Clinical Trials Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 14, 2022; 10(2): 528-537
Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.528
Analysis of 20 patients with laparoscopic extended right colectomy
Hui-Da Zheng, Jian-Hua Xu, Yu-Rong Liu, Ya-Feng Sun
Hui-Da Zheng, Jian-Hua Xu, Yu-Rong Liu, Ya-Feng Sun, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Author contributions: Zheng HD, Xu JH contributed equally to this study and should be regarded as co-first authors; Zheng HD and Xu JH designed the study, collected the data and performed the analysis; Zheng HD, Sun YF and Liu YR wrote the manuscript; Sun YF and Xu JH provided clinical advice, reviewed the manuscript and gave final approval of the version of the article to be published.
Supported by the Malignant Tumor Clinical Medicine Research Center, Quanzhou City, Fujian Province, China, No. 2020N090s.
Institutional review board statement: The Ethics Committee of The Second Affiliated Hospital of Fujian Medical University, No. 2021-258.
Clinical trial registration statement: The data used in the study have been registered at www.Clinicaltrials.gov, No. NCT03936530.
Informed consent statement: All study participants or their legal guardians provided written informed consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Feng Sun, MD, PhD, Associate Chief Physician, Surgeon, Surgical Oncologist, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China. syf791006@163.com
Received: June 22, 2021
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
ARTICLE HIGHLIGHTS
Research background

Whether laparoscopic extended right colectomy is necessary for colon cancer with tumor located in hepatic flexure and right transverse colon is still controversial.

Research motivation

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.

Research objectives

This study aimed to study the necessity and safety of laparoscopic extended right colectomy.

Research methods

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.

Research results

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.

Research conclusions

Laparoscopic extended right colectomy is safe, but it may significantly increase the risk of postoperative gastroparesis.

Research perspectives

This study is expected to increase the sample size and follow-up time.