Comparison Of Short-term Clinical Efficacy Between The Middle Approach And The Caudal Approach In Laparoscopic Radical Resection Of Right Colon Cancer

Objective: With the increasing incidence of colon cancer in the world,it has become the third most common multiple tumors with the second most common cancer mortality.Laparoscopic radical resection of right colon cancer has been developed rapidly in China in recent years,and has become the preferred operation of right colon cancer.Laparoscopic radical resection of right colon cancer has the unique characteristics of minimally invasive,light postoperative pain and quick recovery,and the radical treatment effect is reliable.However,there are many surgical approaches for this operation,the classic middle approach and the caudal approach are the most commonly used approaches at present.However,there is no clear conclusion to prove which approach is more advantageous in the comparison of the short-term clinical efficacy of these two approaches.The purpose of this experiment is to find a suitable approach for laparoscopic right colon cancer.Methods:In this study,a retrospective analysis was conducted.Among the patients who underwent laparoscopic radical right colon cancer resection and underwent caudal approach in the Gastrointestinal surgery Department of Wannan Medical College from December 2019 to June 2022,40 cases were selected and divided into the observation group and 40 patients who underwent intermediate approach as the control group,with a total of 80 cases.The perioperative conditions of the two groups were observed and compared,including operation time,intraoperative blood loss,number of lymph nodes dissection,conversion to laparotomy and short-term postoperative efficacy indexes,including postoperative hospital stay,postoperative exhaust time,open diet time,drainage tube removal time,and the rate of recent postoperative complications.Results: There was no significant difference between the caudal approach and the middle approach in the number of lymph node dissection,conversion to laparotomy,postoperative hospital stay,postoperative exhaust time,open diet time,drainage tube removal time,and the incidence of postoperative short-term complications(P>0.05).The operation time and intraoperative bleeding volume of the caudal approach were less than those of the middle approach(P<0.05).Conclusion: Compared with the middle approach,the caudal approach has shorter operation time and less intraoperative bleeding.It is easier for beginners to enter the correct surgical level,so as to better ensure the integrity of the mesentery and not easily cause side damage to other organs.