COMPARATIVE ANALYSIS OF 3D HD AND 2D HD LAPAROSCOPIC HEMICOLECTOMY OF RIGHT COLON CARCINOMA
Shantanu Baral, Mubeen Hussein Arawker, Feng Wang, Jiajie Zhou, Dongliang Li, Zaman Ashraful Haque Swapnil and Daorong Wang*
Objective: Exploring the benefits of 3D absolute laparoscopic hemicolectomy with complete mesocolic excision right colon carcinoma (CME). Methods: This research included a total of 200 cases of right colon carcinoma. Randomly, the patients were split into 2D group (n = 120) and 3D group (n = 80), both of which got the right colon carcinoma laparoscopic hemicolectomy with CME. Statistical research was conducted using Windows' SPSS 23.0. Continuous variable mean values were determined. Unpaired or pupil t-test for constant variables. Categorical interpretations were made using Chi-square. On all statistical analyses, P-value below 0.05 was found statistically important. Results: There were no significant difference in gender, age, body mass index (BMI), and distant metastasis between the two groups (P>0.05). The average operation time of the two groups were 152.3±37.7 (min) and 126.7±24.3 (min), with significant difference (P = 0.001); the intraoperative blood loss of the two groups were 91.3±100.7 (ML) and 48.5±23.6 (ML), with significant difference (P = 0.001). The postoperative complications in the two groups were 3.3% and 2.5%, respectively. The incidence of postoperative complications in gastrojejunostomy group was no significantly between the two groups (P = 0.544). Conclusion: Laparoscopic 3D method gives a concise overview, lowers the time of surgery and blood loss in right-colon carcinoma laparoscopic hemicolectomy with CME.
Keywords: complete mesocolic excision; right colon carcinoma; 3D laparoscopy; 2D laparoscopy.
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