Abstract
Background: TME (Total Mesorectal Excision) surgery has improved the prognosis for rectal cancer patients immensely. TME uses the embryological avascular mesorectal fascial planes for resection. Colon cancer treatment does not reach the rectal survival numbers yet, but the embryological planes that underpin TME surgery extend proximally to the entire colon, making a resection of the colon according to those principles a Complete Mesocolic Excision (CME). Some authors claim that with the use of CME they could achieve 10% better survival numbers. But randomised controlled trials on the subject are lacking but clearly required.
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