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- W3029846607 abstract "ObjectiveTo compare the effect between laparoscopic complete mesocolic resection and traditional radical colectomy in the treatment of young and middle-aged and elderly aged patients with stage Ⅲ colon cancer.Methods153 patients with stage Ⅲ colon cancer were collected in our hospital from January 2013 to June 2016 and analyzed retrospectively. The patients were divided into the CME group (78 cases, with 34 cases of young and middle-aged patients, and 44 cases of elderly patients, who received laparoscopic complete mesocolic resection) and the traditional group (75 cases, with 37 cases of young and middle-aged patients, and 38 cases of elderly patients, who received traditional radical colectomy) according to the operation method. Statistical analysis was performed by using SPSS 17.0 software, intraoperative and postoperative indicators and conditions of lymph node dissected were presented as (±s) and examined by using t test; the incidence of postoperative complications were presented as [n (%)] and examined by chi square test. A P value of <0.05 was considered as significant difference.ResultsThere was no significant difference of intraoperative and postoperative related indicates, lymph node dissection and postoperative complications among the different aged patients (young and middle-aged and elderly patients) in both of the two groups (P>0.05); Compared with the traditional group, the operative blood loss of young and middle-aged and elderly patients in CME group was significantly reduced, and the operative time, postoperative exhaust time, drainage time and hospitalization time were significantly shortened (P<0.05). Compared with the traditional group, the number of lymph node dissected, lymph node in left and right colon, number of positive lymph node metastases of young and middle-aged and elderly patients in CME group were increased significantly (P<0.05). The total incidence of postoperative complications in the traditional group was 8 (10.7%), and in the CME group was 2 (2.6%), and the difference was statistically significant (P<0.05).ConclusionLaparoscopic complete mesocolic resection is effective in the treatment of young and middle-aged and elderly patients with stage Ⅲ colon cancer, with less blood loss, faster postoperative recovery and higher safety.Key words: Colonic Neoplasms; Laparoscopy; Mesocolon; Colectomy" @default.
- W3029846607 created "2020-06-05" @default.
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- W3029846607 date "2018-02-26" @default.
- W3029846607 modified "2023-09-24" @default.
- W3029846607 title "Comparison of the effect of laparoscopic complete mesocolic resection and traditional radical colectomy in the treatment of young and middle-aged and elderly aged patients with stage III colon cancer" @default.
- W3029846607 doi "https://doi.org/10.3877/cma.j.issn.1674-3946.2018.01.021" @default.
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