Suo Lang DJ, Ci Ren YZ, Bian Ba ZX. Minimally invasive surgery vs laparotomy in patients with colon cancer residing in high-altitude areas. World J Clin Cases 2021; 9(35): 10919-10926 [PMID: 35047602 DOI: 10.12998/wjcc.v9.i35.10919]
Corresponding Author of This Article
Duo-Ji Suo Lang, MHSc, Attending Doctor, General Surgery, Peoples Hospital of Tibet Autonomous Region, No. 18 North Linkuo Road, Chengguan District, Lasa 850000, Tibet Autonomous Region, China. suolang469563645@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Dec 16, 2021; 9(35): 10919-10926 Published online Dec 16, 2021. doi: 10.12998/wjcc.v9.i35.10919
Table 1 Surgical conditions in the two groups (mean ± SD)
Group
Number of cases
Surgery duration (min)
Intraoperative blood loss (mL)
Gastrointestinal function recovery time (d)
Number of lymph node dissection
Minimally invasive group
46
189.39 ± 20.38
101.26 ± 18.64
2.55 ± 0.39
14.26 ± 3.15
Laparotomy group
46
145.62 ± 16.37
153.22 ± 23.39
3.37 ± 0.46
15.51 ± 3.49
t value
11.356
11.783
9.222
1.803
P value
0.000
0.000
0.000
0.075
Table 2 Inflammatory factors before and after surgery in the two groups (mean ± SD)
Time
Group
n
CRP (mg/L)
IL-6 (ng/mL)
TNF-α (pg/mL)
Before Surgery
Minimally invasive group
46
9.18 ± 3.38
122.33 ± 16.19
76.37 ± 11.25
Laparotomy group
46
8.97 ± 3.60
119.64 ± 18.02
78.62 ± 13.18
t value
0.288
0.753
0.881
P value
0.774
0.453
0.381
After Surgery
Minimally invasive group
46
26.98 ± 6.91
146.38 ± 11.23
83.51 ± 8.69
Laparotomy group
46
41.15 ± 8.39
186.79 ± 15.36
110.65 ± 12.84
t value
8.842
14.404
11.872
P value
0.000
0.000
0.000
Table 3 Immune function indexes in the two groups before and after surgery (mean ± SD)
Time
Group
n
CD3+ (%)
CD4+ (%)
CD4+/CD8+
Before Surgery
Minimally invasive group
46
61.23 ± 6.45
40.26 ± 4.11
1.58 ± 0.50
Laparotomy group
46
63.09 ± 5.96
39.64 ± 3.89
1.62 ± 0.44
t value
1.436
0.743
0.407
P value
0.154
0.459
0.685
After Surgery
Minimally invasive group
46
55.61 ± 4.39
35.45 ± 3.67
1.30 ± 0.35
Laparotomy group
46
49.68 ± 5.33
31.21 ± 3.25
1.13 ± 0.30
t value
5.825
5.866
2.501
P value
0.000
0.000
0.014
Table 4 Complication probability in the two groups, n (%)
Group
n
Infection
Anastomotic leakage
Urinary retention
Intestinal obstruction
Total Incidence
Minimally invasive group
46
1 (2.17)
0 (0.00)
1 (2.17)
0 (0.00)
2 (4.35)
Laparotomy group
46
3 (6.52)
2 (4.35)
1 (2.17)
2 (4.35)
8 (17.39)
χ2 value
4.039
P value
0.044
Citation: Suo Lang DJ, Ci Ren YZ, Bian Ba ZX. Minimally invasive surgery vs laparotomy in patients with colon cancer residing in high-altitude areas. World J Clin Cases 2021; 9(35): 10919-10926