The Initial Retrocolic Endoscopic Tunnel Approach (IRETA) to a Laparoscopic-Assisted Radical Right Colectomy: A (Modified) Lateral-to-Medial Technique for the Complete Mesocolic Excision of the Right Colon

2019 ◽  
pp. 157-235
Author(s):  
Suviraj John ◽  
Parveen Bhatia ◽  
Sudhir Kalhan ◽  
Mukund Khetan ◽  
Vivek Bindal ◽  
...  
Keyword(s):  
Complete Mesocolic Excision ◽  
Right Colectomy ◽  
Radical Right ◽  
Right Colon ◽  
Mesocolic Excision ◽  
The Right ◽  
Laparoscopic Assisted

scholarly journals The right colic artery: An anatomical demonstration and its relevance in the laparoscopic era

2016 ◽  
Vol 98 (8) ◽  
pp. 560-563 ◽  
Author(s):  
M Haywood ◽  
C Molyneux ◽  
V Mahadevan ◽  
J Lloyd ◽  
N Srinivasaiah
Keyword(s):  
Complete Mesocolic Excision ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Right Colon ◽  
Early Evidence ◽  
Mesocolic Excision ◽  
Tissue Act ◽  
Human Tissue Act ◽  
The Right ◽  
Laparoscopic Techniques

INTRODUCTION Hemicolectomies are not tailored in right-sided colon cancer resections, despite significant variation in the incidence and origin of the right colic artery (RCA). Early evidence suggests that removal of the relevant lymphovascular package and associated cancer as part of complete mesocolic excision (CME), rather than the entire right colon, may produce better outcomes. Advancing laparoscopic techniques are making this possible, and so it is increasingly important to more precisely define the anatomy of the RCA. METHODS To demonstrate the incidence and variation of the RCA, 25 formalin embalmed cadavers were dissected. Consent to dissection and photography was obtained under Human Tissue Act regulations. RESULTS Eleven female and 14 male cadavers (mean age 79.7 years, range 41–95 years) were included. The RCA originated from the right branch of the middle colic artery in nine cadavers (36%), while it arose from the superior mesenteric artery in eight cases (32%) and from the ileocolic or root of the middle colic artery in a smaller number of specimens. The RCA was absent in two individuals. CONCLUSIONS The RCA arises from the right branch of the middle colic artery in a considerable number of cases. The literature to date does not reflect the precision of anatomical understanding required for CME; hence, a new definition for the right colic vessel is proposed.

Right Colectomy with Complete Mesocolic Excision: Four-arm Technique

2015 ◽  
pp. 125-132 ◽  
Author(s):  
Giuseppe Spinoglio ◽  
Alessandra Marano ◽  
Fabio Priora ◽  
Ferruccio Ravazzoni ◽  
Giampaolo Formisano
Keyword(s):  
Complete Mesocolic Excision ◽  
Right Colectomy ◽  
Mesocolic Excision

scholarly journals Complete mesocolic excision and central vascular ligation for right colon cancer: an introduction for abdominal radiologists

2019 ◽  
Vol 44 (11) ◽  
pp. 3518-3526
Author(s):  
David D. B. Bates ◽  
Viktoriya Paroder ◽  
Chandana Lall ◽  
Neeraj Lalwani ◽  
Maria Widmar ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Complete Mesocolic Excision ◽  
Right Colon ◽  
Central Vascular Ligation ◽  
Right Colon Cancer ◽  
Vascular Ligation ◽  
Mesocolic Excision

Preoperative Evaluation of Venous Anatomy in Laparoscopic Complete Mesocolic Excision for Right Colon Cancer

2014 ◽  
Vol 21 (S3) ◽  
pp. 429-435 ◽  
Author(s):  
Takayuki Ogino ◽  
Ichiro Takemasa ◽  
Genki Horitsugi ◽  
Mamoru Furuyashiki ◽  
Katsuya Ohta ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Preoperative Evaluation ◽  
Complete Mesocolic Excision ◽  
Venous Anatomy ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision
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