PMID- 30947574
OWN - NLM
STAT- MEDLINE
DCOM- 20210618
LR  - 20210618
IS  - 1521-0553 (Electronic)
IS  - 0894-1939 (Linking)
VI  - 33
IP  - 9
DP  - 2020 Oct
TI  - Short-Term Outcomes of Three-Port Laparoscopic Right Hemicolectomy Versus 
      Five-Port Laparoscopic Right Hemicolectomy: With a Propensity Score Matching 
      Analysis.
PG  - 822-827
LID - 10.1080/08941939.2019.1579276 [doi]
AB  - Purpose: The aim of this study is to compare the short-term and pathological 
      outcomes of TPLRC (Three-port laparoscopic right hemicolectomy) and FPLRC 
      (Five-port laparoscopic right hemicolectomy), using propensity score matching 
      analysis. Methods: One hundred and sixty-eight patients who accepted laparoscopic 
      right hemicolectomy 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 patients' selection bias between 
      two groups. Results: A total of 168 patients were involved. After propensity 
      score matching, 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 short-term outcomes between 
      the two groups. Conclusions: TPLRC is a safe and feasible surgical procedure with 
      similar results of FPLRC in short-term 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.
FAU - Shi, Yi
AU  - Shi Y
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Song, Zijia
AU  - Song Z
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Gu, Yifei
AU  - Gu Y
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Zhang, Yaqi
AU  - Zhang Y
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Zhang, Tao
AU  - Zhang T
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
FAU - Zhao, Ren
AU  - Zhao R
AD  - Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University 
      School of Medicine, Shanghai, China.
AD  - Department of General Surgery, Ruijin North Hospital, Shanghai Jiao Tong 
      University School of Medicine, Shanghai, China.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20190404
PL  - United States
TA  - J Invest Surg
JT  - Journal of investigative surgery : the official journal of the Academy of 
      Surgical Research
JID - 8809255
SB  - IM
MH  - Aged
MH  - Blood Loss, Surgical/statistics & numerical data
MH  - Colectomy/adverse effects/instrumentation/*methods
MH  - Colorectal Neoplasms/*surgery
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Laparoscopy/adverse effects/instrumentation/*methods
MH  - Lymph Node Excision/statistics & numerical data
MH  - Lymph Nodes/surgery
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Propensity Score
MH  - Retrospective Studies
MH  - Surgical Wound Infection/*epidemiology/prevention & control
MH  - Treatment Outcome
OTO - NOTNLM
OT  - colon cancer
OT  - laparoscopic surgery
OT  - right hemicolectomy
OT  - three ports
EDAT- 2019/04/06 06:00
MHDA- 2021/06/22 06:00
CRDT- 2019/04/06 06:00
PHST- 2019/04/06 06:00 [pubmed]
PHST- 2021/06/22 06:00 [medline]
PHST- 2019/04/06 06:00 [entrez]
AID - 10.1080/08941939.2019.1579276 [doi]
PST - ppublish
SO  - J Invest Surg. 2020 Oct;33(9):822-827. doi: 10.1080/08941939.2019.1579276. Epub 
      2019 Apr 4.