Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press24610.17650/2220-3478-2018-8-2-11-17ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯShort-term and long-term outcomes of laparoscopic right hemicolectomy with d3 lymph node dissection: experience of one clinicНепосредственные и отдаленные результаты лапароскопической правосторонней гемиколэктомии с D3-лимфодиссекцией: опыт 1 центраRakhimovO. A.РахимовО. А.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

https://orcid.org/0000-0002-9303-8379GordeevS. S.ГордеевС. С.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Сергей Сергеевич Гордеев

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

ss.netoncology@gmail.comAlievV. A.АлиевВ. А.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

https://orcid.org/0000-0002-9289-1247MamedliZ. Z.МамедлиЗ. З.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

KuzmichevD. V.КузьмичевД. В.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

BarsukovYu. A.БарсуковЮ. А.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

https://orcid.org/0000-0002-5565-615XRasulovA. O.РасуловА. О.
Russian Federation

Surgical Department No. 3 (Department of Proctology)

23 Kashirskoe Shosse, Moscow 115478

Хирургическое отделение № 3 (проктологическое) 

115478 Москва, Каширское шоссе, 24

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России120720188211171207201812072018Copyright ©; 2018, ABV-pressCopyright ©; 2018, АБВ-пресс2018ABV-pressАБВ-прессhttps://onco-surgery.info/jour/about/editorialPolicieshttps://onco-surgery.info/jour/article/view/246

Objective: to assess short-term and long-term outcomes of right hemicolectomy with extensive lymph node dissection using the experience of one clinic.

Materials and methods. This retrospective study analyzed data from a prospectively collected database containing information on all patients with right-sided colon cancer that underwent laparoscopic right hemicolectomy with D3 lymph node dissection between 2013 and 2018. We estimated intraoperative blood loss, surgery duration (taken from anesthetic records), frequency of postoperative complications, length of in-hospital stay, duration of lymphorrhea, time to gastrointestinal recovery, integrity of the mesocolon, number and location of removed lymph nodes.

Results. A total of 50 underwent laparoscopic right hemicolectomy with D3 lymph node dissection. No cases of surgical conversion were registered. Median surgery duration was 185 min; median blood loss was 30 mL. No postoperative mortality was observed in the study cohort. Twelve (24 %) patients had postoperative complications; 2 (4 %) patients underwent repeated surgery. Median number of lymph nodes examined was 26; high-quality specimens (G ) were obtained in 48 (96 %) patients. At a median follow-up of 19.5 months, 2 (4 %) patients had disease progression (developed liver metastases).

Conclusion. Our results confirm safety of laparoscopic approach for right colon resection with D3 lymph node dissection

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