The application of complete mesocolic excision in patients with colonic cancer / 中国医师进修杂志

ABSTRACT

Objective To investigate the clinical efficacy of complete mesocolic excision (CME)in patients with colonic cancer,so as to provide a theoretical basis for further development of CME.Methods A total of 92 patients with colonic cancer were collected.The patients were divided into CME group and control group according to the operation method with 46 patients each.The operating time,intraoperative blood loss,after bed time,passage of flatus time,the first feeding time,postoperative hospital stay,numbers of lymph node dissection and postoperative complications were compared between two groups.Results There were no significant differences in the operating time,after bed time,passage of flatus time,the first feeding time and postoperative hospital stay between two groups(P＞ 0.05).However,there was significant difference in intraoperative blood loss and numbers of lymph node dissection between CME group and control group[(269.7 ±32.5)ml vs.(367.8 ±41.2)ml,(19.7 ±4.2)numbers vs.(13.6 ±3.4)numbers](P＜0.05).There was no significant difference in the postoperative complications between two groups(P ＞ 0.05).Conclusions CME shows more clinical efficacy in colonic cancer,and which does not affect postoperative recovery and postoperative complications.CME is worthy to promote the clinical application in colonic cancer.