LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

Tao Zhang; Yaqi Zhang; Xiaonan Shen; Yi Shi; Xiaopin Ji; Shaodong Wang; Zijia Song; Xiaoqian Jing; Feng Ye; Ren Zhao

doi:10.3389/fonc.2021.762716

LongTerm Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus Five-Port Laparoscopic Right Hemicolectomy: A Retrospective Study

Front Oncol. 2021 Sep 30:11:762716. doi: 10.3389/fonc.2021.762716. eCollection 2021.

Authors

Tao Zhang¹, Yaqi Zhang¹, Xiaonan Shen², Yi Shi³, Xiaopin Ji¹, Shaodong Wang¹, Zijia Song¹, Xiaoqian Jing¹, Feng Ye¹, Ren Zhao¹

Affiliations

¹ Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of GI, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
³ Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Abstract

Purpose: The aim of this study is to compare the long-term outcomes of three-port laparoscopic right hemicolectomy (TPLRC) and five-port laparoscopic right hemicolectomy (FPLRC) with retrospective analysis.

Methods: A total of 182 patients who accepted laparoscopic right hemicolectomy with either three ports (86 patients) or five ports (96 patients) from January 2012 to June 2017 were non-randomly selected and analyzed retrospectively.

Results: More lymph nodes were harvested in the TPLRC group than in the FPLRC group [17.5 (7), 14 (8) ml, p < 0.001]. There was less blood loss in the TPLRC group [50 (80) vs. 100 (125) ml, p = 0.015]. There were no significant differences in the other short-term or oncological outcomes between the two groups. The overall survival and disease-free survival were equivalent.

Conclusions: TPLRC is recommendable as it guarantees short- and long-term equivalent outcomes compared with FPLRC.

Keywords: colon cancer; five-port laparoscopic right hemicolectomy; laparoscopy; longterm outcomes; three-port laparoscopic assisted colectomy; three-port laparoscopic right hemicolectomy.