Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Endocrine Surgery
- Oral and Maxillofacial Surgery
- Cardiovascular Surgery
- Urology
- Gynecological Surgery
- Neurological Surgery
- Gastroenterological Surgery
- Transplant Surgery
Abstract
Citation: Clin Surg. 2018;3(1):2030.Research Article | Open Access
Short-Term Outcomes of Three- Port Laparoscopic Right Hemi-Colectomy versus Five- Port Laparoscopic Right Hemi Colectomy: With a Propensity Score Matching Model
Yi Shi, Feng Ye, Zijia Song, Yifei Gu, Yaqi Zhang, Haoxuan Wu, Xianze Chen, Xiaopin Ji, Tao Zhang and Ren Zhao
Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
PDF Full Text DOI: 10.25107/2474-1647.2030
Abstract
Objectives: The aim of this study is to compare the short-term and pathological outcomes of TPLRC (Three-Port Laparoscopic Right hemi - Colectomy) and FPLRC (Five - Port Laparoscopic Right hemi - Colectomy), using propensity score matching analysis.Methods: 168 patients who accepted laparoscopic right hemi - colectomy with either three ports or five ports from January 2013 to October 2017 were non-randomly selected and analyzed retrospectively. Propensity score matching model was used to eliminate the patient s’ selection bias between two groups.Results: A total of 168 patients were involved. After PSM, 39 for each group were compared. The number of harvested lymph nodes was significantly larger in the TPLRC group than in the FPLRC group (18.36 ± 8.58 vs. 14.90 ± 6.63, p=0.048). A lower mean operative time was observed in the TPLRC group (136.24 ± 26.78 vs. 168.64 ± 43.68 min, p<0.001). A less blood loss in the TPLRC group (62.44 ± 55.17, 135.54 ± 139.11 ml, p=0.003). No significant differences in the other shortterm outcomes between the 2 groups.Conclusion: TPLRC is a safe and feasible surgical procedure with similar results of FPLRC in shortterm clinical outcomes. TPLRC has the advantages of shorter operative time, less blood loss and larger number of harvested lymph nodes. A randomized prospective clinical trial of long-term outcomes of TPLRC is required to further prove the present results.
Keywords
Colon cancer; Right hemi - colectomy; Laparoscopic surgery
Cite the article
Shi Y, Ye F, Song Z, Gu Y, Zhang Y, Wu H, et al. Short-Term Outcomes of Three- Port Laparoscopic Right Hemi-Colectomy versus Five- Port Laparoscopic Right Hemi Colectomy: With a Propensity Score Matching Model. Clin Surg. 2018; 3: 2030.
