Anatomy of the right colic vein and pancreaticoduodenal branches: a surgical landmark for laparoscopic complete mesocolic excision of the right colon

2018 ◽  
Vol 40 (4) ◽  
pp. 423-429
Author(s):  
Takaaki Osawa ◽  
Shunichiro Komatsu ◽  
Seiji Ishiguro ◽  
Tsuyoshi Sano
Keyword(s):  
Complete Mesocolic Excision ◽  
Right Colon ◽  
Mesocolic Excision ◽  
The Right

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.

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

scholarly journals Comparison of outcomes of complete mesocolic excision with conventional radical resection performed by laparoscopic approach for right colon cancer

2019 ◽  
Vol Volume 11 ◽  
pp. 8647-8656 ◽  
Author(s):  
Manzhao Ouyang ◽  
Zhentao Luo ◽  
Jinhao Wu ◽  
Weijie Zhang ◽  
Shibin Tang ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Approach ◽  
Complete Mesocolic Excision ◽  
Radical Resection ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision

scholarly journals Robotic Complete Mesocolic Excision with Central Vascular Ligation for Right Colon Cancer: Surgical Technique and Short-term Outcomes

2020 ◽  
Vol 11 (4) ◽  
pp. 674-683
Author(s):  
C. Ramachandra ◽  
Pavan Sugoor ◽  
Uday Karjol ◽  
Ravi Arjunan ◽  
Syed Altaf ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Open Surgery ◽  
Complete Mesocolic Excision ◽  
Right Colon ◽  
Short Term ◽  
Central Vascular Ligation ◽  
Oncological Outcomes ◽  
Right Colon Cancer ◽  
Vascular Ligation ◽  
Mesocolic Excision

Abstract Background Minimally invasive colorectal surgery has demonstrated to have the same oncological results as open surgery, with better clinical outcomes. Robotic assistance is an evolution of minimally invasive technique. Purpose The study aims to present technical details and short-term oncological outcomes of robotic-assisted complete mesocolic excision (CME) with central vascular ligation (CVL) for right colon cancer. Methodology Fifty-two consecutive patients affected by right colon cancer were operated between May 2016 and February 2020 with da Vinci Xi platform. Data regarding surgical and short-term oncological outcomes were systematically collected in a colorectal specific database for statistical analysis. Results Thirty-seven (71.15%) and 15 (28.85%) patients underwent right and extended right hemicoletomy with an extracorporeal anastomosis. Median age was 55 years. Mean operative time was 182 ± 36 min. Mean blood loss was 110 ± 90 ml. Conversion rate was 3.84% (two cases). 78.84% (41 cases) were pT3 and mean number of harvested lymph nodes was 28 ± 4. 1/52 (1.92%) had a documented anastomotic leak requiring exploratory laparotomy and diversion proximal ileostomy. Surgery-related grade IIIa–IIIb Calvien Dindo morbidity were noted in 9.61% and 1.92%, respectively. Conclusion Robotic assistance allows performance of oncological adequate dissection of the right colon with radical lymphadenectomy as in open surgery, confirming the safety and oncological adequacy of this technique, with acceptable results and short-term outcomes.

Laparoscopic complete mesocolic excision for right colon cancer

2012 ◽  
Vol 26 (10) ◽  
pp. 2976-2980 ◽  
Author(s):  
Michel Adamina ◽  
Mark L. Manwaring ◽  
Ki-Jae Park ◽  
Conor P. Delaney
Keyword(s):  
Colon Cancer ◽  
Complete Mesocolic Excision ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision
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