Colorectal cancer
- Colon cancer: the 2023 Korean clinical practice guidelines for diagnosis and treatment
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Hyo Seon Ryu, Hyun Jung Kim, Woong Bae Ji, Byung Chang Kim, Ji Hun Kim, Sung Kyung Moon, Sung Il Kang, Han Deok Kwak, Eun Sun Kim, Chang Hyun Kim, Tae Hyung Kim, Gyoung Tae Noh, Byung-Soo Park, Hyeung-Min Park, Jeong Mo Bae, Jung Hoon Bae, Ni Eun Seo, Chang Hoon Song, Mi Sun Ahn, Jae Seon Eo, Young Chul Yoon, Joon-Kee Yoon, Kyung Ha Lee, Kyung Hee Lee, Kil-Yong Lee, Myung Su Lee, Sung Hak Lee, Jong Min Lee, Ji Eun Lee, Han Hee Lee, Myong Hoon Ihn, Je-Ho Jang, Sun Kyung Jeon, Kum Ju Chae, Jin-Ho Choi, Dae Hee Pyo, Gi Won Ha, Kyung Su Han, Young Ki Hong, Chang Won Hong, Jung-Myun Kwak, Korean Colon Cancer Multidisciplinary Committee
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Ann Coloproctol. 2024;40(2):89-113. Published online April 30, 2024
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DOI: https://doi.org/10.3393/ac.2024.00059.0008
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- Colorectal cancer is the third most common cancer in Korea and the third leading cause of death from cancer. Treatment outcomes for colon cancer are steadily improving due to national health screening programs with advances in diagnostic methods, surgical techniques, and therapeutic agents.. The Korea Colon Cancer Multidisciplinary (KCCM) Committee intends to provide professionals who treat colon cancer with the most up-to-date, evidence-based practice guidelines to improve outcomes and help them make decisions that reflect their patients’ values and preferences. These guidelines have been established by consensus reached by the KCCM Guideline Committee based on a systematic literature review and evidence synthesis and by considering the national health insurance system in real clinical practice settings. Each recommendation is presented with a recommendation strength and level of evidence based on the consensus of the committee.
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Citations
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- Optimal extent of lymph node dissection in clinical early-stage right colon cancer: a retrospective analysis
Hyeung-min Park, Jaram Lee, Soo Young Lee, Suk Hee Heo, Yong Yeon Jeong, Hyeong Rok Kim, Chang Hyun Kim Annals of Surgical Treatment and Research.2025; 108(1): 49. CrossRef - Effects of Microsatellite Instability on the Clinical and Pathological Characteristics of Colon Cancer and the Diagnostic Accuracy of Preoperative Abdominal CT Scans
Rıdvan Yavuz, Orhan Aras, Hüseyin Çiyiltepe, Onur İlkay Dinçer, Ahmet Şükrü Alparslan, Tebessüm Çakır Diagnostics.2025; 15(2): 190. CrossRef - Epigenetic Regulation of Nuclear Factor Erythroid-2-Related Factor 2 in Colorectal Cancer Cells Resistant to Ionizing Radiation
Kyoung Ah Kang, Jinny Park, Mei Jing Piao, Pincha Devage Sameera Madushan Fernando, Herath Mudiyanselage Udari Lakmini Herath, Herath Mudiyanselage Maheshika Madhuwanthi Senavirathna, Jung-Hwan Kim, Suk Ju Cho, Jin Won Hyun Biomolecules & Therapeutics.2025; 33(1): 182. CrossRef - 2023 Korean Multidisciplinary Guidelines for Colon Cancer Management: Summary of Radiological Points
Nieun Seo, Hyo Seon Ryu, Myungsu Lee, Sun Kyung Jeon, Kum Ju Chae, Joon-Kee Yoon, Kyung Su Han, Ji Eun Lee, Jae Seon Eo, Young Chul Yoon, Sung Kyung Moon, Hyun Jung Kim, Jung-Myun Kwak Korean Journal of Radiology.2024; 25(9): 769. CrossRef - Effect of Fluorescence Lymph Node Mapping on Improving Diagnostic Values of CT D3 Lymph Node Staging for Right-Sided Colon Cancer
Gyung Mo Son, Tae Un Kim, Mi Sook Yun, ChangYeop Kim, In Young Lee, Su Bum Park, Dong-Hoon Shin, Gi Won Ha Cancers.2024; 16(20): 3496. CrossRef - Nuclear medicine based multimodal molecular imaging facilitates precision medicine for gastrointestinal tumors
Jing Zhao, Fei Wang, Rong-Fu Wang World Chinese Journal of Digestology.2024; 32(10): 727. CrossRef - Impact of Early Oral Feeding on Postoperative Outcomes after Elective Colorectal Surgery: A Systematic Review and Meta-Analysis
Soo Young Lee, Eon Chul Han Digestive Surgery.2024; : 1. CrossRef
Malignant disease,Prognosis and adjuvant therapy,Colorectal cancer,Minimally invasive surgery,Surgical technique
- Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
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Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim, On behalf of The Korean Laparoscopic Colorectal Surgery Study Group
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Ann Coloproctol. 2021;37(6):434-444. Published online December 8, 2021
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DOI: https://doi.org/10.3393/ac.2021.00955.0136
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5,680
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- Colon cancer treatment is on the way to evolution over several decades. The minimally invasive surgery has improved postoperative short-term outcomes. Adjuvant chemotherapy has prolonged the survival of advanced colon cancer patients. Hohenberger proposed the noble concept of complete mesocolic excision (CME) which consists of 3 components: plane surgery, sufficient longitudinal bowel resection, and central vascular ligation (CVL). Mesocolic plane surgery shares the same surgical principle of total mesorectal excision, which is maintaining the intact mesothelial envelope. However, there remain debates about the extent of bowel resection and the level of CVL for maximizing lymph node dissection. There is no solid clinical evidence for the oncological necessity and benefit of extended radical dissection in right hemicolectomy. CME with CVL based on open surgery has been adopted in laparoscopic surgery. So, it is also necessary to look at how the CME could be transformed and successfully implanted in the laparoscopic era. Recent rapid advances in surgical technology and cancer biology are preparing for fundamental changes in cancer surgery. In this study, we reviewed the history, oncological necessity, and compatibility of CME for the right hemicolectomy in the laparoscopic era and outline the new perspectives on the evolution of cancer surgery.
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Citations
Citations to this article as recorded by 
- Optimal extent of lymph node dissection in clinical early-stage right colon cancer: a retrospective analysis
Hyeung-min Park, Jaram Lee, Soo Young Lee, Suk Hee Heo, Yong Yeon Jeong, Hyeong Rok Kim, Chang Hyun Kim Annals of Surgical Treatment and Research.2025; 108(1): 49. CrossRef - Laparoscopic right hemicolectomy: a SICE (Società Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?—CoDIG 2 (ColonDx Italian Group)
G. Anania, M. Chiozza, A. Campagnaro, F. Bagolini, G. Resta, D. Azzolina, G. Silecchia, R. Cirocchi, A. Agrusa, D. Cuccurullo, M. Guerrieri, V. Adamo, M. Ammendola, P. Angelini, M. Annecchiarico, G. Aprea, F. Autori, G. Baldazzi, A. Balla, G. Baronio, G. Surgical Endoscopy.2024; 38(3): 1432. CrossRef - Retrocaecal, supracolic and medial dissection (the RESUME approach) as an optimal surgical procedure for right‐sided colon cancer—A Video Vignette
Hong‐min Ahn, Min Hyeong Jo, Mi Jeong Choi, Heung‐Kwon Oh, Duck‐Woo Kim, Sung‐Bum Kang Colorectal Disease.2024; 26(7): 1480. CrossRef - Surgical treatment of right colon cancer
A. A. Nevolskikh, V. A. Avdeenko, I. P. Reznik, T. P. Pochuev, R. F. Zibirov, S. A. Ivanov, A. D. Kaprin Siberian journal of oncology.2024; 23(3): 133. CrossRef - Effect of Fluorescence Lymph Node Mapping on Improving Diagnostic Values of CT D3 Lymph Node Staging for Right-Sided Colon Cancer
Gyung Mo Son, Tae Un Kim, Mi Sook Yun, ChangYeop Kim, In Young Lee, Su Bum Park, Dong-Hoon Shin, Gi Won Ha Cancers.2024; 16(20): 3496. CrossRef - Robotic-Assisted Laparoscopic Complete Mesocolic Excision
Inci Sahin, Bilgi Baca Digestive Disease Interventions.2023; 07(01): 024. CrossRef - A comparison of the efficacy and safety of natural orifice specimen extraction and conventional laparoscopic surgery in patients with sigmoid colon/high rectal cancer
Qiang He, Jing Huang, Liyun Niu, Chunbao Zhai Journal of Surgical Oncology.2023; 127(7): 1160. CrossRef - Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy
Sangwoo Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek, Young-Gil Son Annals of Surgical Treatment and Research.2023; 104(3): 156. CrossRef - Surgical and oncological outcomes of laparoscopic right hemicolectomy (D3 + CME) for colon cancer: A prospective single-center cohort study
Xiaolin Wu, Yixin Tong, Daxing Xie, Haijie Li, Jie Shen, Jianping Gong Surgical Endoscopy.2023; 37(8): 6107. CrossRef - Incidence and survival of adenocarcinoma with mixed subtypes in patients with colorectal cancer
Fan Zhang, Boqi Xu, Yao Peng, Zhongqi Mao, Shan Tong International Journal of Colorectal Disease.2023;[Epub] CrossRef - Clinical Effectiveness of Fluorescence Lymph Node Mapping Using ICG for Laparoscopic Right Hemicolectomy: A Prospective Case–Control Study
Gyung Mo Son, Mi Sook Yun, In Young Lee, Sun Bin Im, Kyung Hee Kim, Su Bum Park, Tae Un Kim, Dong-Hoon Shin, Armaan M. Nazir, Gi Won Ha Cancers.2023; 15(20): 4927. CrossRef - Early-Onset Colon Cancer: A Narrative Review of Its Pathogenesis, Clinical Presentation, Treatment, and Prognosis
Elvina C Lingas Cureus.2023;[Epub] CrossRef - Do Laparoscopic Approaches Ensure Oncological Safety and Prognosis for Serosa-Exposed Colon Cancer? A Comparative Study against the Open Approach
Ji-Hyun Seo, In-Ja Park Cancers.2023; 15(21): 5211. CrossRef - Ausmaß und Technik der chirurgischen Resektion beim Kolonkarzinom
Christoph Holmer coloproctology.2022; 44(3): 149. CrossRef - Letter to the Editor Reply: ‘Mesocolon Excision in Right Colon Cancer: Is it a Real Oncological Procedure or a Mere Surgical Act?’
Tamara Díaz Vico, Luis Joaquín García Flórez Annals of Surgical Oncology.2022; 29(9): 5855. CrossRef - Medical disease and ambulatory surgery, new insights in patient selection based on medical disease
Thomas Fuchs-Buder, Jacob Rosenberg Current Opinion in Anaesthesiology.2022; 35(3): 385. CrossRef - Is the oncological impact of vascular invasion more important in right colon cancer?
Gyung Mo Son Journal of Minimally Invasive Surgery.2022; 25(2): 49. CrossRef - Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy
Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park Journal of Minimally Invasive Surgery.2022; 25(3): 116. CrossRef - Multidisciplinary treatment strategy for early colon cancer
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim Journal of the Korean Medical Association.2022; 65(9): 558. CrossRef - Direction of diagnosis and treatment improvement in colorectal cancer
In Ja Park Journal of the Korean Medical Association.2022; 65(9): 540. CrossRef - Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim Journal of the Anus, Rectum and Colon.2022; 6(4): 203. CrossRef - Robot-Assisted Colorectal Surgery
Young Il Kim The Ewha Medical Journal.2022;[Epub] CrossRef - It Is a Pleasure to Announce the Issue Titled “Master Class 2021” in Annals of Coloproctology
In Ja Park Annals of Coloproctology.2021; 37(6): 349. CrossRef
Malignant disease, Rectal cancer
- Robotic Total Mesorectal Excision for Rectal Cancer: Current Evidences and Future Perspectives
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Je-Ho Jang, Chang-Nam Kim
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Ann Coloproctol. 2020;36(5):293-303. Published online October 31, 2020
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DOI: https://doi.org/10.3393/ac.2020.06.16
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- Despite the technical limitations of minimally invasive surgery, laparoscopic total mesorectal excision (LTME) for rectal cancer has short-term advantages over open surgery, but the pathological outcomes reported in randomized clinical trials are still in controversy. Minimally invasive robotic total mesorectal excision (RTME) has recently been gaining popularity as robotic surgical systems potentially provide greater benefits than LTME. Compared to LTME, RTME is associated with lower conversion rates and similar or better genitourinary functions, but its long-term oncological outcomes have not been established. Although the operating time of RTME is longer than that of LTME, RTME has a shorter learning curve, is more convenient for surgeons, and is better for sphincter-preserving operations than LTME. The robotic surgical system is a good technical tool for minimally invasive surgery for rectal cancer, especially in male patients with narrow deep pelvises. Robotic systems and robotic surgical techniques are still improving, and the contribution of RTME to the treatment of rectal cancer will continue to increase in the future.
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Citations
Citations to this article as recorded by 
- Robotic total mesorectal excision for low rectal cancer: Transluminal illumination of the recto‐vaginal septum, transanal low rectal dissection and handmade low colorectal anastomosis—A video vignette
Francesco Crafa, Serafino Vanella, Alfonso Amendola, Emanuele Caruso Colorectal Disease.2025;[Epub] CrossRef - Can robotic surgery lead the way in the treatment of rectal cancer?
Jeonghee Han Annals of Coloproctology.2024; 40(2): 87. CrossRef - Laparoscopic Low Anterior Resection for Rectal Cancer With a Wristed Articulated Instrument
Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek Diseases of the Colon & Rectum.2023; 66(1): e1. CrossRef - Short-term outcomes of da Vinci SP versus Xi for colon cancer surgery: a propensity-score matching analysis of multicenter cohorts
Jin-Min Jung, Young Il Kim, Yong Sik Yoon, Songsoo Yang, Min Hyun Kim, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu Journal of Robotic Surgery.2023; 17(6): 2911. CrossRef - Cirugía del cáncer de recto asistida por robot (X y Xi)
P. Rouanet, M. Lehiany, A. Mourregot, P.-E. Colombo, C. Taoum EMC - Técnicas Quirúrgicas - Aparato Digestivo.2023; 39(4): 1. CrossRef - Chirurgia del cancro del retto mediante assistenza robotica (X e Xi)
P. Rouanet, M. Lehiany, A. Mourregot, P.-E. Colombo, C. Taoum EMC - Tecniche Chirurgiche Addominale.2023; 29(4): 1. CrossRef - Chirurgie du cancer du rectum par assistance robotique (X et Xi)
P. Rouanet, M. Lehiany, A. Mourregot, P.-E. Colombo, C. Taoum EMC - Techniques chirurgicales - Appareil digestif.2023; 40(3): 1. CrossRef - The clinical impact of robot‐assisted laparoscopic rectal cancer surgery associated with robot‐assisted radical prostatectomy
Anri Maeda, Hiroki Takahashi, Kaori Watanabe, Takeshi Yanagita, Takuya Suzuki, Nozomu Nakai, Yuzo Maeda, Kazuyoshi Shiga, Takahisa Hirokawa, Ryo Ogawa, Masayasu Hara, Yoichi Matsuo, Shuji Takiguchi Asian Journal of Endoscopic Surgery.2022; 15(1): 36. CrossRef - Clinical Implication of Lateral Pelvic Lymph Node Metastasis in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy
In Ja Park The Ewha Medical Journal.2022; 45(1): 3. CrossRef - Multidisciplinary treatment strategy for early rectal cancer
Gyung Mo Son, In Young Lee, Sung Hwan Cho, Byung-Soo Park, Hyun Sung Kim, Su Bum Park, Hyung Wook Kim, Sang Bo Oh, Tae Un Kim, Dong Hoon Shin Precision and Future Medicine.2022; 6(1): 32. CrossRef - Direction of diagnosis and treatment improvement in colorectal cancer
In Ja Park Journal of the Korean Medical Association.2022; 65(9): 540. CrossRef - Low Anterior Resection Syndrome: Pathophysiology, Risk Factors, and Current Management
Seung Mi Yeo, Gyung Mo Son The Ewha Medical Journal.2022;[Epub] CrossRef - Robot-Assisted Colorectal Surgery
Young Il Kim The Ewha Medical Journal.2022;[Epub] CrossRef - Robot-assisted laparoscopic rectal surgery: operative technique and initial experiences
Bianka Hummel, Anna Nagel, Benjamin Süsoy, Linda Tarantik, Linda Michlmayr, Friedrich Längle, Clemens Bittermann European Surgery.2021; 53(4): 175. CrossRef - Robotic Intersphincteric Resection for Low Rectal Cancer: Technical Controversies and a Systematic Review on the Perioperative, Oncological, and Functional Outcomes
Guglielmo Niccolò Piozzi, Seon Hahn Kim Annals of Coloproctology.2021; 37(6): 351. CrossRef - Functional outcomes after sphincter-preserving surgeries for low-lying rectal cancer: A review
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