Priority Management of Henle Trunk in Cranial-to-Caudal Approach for Laparoscopic Right Hemicolon Cancer Surgery

Yao Yang; Xiaohua Jiang; Zhuqing Zhou; Bing Lu; Zhe Zhu; Qixing Jiang; Fang Ji; Chuangang Fu

doi:10.3389/fsurg.2022.883973

Priority Management of Henle Trunk in Cranial-to-Caudal Approach for Laparoscopic Right Hemicolon Cancer Surgery

Front Surg. 2022 Apr 26:9:883973. doi: 10.3389/fsurg.2022.883973. eCollection 2022.

Authors

Yao Yang^{1

2}, Xiaohua Jiang^{1

2}, Zhuqing Zhou^{1

2}, Bing Lu^{1

2}, Zhe Zhu^{1

2}, Qixing Jiang^{1

2}, Fang Ji^{1

2}, Chuangang Fu^{1

2}

Affiliations

¹ Department of Colorectal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
² Department of General Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.

Abstract

This study aimed to compare the short-term clinical efficacy between prior and traditional approach of Henle trunk in laparoscopic right hemicolectomy (LRH) for right colon cancer. A total of 161 patients underwent LRH for right colon cancer between June 2018 and December 2020 by the same group of physicians. The prior approach of Henle trunk (priority group) was used in 82 patients and traditional approach in 79 (traditional group). The demographics and clinicopathological characteristics were recorded and retrospectively analyzed. As compared to the traditional group, the mean blood loss reduced significantly [73.84 ± 17.31 mL vs. 83.42 ± 30.16 mL; P = 0.001], the operation time was markedly shorter [151.35 ± 6.75 min vs. 159.13 ± 18.85 min; P = 0.014], and the intraoperative vascular injury rate was significantly lower [6.1% (5/82). vs. 17.7% (14/79); P = 0.022]. There were no significant differences in the postoperative complications, first exhaust time, first defecation time, drainage time, postoperative hospital stay, quality evaluation of surgical specimens and pathological findings between two groups. Our study shows that the priority management of Henle trunk in the LRH for right colon cancer is a safe and feasible procedure with less blood loss, shorter operation time and lower intraoperative vascular injury rate.

Keywords: Henle trunk; intraoperative blood loss; laparoscopic surgery; operation time; radical right hemicolectomy.