Complete mesocolic excision: Techniques and outcomes

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Surgical and pathological outcomes of complete mesocolic excision compared with conventional surgery in right colon cancers

Objective: To compare the surgical and pathological outcomes of complete mesocolic excision (CME) with conventional surgery in colon cancers. Methods: 125 patients with right colon cancer received surgical treatment were enrolled in the retrospective study, of whom, 59 underwent CME surgery (CME group) and 66 underwent conventional radical surgery (control group). Surgical specimens of the CME ...

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Preoperative imaging of the mesenteric vasculature improves outcomes in laparoscopic complete mesocolic cancer excision

Purpose: Despite convergent evidence indicating a wide range of advantages for computed tomography angiography (CTA) for evaluating vascular anatomy prior to laparoscopic complete mesocolic excision (CME), the operative effects of CTA remain to be determined. In this study, we investigated alterations in operative outcomes caused by preoperative CTA. Methods: Based on CTA, arterial and venous v...

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Compleate Mesocolic Excision and Right Hemicolectomy

In order to understand the term complete mesocolic excision, the knowledge of anatomy is crucial. In the classical literature, mesenteric organ is described as fragmented and discontinuous. Total mesorectal excision (TME) has become the “gold standard” for the surgical management of rectal cancer. In describing it, Heald provided an anatomical basis for surgery. Similar description was needed f...

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Complete mesocolic excision in right hemicolectomy: comparison between hand-assisted laparoscopic and open approaches

PURPOSE To demonstrate the feasibility, safety, and technical strategies of hand-assisted laparoscopic complete mesocolic excision (HAL-CME) and to compare oncological outcomes between HAL-CME and the open approach (O-CME) for right colon cancers. METHODS Patients who were scheduled to undergo a right hemicolectomy were divided into HAL-CME and O-CME groups. Measured outcomes included demogra...

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Feasibility and accuracy in performing complete mesocolic excision during laparoscopic left colectomy.

Laparoscopic colorectal surgery for cancer is nowadays performed in several referral centers and has been gaining increasing interest for treatment of colo-rectal cancer. After the introduction of complete mesorectal excision for rectal cancer, complete mesocolic excision has been advocated as an essential surgical step to improve oncologic results for patients with colon cancer. Complete mesoc...

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ژورنال

عنوان ژورنال: World Journal of Gastrointestinal Oncology

سال: 2015

ISSN: 1948-5204

DOI: 10.4251/wjgo.v7.i12.383