الفهرس 
Chapter I: Surgical embryology and anatomyOnly 14 pages are availabe for public view
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Abstract
The aim of this study was to compare between laparoscopic and
open complete mesocolic excision with central vascular ligation in right
colon cancer as regards technical feasibility, advantages and
disadvantages of both procedures.
This study was conducted on 60 patients admitted to Menoufia
university hospitals and diagnosed as operable right sided colon cancer. It
was prospectively conducted during the period from (January 2016) to
(April 2019) and all the procedures were done on elective basis. Informed
consents were obtained from all patients included in the study which
approved by the local ethics committee of Menoufia University Hospitals.
Patients were 14 (46.7%) males and 16(53.3%) females in both groups.
Their ages ranged from 51 to 71 years with a mean age of 58.33±5.88 in
laparoscopic technique and ranged from 50 to 70 years with a mean age
of 59.93±5.20 in open technique.
The patients were classified equally into two groups:
group A: Laparoscopic right hemicolectomy with complete mesocolic
excision with central vascular ligation.
group B: Open right hemicolectomy with complete mesocolic excision
with central vascular ligation.
All patients were subjected to:
Full history taking, general examination, abdominal examination
including DRE and PV, laboratory investigation, ECG and
Echocardiography, imaging studies (chest X-ray, US abdomen, CT
abdomen and pelvis), and histopathological findings (colonoscopic
biopsy, tissue diagnosis).
Statistical analysis of the presenting data revealed:
- There was no statistical significant difference between the studied
groups regarding the mean age and gender distribution (p value >
0.05).
- There was no statistical significant difference between the studied
groups regarding DM and hypertension (p value > 0.05).
- There was no statistical significant difference between the studied
groups regarding the tumor location (p value > 0.05).
- There was a statistical high significant difference between the studied
groups regarding the incision length as the incision of the open
technique is longer than the laparoscopic technique (p value < 0.001).
It also showed that, there was a statistical high significant difference
between the studied groups regarding the operative time and
intraoperative blood loss as the laparoscopic technique take more time
than the open technique and the intraoperative blood loss during the
laparoscopic technique is less than the open technique (p value <
0.001).
- There was a statistical high significant difference between the studied
groups regarding the hospital stay (p value < 0.001).
- There was no statistical significant difference between the studied
groups regarding the tumour size, the number of retrieved LNs, TNM
classification and the histopathology findings (p value > 0.05).
- There was no statistical significant difference between the studied
groups regarding postoperative complications as ileus, regain of
bowel motion, anastomotic leak, anastomotic bleeding, intraabdominal
sepsis and incisional hernia (p value > 0.05).
- There was no statistical significant difference between the studied
groups regarding follow up duration between the studied groups (p
value > 0.05).