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 Laparoscopic versus Open Complete Mesocolic Excision for Right Colon Cancer

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ali Zedan ◽  
Essam Elshiekh ◽  
Mohamed I Omar ◽  
Mohamad Raafat ◽  
Salah M. Khallaf ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Approach ◽  
Complete Mesocolic Excision ◽  
Right Hemicolectomy ◽  
Oncologic Outcomes ◽  
Time Interval ◽  
Open Approach ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision

Background and Objectives. The use of complete mesocolic excision (CME) technique seems to be gaining popularity in the management of cancer colon. We aim to compare the laparoscopic approach for CME with the open approach in right colon cancer treatment with regard to the feasibility, safety, and perioperative and oncologic outcomes. Patients and Methods. A prospective study which included all patients that underwent radical right hemicolectomy for pathologic confirmed stage II or stage III tumor with CME at South Egypt Cancer Institute, Assiut University, from January 2012 to December 2019. Patients were grouped according to the surgical approach into the laparoscopic colectomy (LCME) group (n = 48) or open colectomy (OCME) group (n = 48). Results. The mean operative time was significantly longer in the LCME group than that in the OCME group with less mean intraoperative blood loss. Conversion was required in 4 patients (8.3%) in the LCME group. The use of laparoscopy increased the number of harvested lymph nodes compared to the open approach (39.81 ± 16.74 vs. 32.65 ± 12.28, respectively, P = 0.010 ). The laparoscopic approach was associated with a shorter time interval to first flatus as well as shorter time interval to liquid and normal diet after surgery. The postoperative hospital stay was significantly shorter in the LCME group. The complication rate was slightly lower in the LCME (14.7%) than in the OCME group (27.2%) ( P = 0.252 ). The 3-year OS in the LCME group was similar to that in OCME (78.2% vs. 63.2%, respectively, P value = 0.423). The three-year DFS in the laparoscopic group was higher (74.5%) than the open group (60.0%), but did not reach statistical significance ( P value = 0.266). Conclusions. In conclusion, laparoscopic CME right hemicolectomy is a technically feasible and safe procedure if surgeon expertise is present. LCME has long-term oncologic outcomes (recurrence and survival) comparable to open surgery for management of patients with stage II or III colon cancer.

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 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

scholarly journals Minimally invasive complete mesocolic excision for right colon cancer

2020 ◽  
Vol 4 (3) ◽  
pp. 234-242
Author(s):  
Hyunmi Park ◽  
Tae‐Hoon Lee ◽  
Seon‐Hahn Kim
Keyword(s):  
Colon Cancer ◽  
Minimally Invasive ◽  
Complete Mesocolic Excision ◽  
Right Colon ◽  
Right Colon Cancer ◽  
Mesocolic Excision
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