“Caudal-to-cranial” plus “artery first” technique with beyond D3 lymph node dissection on the right midline of the superior mesenteric artery for the treatment of right colon cancer: is it more in line with the principle of oncology?

2019 ◽  
Vol 34 (9) ◽  
pp. 4089-4100 ◽  
Author(s):  
Xiaojiang Yi ◽  
Hongming Li ◽  
Xinquan Lu ◽  
Jin Wan ◽  
Dechang Diao
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Node Dissection ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Artery First ◽  
The Right ◽  
D3 Lymph Node Dissection

scholarly journals Vascular Structures of the Right Colon: Incidence and Variations with Their Clinical Implications

2016 ◽  
Vol 106 (2) ◽  
pp. 107-115 ◽  
Author(s):  
J. Alsabilah ◽  
W. R. Kim ◽  
N. K. Kim
Keyword(s):  
Colon Cancer ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Vascular Anatomy ◽  
Colic Artery ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Vascular Structures ◽  
Gastrocolic Trunk ◽  
The Right

Background and Aims: There is a demand for a better understanding of the vascular structures around the right colonic area. Although right hemicolectomy with the recent concept of meticulous lymph node dissection is a standardized procedure for malignant diseases among most surgeons, variations in the actual anatomical vascular are not well understood. The aim of the present review was to present a detailed overview of the vascular variation pertinent to the surgery for right colon cancer. Materials and Methods: Medical literature was searched for the articles highlighting the vascular variation relevant to the right colon cancer surgery. Results: Recently, there have been many detailed studies on applied surgical vascular anatomy based on cadaveric dissections, as well as radiological and intraoperative examinations to overcome misconceptions concerning the arterial supply and venous drainage to the right colon. Ileocolic artery and middle colic artery are consistently present in all patients arising from the superior mesenteric artery. Even though the ileocolic artery passes posterior to the superior mesenteric vein in most of the cases, in some cases courses anterior to the superior mesenteric artery. The right colic artery is inconsistently present ranging from 63% to 10% across different studies. Ileocolic vein and middle colic vein is always present, while the right colic vein is absent in 50% of patients. The gastrocolic trunk of Henle is present in 46%–100% patients across many studies with variation in the tributaries ranging from bipodal to tetrapodal. Commonly, it is found that the right colonic veins, including the right colic vein, middle colic vein, and superior right colic vein, share the confluence forming the gastrocolic trunk of Henle in a highly variable frequency and different forms. Conclusion: Understanding the incidence and variations of the vascular anatomy of right side colon is of crucial importance. Failure to recognize the variation during surgery can result in troublesome bleeding especially during minimal invasive surgery.

scholarly journals D2 VS D3 LYMPH NODE DISSECTION FOR RIGHT COLON CANCER (review)

2018 ◽  
pp. 84-93
Author(s):  
N. V. Tuktagulov ◽  
O. I. Sushkov ◽  
I. I. Muratov ◽  
D. G. Shahmatov ◽  
I. V. Nazarov
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Cancer Review ◽  
D3 Lymph Node Dissection

scholarly journals Study on Lymph Node Dissection of Right Colon Cancer.

1995 ◽  
Vol 48 (6) ◽  
pp. 477-483 ◽  
Author(s):  
K. Yoshida ◽  
M. Suzuki ◽  
K. Watanabe ◽  
Y. Takayanagi ◽  
Y. Tennma ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Dissection ◽  
Node Dissection ◽  
Right Colon ◽  
Right Colon Cancer

How I do it: Extended lymphadenectomy including lymph nodes along the superior mesenteric artery for right colon cancer

1996 ◽  
Vol 63 (1) ◽  
pp. 63-64
Author(s):  
Ichiro Uyama ◽  
Hiroyuki Ogiwara ◽  
Tetsuya Takahara ◽  
Kaichiro Kikuchi ◽  
Shuhei Iida ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Nodes ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Extended Lymphadenectomy ◽  
Right Colon ◽  
Right Colon Cancer
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