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Date Published: 28/02/2023
Online Published: 28/02/2023
Abstract Views: 738
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DOI: https://doi.org/10.58490/ctump.2023i57.606
Issue
No. 57 (2023)
Section
Article
How to Cite
Duong, D. T. P., Ho, L. H., & Pham, V. N. (2023). VASCULAR VARIATIONS OF RIGHT COLON AND EARLY RESULTS IN LAPAROSCOPIC RIGHT HEMICOLECTOMY FOR RIGHT COLON CANCER. Cantho Journal of Medicine and Pharmacy, 57, 133-139. https://doi.org/10.58490/ctump.2023i57.606

VASCULAR VARIATIONS OF RIGHT COLON AND EARLY RESULTS IN LAPAROSCOPIC RIGHT HEMICOLECTOMY FOR RIGHT COLON CANCER

Diep Thien Phu Duong1,, Long Hien Ho2, Van Nang Pham1
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Oncology Hospital

Main Article Content

Abstract

Background: In 1991, laparoscopic right colectomy was first introduced in the world by Jacobs. Since then, this technique has been increasingly developed and has many advantages compared to open surgery. In laparoscopic right colectomy for colon cancer, the surgeon needs to understand the anatomy as well as the relationship between the mesenteric blood vessels to ensure the principles of oncological treatment. Objectives: To survey on vascular patterns of the right colon and evaluates the early treatment results of right colon cancer by laparoscopic surgery. Materials and methods: A descriptive, prospective cross-sectional study with 43 patients with right colon cancer from April 2021 to October 2022. Results: Male/Female ratio: 18/25. Mean age: 57.63 ± 11.5 (38 - 82) years old. The ileocolic artery and the middle colon artery were present in all cases. The ileocolic artery crossed anterior to the superior mesenteric vein in 39.5% of cases. The right colic artery originates directly from the superior mesenteric artery in 44.2% of cases. Average operating time: 160 ± 36.3 minutes. Post-operative complications: 1 case of anastomotic leakage (2.3%). Postoperative pathology: 88.4% of moderately differentiated adenocarcinoma, 27.9% of T4a and 7% of T4b tumors. The average number of dissected lymph nodes: 16.8 ± 3.57 nodes. Conclusions: Laparoscopic right colectomy for colon cancer is safe and feasible. The detection rate of ileocolic artery: 100%, right colic artery: 44.2%.

Article Details

Keywords

Laparoscopic right hemicolectomy, ileocolic artery, right colic artery

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