Reply to Early colon cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up

Abstract

Laparoscopic surgery for the treatment of right colon cancer has rapidly evolved over the past few years. This procedure is considered as feasible and effective in terms of short-term and long-term outcomes. Laparoscopic right colectomy (LRC) is performed by a small number of surgeons and, in most of cases, it was performed with an extracorporeal anastomosis.1 The recent ESMO guidelines with a Level of Evidence (LE) IV reported that for right-sided colonic cancers, the benefits of laparoscopic approach are less obvious since anastomosis must be hand sewn, which requires a laparotomy.2 The current state of the art for the treatment of the right colon cancers as reported by Fabozzi et al.3 in their papers, by right laparoscopic colectomy with intracorporeal anastomosis despite the technical challenging. However, in the past few years, many studies comparing the intracorporeal anastomosis (IA) versus the extracorporeal anastomosis (EA) in LRC were conducted1 ,4–8 with …