Effect of complete mesocolic excision in treating colon cancer in elderly obese patients
Lu Xingsheng
Xu Yong
Qin Ancheng
Abstract：Objective To evaluate the effect of complete mesocolic excision in treating colons cancer in elderly obese patients.Methods Totally 66 elderly obese patients with colon cancer from January 2011 to January 2013 were randomly divided into observation group (33 cases) receiving complete mesocolon excision and control group (33 cases) receiving colon resection.The clinical efficacy,complications,recurrence,postoperative blood loss,number of resected lymph nodes,and survival rates of 1 and 2 years were recorded and compared between groups.Results The effective rate was not significantly different between observation group and control group [78.8％ (26/33) vs 72.7％ (24/33)] (P ＞0.05);the rates of complication and recurrence were significantly lower,the survival rates of 1 and 2 years were significantly higher in observation group than those in control group [6.1％ (2/33)vs48.5％ (16/33),6.1％ (2/33)vs24.2％ (8/33),90.9％ (30/33)vs63.6％ (21/33),81.8％ (27/33) vs 51.5％ (17/33)] (P ＜ 0.05);the number of resected lymph node was significantly more,the operative blood loss was significantly less in observation group than those in control group [(25.1 ± 3.3) vs (11.5 ±2.1),(127 ±4) ml vs (177 ±3) ml] (P＜0.05).Conclusion In elderly obese patients,complete resection mesocolon has great clinical efficacy in treating colon cancer,with fewer complications compared with colon resection.
Keywords：Colon cancerComplete mesocolic resectionElderlyObeseClinical efficacy
Publication Date：2016-05-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 691-693 )