Evidence map›Paper›PMID 40291870›Full record

ArticleWorld journal of gastrointestinal surgery2025

Comparison of outcomes of laparoscopic-assisted and total laparoscopic right hemicolectomy for right-sided colon cancer.

Wen-Feng Du, Tang-Shuai Liang, Zong-Fei Guo, Jian-Jun Li, Cheng-Gang Yang

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Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wen-Feng DuDepartment of Gastrointestinal Surgery, Liaocheng People's Hospital, Liaocheng 252000, Shandong Province, China.
Tang-Shuai LiangDepartment of Gastrointestinal Surgery, Liaocheng People's Hospital, Liaocheng 252000, Shandong Province, China.
Zong-Fei GuoCollege of Clinical and Basic Medicine, Shandong First Medical University, Liaocheng 252000, Shandong Province, China.
Jian-Jun LiDepartment of Gastrointestinal Surgery, Liaocheng People's Hospital, Liaocheng 252000, Shandong Province, China.
Cheng-Gang YangDepartment of Gastrointestinal Surgery, Liaocheng People's Hospital, Liaocheng 252000, Shandong Province, China. bakerham123@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColon cancer is a significant health issue in China, with high incidence and mortality rates. Surgical resection remains the primary treatment, with the introduction of complete mesocolic excision in 2009 improving precision and outcomes. Laparoscopic techniques, including laparoscopic-assisted right hemicolectomy (LARH) and total laparoscopic right hemicolectomy (TLRH), have further advanced colon cancer treatment by reducing trauma, blood loss, and recovery time. While TLRH offers additional benefits such as faster recovery and fewer complications, its adoption has been limited by longer operative times and technical challenges.

aimTo compare the short-term outcomes of TLRH and LARH for the treatment of right -sided colon cancer and explore the advantages and feasibility of TLRH.

methodsClinical data from 109 right-sided colon cancer patients admitted between January 2019 and May 2021 were retrospectively analyzed. Patients were divided into an observation group (TLRH,

resultsThe TLRH group showed the advantages of reduced intraoperative bleeding, shorter hospital stays, and quicker recovery. Lymph node dissection outcomes were comparable, and postoperative inflammatory markers were lower in the TLRH group. Complication rates were similar. Short-term follow-up (2 years) revealed no significant differences in recurrence, metastasis, or survival rates.

conclusionCompared to LARH, TLRH offers significant advantages in terms of reducing surgical trauma, lowering postoperative inflammatory factor levels, and mitigating the impact on intestinal function. This approach contributes to a shorter hospital stay and promotes postoperative recovery in patients. The study suggests that TLRH may offer favorable outcomes for colorectal cancer patients.

Indexed as

Laparoscopic-assisted right hemicolectomyLaparoscopic complete mesocolic excisionRight-sided colon cancerShort-term outcomesTotal laparoscopic right hemicolectomy

Identifiers

PMID40291870
PMCPMC12019061

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