Surgical anatomy of D3 lymphadenectomy in right colon cancer, gastrocolic trunk of Henle and surgical trunk of Gillot - a video vignette

2018 ◽  
Vol 20 (10) ◽  
pp. 935-936 ◽  
Author(s):  
Á. García-Granero ◽  
L. Sánchez-Guillén ◽  
D. Fletcher-Sanfeliu ◽  
J. Sancho-Muriel ◽  
E. Alvarez-Sarrado ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Surgical Anatomy ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Right Colon Cancer ◽  
Gastrocolic Trunk ◽  
Video Vignette

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.

A Proposal for Novel Standards of Histopathology Reporting for D3 Lymphadenectomy in Right Colon Cancer

2020 ◽  
Vol 63 (4) ◽  
pp. 450-460
Author(s):  
Alvaro Garcia-Granero ◽  
Gianluca Pellino ◽  
Francisco Giner ◽  
Matteo Frasson ◽  
Isabel Grifo Albalat ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Right Colon Cancer

Robotic mesocolic excision with a ‘top to down no-touch’ technique for right colon cancer - a video vignette

2017 ◽  
Vol 19 (9) ◽  
pp. 866-867 ◽  
Author(s):  
I. A. Bilgin ◽  
E. Aytac ◽  
I. Erenler ◽  
D. Atasoy ◽  
V. Ozben ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision ◽  
Video Vignette

The Medial Border of Laparoscopic D3 Lymphadenectomy for Right Colon Cancer

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Leqi Zhou ◽  
Dechang Diao ◽  
Kai Ye ◽  
Yifei Feng ◽  
Xiaojiang Yi ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Medial Border ◽  
Right Colon Cancer

D3-lymphadenectomy enhances oncological clearance in patients with right colon cancer. Results of a meta-analysis

2021 ◽  
Author(s):  
Zutoia Balciscueta ◽  
Izaskun Balciscueta ◽  
Natalia Uribe ◽  
Gianluca Pellino ◽  
Matteo Frasson ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Meta Analysis ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Right Colon Cancer

scholarly journals D3 lymphadenectomy for right colon cancer

2019 ◽  
Vol 4 ◽  
pp. 96-96 ◽  
Author(s):  
Marcin Włodarczyk ◽  
Jakub Włodarczyk ◽  
Radzisław Trzciński ◽  
Michał Mik ◽  
Łukasz Dziki ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Right Colon Cancer

Application of three-dimensional printing in laparoscopic dissection to facilitate D3-lymphadenectomy for right colon cancer

2018 ◽  
Vol 22 (2) ◽  
pp. 129-133 ◽  
Author(s):  
A. Garcia-Granero ◽  
L. Sánchez-Guillén ◽  
D. Fletcher-Sanfeliu ◽  
B. Flor-Lorente ◽  
M. Frasson ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Three Dimensional ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Three Dimensional Printing ◽  
Right Colon Cancer ◽  
Dimensional Printing

The fusion fascia of Fredet: an important embryological landmark for complete mesocolic excision and D3-lymphadenectomy in right colon cancer

2019 ◽  
Vol 33 (11) ◽  
pp. 3842-3850 ◽  
Author(s):  
Alvaro Garcia-Granero ◽  
Gianluca Pellino ◽  
Matteo Frasson ◽  
Delfina Fletcher-Sanfeliu ◽  
Fernando Bonilla ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Complete Mesocolic Excision ◽  
Right Colon ◽  
D3 Lymphadenectomy ◽  
Right Colon Cancer ◽  
Mesocolic Excision ◽  
Fusion Fascia

scholarly journals A learning curve in using organ retractor for single-incision laparoscopic right colectomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Toshio Shiraishi ◽  
Tetsuro Tominaga ◽  
Takashi Nonaka ◽  
Kiyoaki Hamada ◽  
Masato Araki ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Learning Curve ◽  
Single Incision ◽  
Operation Time ◽  
Perioperative Outcomes ◽  
Single Incision Laparoscopic Surgery ◽  
Right Colon ◽  
Right Colon Cancer

AbstractSingle-incision laparoscopic surgery (SILS) has the potential to improve perioperative outcomes, including less postoperative pain, shorter operation time, less blood loss, and shorter hospital stay. However, SILS is technically difficult and needs a longer learning curve. Between April 2016 and September 2019, a total of 198 patients with clinical stage I/II right colon cancer underwent curative resection. In the case of the SILS approach, an organ retractor was usually used to overcome SILS-specific restrictions. The patients were divided into two groups by surgical approach: the SILS with organ retractor group (SILS-O, n = 33) and the conventional laparoscopic surgery group (LAC, n = 165). Clinical T status was significantly higher in the LAC group (p = 0.016). Operation time was shorter and blood loss was lower in the SILS-O group compared to the LAC group (117 vs. 197 min, p = 0.027; 10 vs. 25 mL, p = 0.024, respectively). In the SILS-O group, surgical outcomes including operation time, blood loss, number of retrieved lymph nodes, and postoperative complications were not significantly different between those performed by experts and by non-experts. Longer operation time (p = 0.041) was significantly associated with complications on univariate and multivariate analyses (odds ratio 2.514, 95%CI 1.047–6.035, p = 0.039). SILS-O was safe and feasible for right colon cancer. There is a potential to shorten the learning curve of SILS using an organ retractor.

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