Oncological outcomes after complete mesocolic excision in right‐sided colon cancer: a population‐based study

2021 ◽  
Author(s):  
Richard Bernhoff ◽  
Annika Sjövall ◽  
Fredrik Granath ◽  
Torbjörn Holm ◽  
Anna Martling ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Complete Mesocolic Excision ◽  
Population Based ◽  
Population Based Study ◽  
Oncological Outcomes ◽  
Mesocolic Excision

Disease-free survival after complete mesocolic excision compared with conventional colon cancer surgery: a retrospective, population-based study

2015 ◽  
Vol 16 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Claus Anders Bertelsen ◽  
Anders Ulrich Neuenschwander ◽  
Jens Erik Jansen ◽  
Michael Wilhelmsen ◽  
Anders Kirkegaard-Klitbo ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Disease Free Survival ◽  
Complete Mesocolic Excision ◽  
Population Based ◽  
Cancer Surgery ◽  
Population Based Study ◽  
Free Survival ◽  
Mesocolic Excision ◽  
Colon Cancer Surgery ◽  
Disease Free

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.

5-year outcome after complete mesocolic excision for right-sided colon cancer: a population-based cohort study

2019 ◽  
Vol 20 (11) ◽  
pp. 1556-1565 ◽  
Author(s):  
Claus A Bertelsen ◽  
Anders U Neuenschwander ◽  
Jens E Jansen ◽  
Jutaka R Tenma ◽  
Michael Wilhelmsen ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Cohort Study ◽  
Complete Mesocolic Excision ◽  
Population Based ◽  
Mesocolic Excision

scholarly journals Achieving complete mesocolic excision (CME) for colon cancer by laparoscopy

2014 ◽  
Vol 61 (2) ◽  
pp. 17-21
Author(s):  
Evaghelos Xynos
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Approach ◽  
Complete Mesocolic Excision ◽  
Open Approach ◽  
Mesorectal Excision ◽  
Regional Lymph Nodes ◽  
Oncological Outcomes ◽  
Mesocolic Excision ◽  
Oncological Results ◽  
Standard Laparoscopic Surgery

In accordance to the total mesorectal excision concept for rectal cancer, that of the complete mesocolic excision (CME) for colon cancer has been recently developed. CME involves dissection along the embryological planes, ligation and division of the supplying vessels at their origin and removal of a specimen with intact fascia and peritoneum, adequate distal and proximal bowel margin as well as the maximum number of the regional lymph nodes. CME surgery seems to achieve better oncological outcomes, in terms of local recurrence and survival, as compared to standard colectomy. CME has also been attempted by the laparoscopic approach. Provided that the tumour is located at the left or right and not at the transverse, a specimen of high quality can be resected, similar to that obtained by the open approach. There is also evidence that the oncological results of laparoscopic CME are superior to those achieved by the standard laparoscopic surgery, and similar to those achieved by open CME.

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