Original Article
Application of PCOA+ NOSES with 3D high-resolution laparoscopic radical operation for left sided colon cancer
Bai Junwei, Zhang Chao, Wang Zhikai, Zhang Hui, Xie Yi, Li Junmeng, Zhang Chunbo
Published 2020-02-25
Cite as Chin J Gen Surg, 2020,35(02): 108-111. DOI: 10.3760/cma.j.issn.1007-631X.2020.02.006
Abstract
ObjectiveTo evaluate the PCOA+ NOSES with 3D laparoscopy in the left colon cancer radical resection.
MethodsIn this study 64 patients underwent PCOA+ NOSES with 3D laparoscopic radical operation of the left colon cancer in He′nan Provincial People′s Hospital from June 2016 to June 2019.
ResultThe operation time was(146±53)min, time for anastomosis of PCOA was(30.3±2.5)min, intraoperative blood loss was (51±26)ml, the bowel function recovered in (2.1±1.3)d, the time to semi-liquid diet was (4.1±1.4)d, time to being up and about was (1.3±0.6) d, the mean postoperative hospital stay was (5.4±1.4)d, the number of lymph nodes dissection was (22±9.5), the inhospital cost was (4.1±1.2) ten thousand yuan. Complications developed in 4 patients(6%), one of intestinal obstruction, one of anastomotic leakage, one patient had ascites and infection, one suffred pulmonary infection.
ConclusionThe PCOA+ NOSES with 3D laparoscope in the left colon cancer radical resection was safe and feasible.
Key words:
Colonic neoplasms; Anastomosis, surgical; Colectomy; Laparoscopy
Contributor Information
Bai Junwei
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Zhang Chao
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Wang Zhikai
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Zhang Hui
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Xie Yi
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Li Junmeng
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China
Zhang Chunbo
Department of Gastrointestinal Surgery, He′nan Provincial People′s Hospital(Zhengzhou University People′s Hospital, He′nan University People′s Hospital), Zhengzhou 450003, China