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Complete Mesocolic Excision

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https://www.readbyqxmd.com/read/30522847/the-toldt-fascia-a-historic-review-and-surgical-implications-in-complete-mesocolic-excision-for-colon-cancer
#1
REVIEW
Jin-Tung Liang, John Huang, Tzu-Chun Chen, Ji-Shiang Hung
To clarify the anatomic concept of Toldt fascia, based on the literature review and the surgical anatomic dissection using laparoscopic or robotic approach. We undertook review of the historic literature and surgical videos from 250 patients with colorectal cancer operated on laparoscopically or robotically to discuss the surgical implications of Toldt fascia in complete mesocolic excision for colon cancer. Toldt fascia, sandwiched by the overlying mesothelial layer of the mesocolon and underlying mesothelial layer of the retroperitoneum, comprised loose fibrous tissues with minute vessels inside, and was contiguous from the ileocecal mesentery radix to the upper rectum...
December 3, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/30505966/complete-mesocolic-excision-for-colon-cancer-is-technically-challenging-but-the-most-oncological-appealing
#2
EDITORIAL
Ionut Negoi, Mircea Beuran, Sorin Hostiuc, Massimo Sartelli, Federico Coccolini, Mihaela Vartic, Thomas Pinkney
No abstract text is available yet for this article.
2018: Translational Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/30457180/systematic-review-of-the-applications-of-three-dimensional-printing-in-colorectal-surgery
#3
REVIEW
Sameh Hany Emile, Steven D Wexner
BACKGROUND: Three-dimensional (3D) printing has been recognized as a revolutionary technological innovation that has benefitted numerous disciplines, including medicine. The present systematic review aimed to demonstrate the current applications of 3D printing in colorectal surgery along with the limitations and potential future applications of this innovation. METHODS: A PRISMA-compliant systematic literature search of studies that applied 3D printing in colorectal surgery in the period January 1990 through to July 2018 was conducted...
November 20, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/30430433/laparoscopic-complete-mesocolic-excision-for-right-sided-colon-cancer-analysis-of-feasibility-and-safety-from-a-single-western-center
#4
Corrado Pedrazzani, Enrico Lazzarini, Giulia Turri, Eduardo Fernandes, Cristian Conti, Valeria Tombolan, Filippo Nifosì, Alfredo Guglielmi
BACKGROUND: Colectomies performed according to complete mesocolic excision (CME) principles have demonstrated an improvement in the quality of surgical specimen and a potential improvement of long-term results. Laparoscopic CME right hemicolectomy is considered a demanding procedure and adopted in few centers from the West. The main purpose of this paper is to present a video showing our technique for laparoscopic CME right hemicolectomy and to analyze our short-term results to prove its safety...
November 14, 2018: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/30386985/completely-medial-access-by-page-turning-approach-for-laparoscopic-right-hemi-colectomy-6-year-experience-in-single-center
#5
Zirui He, Sen Zhang, Pei Xue, Xialin Yan, Leqi Zhou, Jianwen Li, Mingliang Wang, Aiguo Lu, Junjun Ma, Lu Zang, Hiju Hong, Feng Dong, Hao Su, Jing Sun, Luyang Zhang, Minhua Zheng, Bo Feng
BACKGROUND: To investigate the safety and feasibility of the completely medial access by page-turning approach (CMAP) for laparoscopic right hemi-colectomy. METHODS: In this retrospective study, the data from 72 patients who underwent laparoscopic right hemi-colectomy with CMAP were analyzed and compared with data from 124 patients who underwent the conventional medial approach performed by the same surgical team from September 2011 to March 2017. RESULT: Complete mesocolic excision (CME) was achieved in 67 of 72 patients (93...
November 1, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30358198/short-and-long-term-outcomes-of-laparoscopic-complete-mesocolic-excision-for-transverse-colon-cancer
#6
Meng Yue, Yue Wang, Zhen-Hua Kang, Xu Wang, Lei Wang
PURPOSE: To compare the short- and long-term outcomes of open and laparoscopic complete mesocolic excision (CME) for transverse colon cancer (TCC) using propensity score matching (PSM). METHODS: The clinical and follow-up data of 97 TCC patients who were subjected to CME in our institution from January 2012 to October 2017 were retrospectively analyzed. The patients were divided into the laparoscopic and open group according to the surgical approaches. The patients were 1:1 matched using the PSM method...
July 2018: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/30358131/evaluation-of-the-venous-drainage-pattern-of-the-splenic-flexure-by-preoperative-three-dimensional-computed-tomography
#7
Akira Arimoto, Takeru Matsuda, Hiroshi Hasegawa, Kimihiro Yamashita, Tetsu Nakamura, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
INTRODUCTION: Anatomical evaluation of the splenic flexure vein is essential for complete mesocolic excision with central vascular ligation when treating patients with splenic flexure cancer. Although there have been several studies relating to the arterial branches of the splenic flexure, very limited data are available regarding the variation in venous anatomy in this region. METHODS: Sixty-six patients with colorectal cancer who underwent preoperative 3-D CT between April 2016 and April 2017 were included in this retrospective study...
October 24, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/30324463/laparoscopic-right-hemicolectomy-with-cme-standardization-using-the-critical-view-concept
#8
Christoph Werner Strey, Christoph Wullstein, Michel Adamina, Ayman Agha, Heiko Aselmann, Thomas Becker, Robert Grützmann, Werner Kneist, Matthias Maak, Benno Mann, Kurt Thomas Moesta, Norbert Runkel, Clemens Schafmayer, Andreas Türler, Thilo Wedel, Stefan Benz
BACKGROUND: Complete mesocolic excision is gradually becoming an established oncologic surgical principle for right hemicolectomy. However, the procedure is technically demanding and carries the risk of serious complications, especially when performed laparoscopically. A standardized procedure that minimizes technical hazards and facilitates teaching is, therefore, highly desirable. METHODS: An expert group of surgeons and one anatomist met three times. The initial aim was to achieve consensus about the surgical anatomy before agreeing on a sequence for dissection in laparoscopic CME...
December 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30276642/a-new-n-staging-system-for-colorectal-cancer-in-the-era-of-extended-lymphadenectomy
#9
Eiji Shinto, Jin-Ichi Hida, Hideyuki Ike, Hirotoshi Kobayashi, Yojiro Hashiguchi, Kazuo Hase, Hideki Ueno, Kenichi Sugihara
BACKGROUND: Complete mesocolic excision is becoming popular in colon cancer surgery in Western countries, and in the tumor-node-metastasis (TNM) classification of rectal cancer, a part of the lateral pelvic lymph nodes is classified as regional. However, the appropriateness of TNM staging according to the assessment of nodal status exclusively by extended lymphadenectomy remains unclear. PATIENTS AND METHODS: Using a nationwide multicenter database in Japan, we retrospectively analyzed 6866 patients with stage III colorectal cancer (CRC) treated with extended (D3) dissection...
October 1, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/30269325/-safety-and-feasibility-of-the-combined-medial-and-caudal-approach-in-laparoscopic-d3-lymphadenectomy-plus-complete-mesocolic-excision-for-right-hemicolectomy-in-the-treatment-of-right-hemicolon-cancer-complicated-with-incomplete-ileus
#10
Qingyong Chen, Xiaoming Shuai, Libo Chen
OBJECTIVE: To explore the safety and feasibility of the combined medial and caudal approach in laparoscopic D3 lymphadenectomy plus complete mesocolic excision(CME) for right hemicolectomy in the treatment of right hemicolon cancer complicated with incomplete ileus. METHODS: Clinical data of 65 patients with incomplete obstructive right-sided colon cancer (T1 to 4M0) diagnosed by abdominal CT enhanced scan or MRI and/or electric colonscope undergoing laparoscopic right hemicolectomy (D3 lymphadenectomy + CME) at Department of Emergency Medicine and Department of Gastrointestinal Surgery from June 2014 to June 2017 were retrospectively analyzed...
September 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/30218248/robotic-versus-laparoscopic-right-colectomy-with-complete-mesocolic-excision-for-the-treatment-of-colon-cancer-perioperative-outcomes-and-5-year-survival-in-a-consecutive-series-of-202-patients
#11
Giuseppe Spinoglio, Paolo P Bianchi, Alessandra Marano, Fabio Priora, Luca M Lenti, Ferruccio Ravazzoni, Wanda Petz, Simona Borin, Dario Ribero, Giampaolo Formisano, Emilio Bertani
BACKGROUND: During the past decade, the concept of complete mesocolic excision (CME) has emerged as a possible strategy to minimize recurrence for right colon cancers. The purpose of this study was to compare robotic versus laparoscopic CME in performing right colectomy for cancer. METHODS: Pertinent data of all patients who underwent robotic or laparoscopic right colectomy with CME using a Pfannenstiel incision and intracorporeal anastomosis performed between October 2005 and November 2015 were entered in a prospectively maintained database...
September 14, 2018: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/30215157/feasibility-of-a-unidirectionally-progressive-pancreas-oriented-procedure-for-laparoscopic-d3-right-hemicolectomy
#12
Xiangbing Deng, Tao Hu, Mingtian Wei, Qingbin Wu, Tinghan Yang, Wenjian Meng, Ziqiang Wang
BACKGROUND: Complete mesocolic excision (CME) with central ligation or D3 lymphadenectomy has been reported to provide increased lymph node retrieval with the prospect of superior oncological results in colon cancer. However, right hemicolectomy with CME or D3 lymphadenectomy by laparoscopy is considered to be a technically challenging and time-consuming procedure with a higher risk of causing intraoperative injuries. Here, we introduce a novel laparoscopic approach for the D3 right hemicolectomy and report its feasibility, safety, and efficacy in cancer clearance...
September 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/30209606/comparison-between-conventional-colectomy-and-complete-mesocolic-excision-for-colon-cancer-a-systematic-review-and-pooled-analysis-a-review-of-cme-versus-conventional-colectomies
#13
Noura Alhassan, Mei Yang, Nathalie Wong-Chong, A Sender Liberman, Patrick Charlebois, Barry Stein, Gerald M Fried, Lawrence Lee
BACKGROUND: Complete mesocolic excision (CME) is advocated based on oncologic superiority, but not commonly performed in North America. Many data are case series with few comparative studies. Our aim was to perform a systematic review comparing outcomes between CME and non-CME colectomy. METHODS: A systematic review was performed according to PRISMA guidelines of MEDLINE, EMBASE, HealthStar, Web of Science, and Cochrane Library. Studies were included if they compared conventional resection (non-CME) to CME for colon cancer...
September 12, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/30208681/complete-mesocolic-excision-with-central-vascular-ligation-in-comparison-with-conventional-surgery-for-patients-with-colon-cancer-the-experiences-at-two-centers
#14
Mohamed Abdelkhalek, Ahmed Setit, Francesco Bianco, Andrea Belli, Adel Denewer, Tamer Fady Youssef, Armando Falato, Giovanni Maria Romano
PURPOSE: Revolutions have occurred over the last 3 decades in the management of patients with colorectal cancer. Most advances were in rectal cancer surgery, especially after the introduction of the total mesorectal excision (TME) by Heald. However, no parallel advances regarding colon cancer surgeries have occurred. In 2009, Hohenberger introduced a new concept trying to translate the survival advantages of TME to patients with colon cancer. This relatively new concept of a complete mesocolic excision (CME) with central vascular ligation (CVL) in the management of patients with colon cancer represents an evolution in operative technique...
August 2018: Annals of Coloproctology
https://www.readbyqxmd.com/read/30208678/complete-mesocolic-excision-with-central-vascular-ligation-for-the-treatment-of-patients-with-colon-cancer
#15
Hyeong-Rok Kim
No abstract text is available yet for this article.
August 2018: Annals of Coloproctology
https://www.readbyqxmd.com/read/30192333/robotic-complete-mesocolic-excision-and-para-aortic-lymph-node-dissection-for-cecal-cancer-and-paraganglioma
#16
Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek, Nam Kyu Kim
No abstract text is available yet for this article.
October 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/30187819/risk-factors-for-complications-following-introduction-of-radical-surgery-for-colon-cancer-a-consecutive-patient-series
#17
B Furnes, K E Storli, H M Forsmo, A Karliczek, G E Eide, F Pfeffer
BACKGROUND: Rectal cancer surgery is standardized, resulting in improved survival. Colon cancer has fallen behind and therefore more radical surgical techniques have been introduced. One technique is complete mesocolic excision. The aim of this article was to study the complications after the introduction of standardized complete mesocolic excision in a single center. METHODS: Complete mesocolic excision was introduced in 2007, and data were collected from 286 patients prior to surgery (2007-2010)...
September 6, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/30151110/middle-colic-vein-draining-to-splenic-vein-a-rare-anatomic-variation-encountered-during-a-right-hemicolectomy
#18
Dimosthenis Chrysikos, Markos Sgantzos, John Tsiaoussis, Theodoros Piperos, Alexandra Varlatzidou, Vasileios Bonatsos, Panagiotis Theodoropoulos, George Noussios, Theodore Troupis, Ioannis Papapanagiotou, Theodoros Mariolis-Sapsakos
Right or subtotal colectomy either open or laparoscopic may be a challenging operation owing to technical difficulties. One of these, is to identify a safe and adequate dissection plane, ligating and dissecting lymph nodes around middle colic vessels. The purpose of this study was to depict a rare anatomic variation of middle colic vein (MCV) draining to splenic vein. We report the case of a 55-year-old male patient, who was subjected to a right hemicolectomy for an adenocarcinoma in the ascending colon. During dissecting the transverse mesocolon from the greater omentum, for complete mesocolic excision (CME), we encountered that the MCV drained in the splenic vein...
August 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/30148752/efficacy-and-safety-of-complete-mesocolic-excision-in-patients-with-colon-cancer-three-year-results-from-a-prospective-nonrandomized-double-blind-controlled-trial
#19
Zhidong Gao, Chao Wang, Yancheng Cui, Zhanlong Shen, Kewei Jiang, Danhua Shen, Yi Wang, Siyan Zhan, Peng Guo, Xiaodong Yang, Fangfang Liu, Kai Shen, Bin Liang, Mujun Yin, Qiwei Xie, Youli Wang, Shan Wang, Yingjiang Ye
OBJECTIVE: The aim of the study was to evaluate the oncological outcomes of complete mesocolic excision (CME) in colon cancer patients. SUMMARY BACKGROUND DATA: CME is considered a standard procedure for colon cancer patients. However, previous evidence regarding the effect of CME on prognosis has fundamental limitations that prevent it from being fully accepted. METHODS: Patients who underwent radical resection for colon cancer were enrolled between November 2012 and March 2016...
August 24, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/30136271/-feasibility-and-application-value-of-autonomic-nerve-preserving-d3-radical-resection-for-right-sided-colon-cancer-under-laparoscope
#20
Dechang Diao, Jin Wan, Xiaojiang Yi, Xinquan Lu, Wei Wang, Hongming Li, Wenjun Xiong, Yaobin He
OBJECTIVE: To explore the feasibility and application value of the preservation of vegetative nervous functions in radical resection for right-sided colon cancer. METHODS: Clinical data of 55 cases with right-sided colon cancer undergoing laparoscopic D3+ complete mesocolic excision (CME) radical resection from January 2016 to July 2017 at Department of Gastrointestinal Surgery of Guangdong Province Hospital of Traditional Chinese Medicine were retrospectively analyzed...
August 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
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