Masanobu Enomoto, Kenji Katsumata, Kenta Kasahara, Tomoya Tago, Naoto Okazaki, Takahiro Wada, Hiroshi Kuwabara, Junichi Mazaki, Tetsuo Ishizaki, Yuichi Nagakawa, Akihiko Tsuchida
BACKGROUND: Complete mesocolic excision (CME) is known to be effective for colon cancer. However, in right-sided colon cancer, central vascular ligation (CVL) is not easy to perform. In particular, in patients in whom the superior mesenteric vein (SMV) runs on the ventral side of the superior mesenteric artery (SMA) (Type V/A), laparoscopic ligation of the artery at its root is extremely difficult compared with this procedure in patients in whom the SMA runs on the ventral side of the SMV (Type A/V)...
December 2020: Surgical Endoscopy