Abstract

Laparoscopic complete mesocolic excision with central vascular ligation for right colonic cancer(feasibility & safety).

Highlights

  • Colorectal cancer (CRC) is the third most commonly diagnosed cancer and the fourth leading cause of cancer death worldwide 1

  • The patient is placed in supine position, the patient's left arm is tucked along his side and the right arm extended on an Laparoscopic complete mesocolic excision with central vascular ligation for right colonic cancer arm abroad

  • Mesenteric lymphadenectomy was conducted from the origin of ileo-colic vessels in a caudal direction along the superior mesenteric vein (SMV) to the origin of the Henle’s gastro-colic trunk, and toward the terminal ileum

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Summary

Introduction

Colorectal cancer (CRC) is the third most commonly diagnosed cancer and the fourth leading cause of cancer death worldwide 1. Laparoscopic complete mesocolic excision with central vascular ligation, when performed in the right mesocolic plane, produces high quality surgical specimens. Aim of the work: Assessment of feasibility, safety, and quality of surgical specimen after laparoscopic complete mesocolic excision with central vascular ligation in right colon. Patients and Methods: Fifty patients with right colonic cancer were assigned to receive laparoscopic complete mesocolic excision with central vascular ligation during the period from April, 2017 till June, 2019 and their data were prospectively collected. Conclusion: Laparoscopic complete mesocolic excision with central vascular ligation procedure is associated with minimal operative blood loss, rapid recovery after operation, and short hospital stay and adequate number of harvested lymph nodes.

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