Analysis of the 47 cases of complete mesocolic excision (CME) for right colon cancer

Abstract

Objective To investigate the therapeutic effect of complete mesocolic excision (CME) for right colon cancer. Methods The data of 47 cases of right colon cancer performed elective CME by the same group of surgeons between July 2012 and September 2014 at Mudanjiang University Hongqi Hospital General Surgery Department were analyzed retrospectively. Results Among the 47 cases with CME. The operation smoothly and no vice injury. The median number of total lymph nodes retrieved was 18. Twelve (25.53%) cases of stage III had the positive lymph nodes in or over mesenteric root. The operation time, the volume of intraoperative blood and the overall postoperative complication rates compared to traditional surgery without apparent increase. Conclusions By complete mesocolic excision, the integrated radical resection for right colon cancer could be more successfully. The mesentery and lymphoid tissue could be eliminated maximally, especially lymph nodes in mesenteric root. The complete mesocolic excision could be more benefit of stage III patient and without more surgical risk and complication. Therefore, the CME is worth popularization in clinical. Key words: Colon neoplasms; Surgical procedures, operative; Complete mesocolic excision (CME); Lymph nodes eliminate