access and 115 cases of intermediate approach for right hemi-colonic radical resection were compared. The operative time was 191.98 ± 46.05 and 209.48 ± 46.08 min in the small bowel mesenteric priority access and intermediate access groups, respectively; the difference was statistically significant. There were no significant differences in the intraoperative bleeding and lymph node clearance. However, the scatter plot analysis showed that severe intraoperative bleeding was relatively less frequent in the small mesenteric priority access group, compared with that in the intermediate approach group. Additionally, there were no statistically significant differences in the first exhaust and defecation times, hospital stay after operation, toleration of solid and liquid intake, and postoperative complication between the two groups.ConclusionIn laparoscopic right hemicolectomy, the small bowel mesenteric priority approach can significantly shorten the operation time compared with the intermediate approach. It can reduce intraoperative bleeding and the operation is simple and safe to perform, making it suitable for less experienced surgeons. Therefore, the small bowel mesenteric priority approach has the potential to be a suitable alternative and deserves further clinical promotion and application.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1064377/fulllaparoscopycolon tumorright hemicolectomysurgerypriority access to the small bowel mesentery |
| spellingShingle | Feng Pi Xudong Peng Chaozheng Xie Gang Tang Yuhao Qiu Zhenzhou Chen Zhengqiang Wei A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery Frontiers in Surgery laparoscopy colon tumor right hemicolectomy surgery priority access to the small bowel mesentery |
| title | A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| title_full | A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| title_fullStr | A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| title_full_unstemmed | A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| title_short | A new approach: Laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| title_sort | new approach laparoscopic right hemicolectomy with priority access to small bowel mesentery |
| topic | laparoscopy colon tumor right hemicolectomy surgery priority access to the small bowel mesentery |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1064377/full |
| work_keys_str_mv | AT fengpi anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT xudongpeng anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT chaozhengxie anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT gangtang anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT yuhaoqiu anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT zhenzhouchen anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT zhengqiangwei anewapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT fengpi newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT xudongpeng newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT chaozhengxie newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT gangtang newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT yuhaoqiu newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT zhenzhouchen newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery AT zhengqiangwei newapproachlaparoscopicrighthemicolectomywithpriorityaccesstosmallbowelmesentery |