Short-term efficacy and safety of complete mesocolic excision for treatment of colon cancer / 局解手术学杂志

ABSTRACT

Objective To investigate the short-term efficacy and safety-related factors of the complete mesocolic excision and traditional operation for treating colon cancer. Methods The data of 38 patients with colon cancer who received complete mesocolic excision and 47 ca-ses who treated by traditional operation were analyzed retrospectively,and the short-term efficacy and relative factors were compared. Results The average cleaned lymph nodes of CME group and traditional group were respectively (21. 6 ± 7. 5) and (13. 9 ± 7. 1),and the number of cleaned lymph nodes at every stage of surgery in CME group was significantly more than that in traditional group. The survival rates and the recurrence rates of two groups were respectively 100% vs. 80. 9%,10. 5% vs. 46. 8%. There was no significant difference in the postopera-tive exhaust,defecation and hospitalization time. But the rate of complications in CME group was lower than that in traditional group. Conclu-sion For patients with colon cancer,the complete mesocolic excision can clean the surrounding lymph nodes,improve the survival rate,re-duce the relapse rate,which enhances the quality of operation,improves surgical safety,with reliable efficacy,and worthy of further research and extension in clinic.