Abstract:Objective:To compare the clinical efficiency of laparoscopic right hemicolectomy with conventional open right hemicolectomy in a nonrandomized study.
:Methods :The clinical records of 26 patients who underwent laparoscopic right hemicolectomy (laparoscopy group) and 37 patients who underwent conventional open laparoscopic right hemicolectomy(open group) were analyzed.The operative time, blood loss, drainage volume, drainage time, analgesic requirements, time of passage of flatus and stool, time of postoperative stay, and postoperative complications were compared.
:Results:One patient in the laparoscopy group was converted to open surgery. There were no significant differences in operative time, drainage volume and drainage time.Blood loss was significantly less in laparoscopy group（113.20±60.60）mL than in open group（295.95±76.72）mL（t=-9.982, P=0.000）. The analgesic requirement was significantly less in laparoscopy group (48.0％) than in open group（83.8％）（χ2 =7.384, P=0.007）. The postoperative time of passage of flatus and stool, and postoperative stay in laparoscopy group were respectively significantly shorter than those in open group (P＜0.05).
:Conclusions:Laparoscopic right hemicolectomy is a feasible and safe procedure,With excellent minimally invasive effect.