Comparison between midline incision and limited right skin crease incision for right-sided colonic cancers

被引：27

作者：

Donati D. ^{[1
]}

Brown S.R. ^{[1
]}

Eu K.W. ^{[1
]}

Ho Y.H. ^{[1
]}

Seow-Choen F. ^{[1
]}

机构：

[1] Department of Colorectal Surgery, Singapore General Hospital, Singapore 169608

来源：

Techniques in Coloproctology | 2002年 / 6卷 / 1期

关键词：

Colonic adenocarcinoma; Curative resection; Midline incision; Transverse incision;

D O I：

10.1007/s101510200000

中图分类号：

学科分类号：

摘要：

We compared the postoperative recovery parameters between patients undergoing curative surgery for right-sided colonic carcinoma using a limited skin crease incision and a traditional midline incision. A retrospective study was carried out analyzing clinical records and histopathological reports for all patients operated in one colorectal surgical unit for cancer of the right colon over a 2-year period. Palliative procedures were excluded. We analyzed demographic details, operative data (length of incision and time of operation), recovery parameters (time on parenteral analgesia, time to first oral fluid intake, time to first solid meal, time to discharge) and oncological parameters (lymph node harvest and resection margins). A total of 123 patients were analyzed, 61 with a midline incision and 62 with a skin crease incision. Demographic and tumour data (number of lymph nodes resected and resection margins) as well as postoperative complications were similar between the two groups. Wound length was significantly longer in the midline incision group (median, 20 cm vs. 10 cm; p<0.0005), as was the duration of surgery (median, 60 min vs. 45 min; p<0.0005). With regard to postoperative recovery, the skin crease incision group had a significantly quicker return of bowel function (p<0.0005), shorter time to oral fluid (p<0.001) and solid food (p<0.0005) intake, and shorter hospital stay (p<0.0005) than the midline incision group. There was no statistically significant difference between the two groups concerning postoperative narcotic requirements. In conclusion, the limited skin crease approach for right colon cancer resection is technically feasible and safe. It can achieve the same standards of tumour resection and clearance as the vertical midline approach while reducing postoperative recovery. © Springer-Verlag 2002.

引用

页码：1 / 4

页数：3

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