Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.528
Peer-review started: June 22, 2021
First decision: September 28, 2021
Revised: September 29, 2021
Accepted: December 10, 2021
Article in press: December 10, 2021
Published online: January 14, 2022
Processing time: 203 Days and 15.9 Hours
Whether laparoscopic extended right colectomy is necessary for colon cancer with tumor located in hepatic flexure and right transverse colon is still controversial.
It is of great concern whether laparoscopic extended right colectomy is necessary for tumors located in the hepatic flexure and the right transverse colon. Currently, there is an urgent need to understand the law of lymph nodes of the gastrocolic ligament and the safety of the operation.
This study aimed to study the necessity and safety of laparoscopic extended right colectomy.
This is a clinical study of 20 patients who underwent laparoscopic extended right colectomy. This article describes the surgical technique of laparoscopic extended right colectomy and the perioperative information of patients.
There were no intraoperative complications and conversion to laparotomy in 20 patients. Lymph node metastasis of gastrocolic ligament occurred in 10% of patients, and postoperative complications occurred in 5 patients.
Laparoscopic extended right colectomy is safe, but it may significantly increase the risk of postoperative gastroparesis.
This study is expected to increase the sample size and follow-up time.