scholarly journals Laparoscopic left hemicolectomy with regional lymph node navigation and intracorporeal anastomosis for splenic flexure colon cancer

2020 ◽  
Vol 9 (4) ◽  
pp. 170-174
Author(s):  
Yoshiro Itatani ◽  
Kenji Kawada ◽  
Koya Hida ◽  
Yasunori Deguchi ◽  
Nobu Oshima ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Splenic Flexure ◽  
Regional Lymph Node ◽  
Intracorporeal Anastomosis ◽  
Left Hemicolectomy

Intraoperative Radiochromoguided Mapping of Sentinel Lymph Node in Colon Cancer

2002 ◽  
Vol 88 (4) ◽  
pp. 352-353 ◽  
Author(s):  
P Nastro ◽  
M Sodo ◽  
CA Dodaro ◽  
S Gargiulo ◽  
W Acampa ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Regional Lymph Node ◽  
Gamma Probe ◽  
False Negative ◽  
Lymph Node Status ◽  
Blue Dye ◽  
Immunohistochemical Examination ◽  
Hematoxylin Eosin

Aims and Background The aim of our study was to assess the feasiblility of sentinel lymph node (SLN) detection in colon cancer using a radiochromoguided technique. The regional lymph node status is crucial for colorectal cancer staging and the stage of disease at the time of diagnosis is the main factor influencing therapeutic decision-making and patient survival. Methods and Study Design Between April and June 2001 eight patients with colon cancer were studied by radiochromoguided sentinel lymph node mapping. At the time of surgery 2 ml of patent blue dye was injected around the tumor, followed after 10 minutes by 2 ml of 99mTc-labeled albumin. After 30 minutes the SLN was identified by a gamma probe. Surgery was completed by standard resection. The SLN was processed for permanent hematoxylin and eosin staining and for immunohistochemical examination with anti-CEA and anti-cytokeratin antibodies. Results SLNs were identified in six patients; two were negative for metastasis by hematoxylin-eosin and immunohistochemical examination, two were positive for metastasis by both methods, and two were negative for metastasis by hematoxylin-eosin but positive by immunohistochemical examination. There were no false negative SLNs and no complications occurred. Conclusion The actual utility of SLN detection for prognostic purposes is still unknown, but intraoperative radiochromoguided SLN mapping is technically feasible in colon cancer, although it is associated with more technical difficulties than in breast cancer and malignant melanoma.

scholarly journals En bloc right hemicolectomy with pancreatoduodenectomy for right-sided colon cancer invading duodenum

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiao-Luan Yan ◽  
Kun Wang ◽  
Quan Bao ◽  
Hong-Wei Wang ◽  
Ke-min Jin ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Mutational Analysis ◽  
Regional Lymph Node ◽  
Univariate Analysis ◽  
Locally Advanced ◽  
Disease Free Survival ◽  
Right Hemicolectomy ◽  
En Bloc ◽  
Right Colon Cancer

Abstract Background En bloc right hemicolectomy with pancreatoduodenectomy (RHCPD) is the optimum treatment to achieve the adequate margin of resection (R0) for locally advanced right-sided colon cancer with duodenal invasion. Information regarding the indications and outcomes of this procedure is limited. Method In this retrospective study, 2269 patients with right colon cancer underwent radical right colectomy between October 2010 and May 2019, in which 19 patients underwent RHCPD for LARCC were identified. The overall survival (OS), disease-free survival (DFS), operative mortality, postsurgical complications, gene mutational analysis, and prognostic factors were evaluated. Survival was estimated using Kaplan–Meir method. Results Of these 19 patients who underwent LARCC, the OS was 88%, 66%, and 58% at 1, 3, and 5 years. The DFS was 72%, 56%, and 56% at 1, 3, and 5 years. The median operative time was 320 min (range: 222–410 min), and the median operative blood loss was 268 mL (range: 100–600 mL). The OS was significantly better among patients with well-differentiated tumor, N0 stage, and high microsatellite instability (MSI) and in patients who received adjuvant chemotherapy. The major postoperative complications occurred in 8 patients (42%), with pancreatic fistula (PF) being the most common. On the basis of the univariate analysis, poorly differentiated tumor, regional lymph node dissemination, MSI status, and no perioperative chemotherapy were the significant predictors of poor survival (P < 0.05). Conclusions This study suggests that RHCPD is feasible and can achieve complete tumor clearance with favorable outcome, particularly in patients with lymph node-negative status.

Number Versus Distribution in Classifying Regional Lymph Node Metastases from Colon Cancer

2005 ◽  
Vol 201 (2) ◽  
pp. 217-222 ◽  
Author(s):  
Jin-ichi Hida ◽  
Kiyotaka Okuno ◽  
Masayuki Yasutomi ◽  
Takehito Yoshifuji ◽  
Tomohiko Matsuzaki ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
Regional Lymph Node ◽  
Node Metastases ◽  
Versus Distribution

Lymph node metastases in splenic flexure colon cancer: Is subtotal colectomy warranted?

2018 ◽  
Vol 118 (6) ◽  
pp. 1027-1033 ◽  
Author(s):  
Gilles Manceau ◽  
Arnaud Mori ◽  
Armelle Bardier ◽  
Jeremy Augustin ◽  
Sylvie Breton ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
Splenic Flexure ◽  
Subtotal Colectomy ◽  
Node Metastases

Comparison of extended right hemicolectomy, left hemicolectomy and segmental colectomy for splenic flexure colon cancer: a systematic review and meta‐analysis

2020 ◽  
Vol 22 (12) ◽  
pp. 1885-1907 ◽  
Author(s):  
S. Hajibandeh ◽  
S. Hajibandeh ◽  
I. Hussain ◽  
A. Zubairu ◽  
F. Akbar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colon Cancer ◽  
Splenic Flexure ◽  
Meta Analysis ◽  
Right Hemicolectomy ◽  
Left Hemicolectomy ◽  
Segmental Colectomy
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