Annals of Coloproctology

Video

Video clip

Cranial-first approach for laparoscopic extended right hemicolectomy: Kyong-Min Kang, Heung-Kwon Oh, Hong-Min Ahn, Tae-Gyun Lee, Hye-Rim Shin, Mi-Jeong Choi, Duck-Woo Kim, Sung-Bum Kang; Ann Coloproctol. 2024;40(3):282-284. Published online June 19, 2024; DOI: https://doi.org/10.3393/ac.2023.00661.0094

3,584 View
170 Download

Abstract PDF Supplementary Material: Complete mesocolic excision and central vascular ligation with D3 lymphadenectomy are important surgical principles for improving oncological outcomes in colon cancer. The cranial-first approach is a colonic mobilization–first approach to radical right hemicolectomy, which has several advantages, including early feasibility assessment, safe dissection from surrounding organs, preestablished inferior margin of lymph node dissection, and revelation of the tangible anatomy of the tributaries of the gastrocolic trunk. This video demonstrates the cranial-first approach to radical right hemicolectomy in a 66-year-old man with locally advanced cecal cancer.

Review

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?: 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; Ann Coloproctol. 2021;37(6):434-444. Published online December 8, 2021; DOI: https://doi.org/10.3393/ac.2021.00955.0136

5,892 View
280 Download
20 Web of Science
23 Citations

Abstract PDF

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.

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

Original Article

Complete Mesocolic Excision With Central Vascular Ligation in Comparison With Conventional Surgery for Patients With Colon Cancer – The Experiences at Two Centers: Mohamed Abdelkhalek, Ahmed Setit, Francesco Bianco, Andrea Belli, Adel Denewer, Tamer Fady Youssef, Armando Falato, Giovanni Maria Romano; Ann Coloproctol. 2018;34(4):180-186. Published online August 31, 2018; DOI: https://doi.org/10.3393/ac.2017.08.05

8,783 View
217 Download
16 Web of Science
15 Citations

Abstract PDF

Purpose
Revolutions have occurred over the last 3 decades in the management of patients with colorectal cancer. Most advances were in rectal cancer surgery, especially after the introduction of the total mesorectal excision (TME) by Heald. However, no parallel advances regarding colon cancer surgeries have occurred. In 2009, Hohenberger introduced a new concept trying to translate the survival advantages of TME to patients with colon cancer. This relatively new concept of a complete mesocolic excision (CME) with central vascular ligation (CVL) in the management of patients with colon cancer represents an evolution in operative technique. We performed a comparative study between CME with CVL and conventional surgery for patients with colon cancer at Italian and Egyptian cancer centers, considering surgical quality and clinical outcome.
Methods
Seventy-nine Egyptian patients underwent conventional surgery (non-CME group) while 52 Italian patients underwent CME with sharp dissection between the embryological planes and CVL of the supplying vessels (CME group).
Results
Significantly better results were observed in terms of lymph node yield (CME group: 22.5 vs. non-CME group: 12; P < 0.0001) and lymph node ratio (CME group: 0.03 vs. non-CME group: 0.22; P < 0.0001). Regarding surgical morbidity, no significant difference was noted (CME group: 2 vs. non-CME group: 5; P < 0.702).
Conclusion
CME appears to be a safe procedure when performed by experienced hands through proper embryological planes. It also provides a superior specimen, with a higher lymph node yield, which consequently affects the lymph node ratio. Eventually, CME with CVL should be increasingly adopted and studied more deeply.

Citations

Citations to this article as recorded by

Comparison of short-term outcomes of D2 and D3 lymph nodes dissection for colon cancer
V. V. Balaban, M. G. Mutyk, N. V. Bondarenko, S. E. Zolotukhin, O. V. Sovpel, I. V. Sovpel, M. M. Klochkov, D. S. Zykov, I. V. Rublevskyi, I. A. Tulina, V. M. Nekoval, S. I. Barkhatov, A. E. Vasilyev, P. V. Tsarkov
Surgery and Oncology.2024; 14(1): 51. CrossRef
Clinical validation of 3D virtual modelling for laparoscopic complete mesocolic excision with central vascular ligation for proximal colon cancer
Emma C. Kearns, Alice Moynihan, Jeffrey Dalli, Mohammad Faraz Khan, Sneha Singh, Katherine McDonald, Jessica O'Reilly, Niamh Moynagh, Christian Myles, Ann Brannigan, Jurgen Mulsow, Conor Shields, James Jones, Helen Fenlon, Leo Lawler, Ronan A. Cahill
European Journal of Surgical Oncology.2024; 50(11): 108597. CrossRef
Laparoscopic Versus Open Complete Mesocolic Excision and Central Vascular Ligation in Right-Sided Colon Cancer: A Tertiary Center Experience
Mohamed Abdelkhalek, Mosab Shetiwy, Mohamed Elbadrawy, Ahmed Abdallah, Abdullah Altowairqi, Amr Sedky
Indian Journal of Surgery.2024;[Epub] CrossRef
Efficacy and Feasibility of Complete Mesocolic Excision with Central Vascular Ligation in Complicated Colorectal Cancer
Radwan A. Torky, Mohamed Abdel-Tawab, Abadeer Rafaat, Ahmed Mubarak Hefni, Ahmed Abdelmotaleb
Indian Journal of Surgical Oncology.2023; 14(2): 312. CrossRef
Step-by-step approach with anatomical highlights in SMV-first laparoscopic right colectomy
P. Tipmanee, S. Malakorn
Techniques in Coloproctology.2023; 27(3): 241. CrossRef
Right colon cancer: The influence of specific location on recurrence and survival
Ana Sofia Cavadas, Eduarda Gonçalves, Carlos Costa Pereira, Jorge Rodrigues, Joaquim Costa Pereira
Cancer Treatment and Research Communications.2023; 36: 100724. CrossRef
Macroscopic Evaluation of Colon Cancer Resection Specimens
Ross Jarrett, Nicholas P. West
Cancers.2023; 15(16): 4116. CrossRef
Laparoscopic and open complete mesocolic excision with central vascular ligation for right colonic adenocarcinoma: a retrospective comparative study
Domenica Carmen Testa, Lorenzo Mazzola, Giuseppe di Martino, Roberto Cotellese, Federico Selvaggi
ANZ Journal of Surgery.2022; 92(1-2): 132. CrossRef
The Prognostic Significance of Lymph Node Status and Lymph Node Ratio (LNR) on Survival of Right Colon Cancer Patients: a Tertiary Center Experience
Mosab Shetiwy, Amr F Elalfy, Osama Eldamshety, Ramy Abbas, Mohamed Abdelkhalek
Journal of Gastrointestinal Cancer.2021; 52(3): 1010. CrossRef
Complete mesocolic excision versus conventional hemicolectomy in patients with right colon cancer: a systematic review and meta-analysis
Ottavia De Simoni, Andrea Barina, Antonio Sommariva, Marco Tonello, Mario Gruppo, Genny Mattara, Antonio Toniato, Pierluigi Pilati, Boris Franzato
International Journal of Colorectal Disease.2021; 36(5): 881. CrossRef
D3-lymphadenectomy enhances oncological clearance in patients with right colon cancer. Results of a meta-analysis
Zutoia Balciscueta, Izaskun Balciscueta, Natalia Uribe, Gianluca Pellino, Matteo Frasson, Eduardo García-Granero, Álvaro García-Granero
European Journal of Surgical Oncology.2021; 47(7): 1541. CrossRef
Complete mesocolic excision versus conventional surgery for colon cancer: A systematic review and meta‐analysis
Jasmine Crane, Mazin Hamed, Joseph P. Borucki, Ahmed El‐Hadi, Irshad Shaikh, Adam T Stearns
Colorectal Disease.2021; 23(7): 1670. CrossRef
Complete Mesocolic Excision and D3 Lymphadenectomy versus Conventional Colectomy for Colon Cancer: A Systematic Review and Meta-Analysis
Tamara Díaz-Vico, María Fernández-Hevia, Aida Suárez-Sánchez, Carmen García-Gutiérrez, Luka Mihic-Góngora, Daniel Fernández-Martínez, José Antonio Álvarez-Pérez, Jorge Luis Otero-Díez, José Electo Granero-Trancón, Luis Joaquín García-Flórez
Annals of Surgical Oncology.2021; 28(13): 8823. CrossRef
Central vascular ligation and mesentery based abdominal surgery
M. Franceschilli, D. Vinci, S. Di Carlo, B. Sensi, L. Siragusa, A. Guida, P. Rossi, V. Bellato, R. Caronna, S. Sibio
Discover Oncology.2021;[Epub] CrossRef
Complete Mesocolic Excision With Central Vascular Ligation for the Treatment of Patients With Colon Cancer
Hyeong-Rok Kim
Annals of Coloproctology.2018; 34(4): 165. CrossRef

First
Prev
Page of 1
Next
Last

Search