منابع مشابه
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...
متن کاملComplete 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...
متن کاملThree surgical planes identified in laparoscopic complete mesocolic excision for right-sided colon cancer.
BACKGROUND Complete mesocolic excision provides a correct anatomical plane for colon cancer surgery. However, manifestation of the surgical plane during laparoscopic complete mesocolic excision versus in computed tomography images remains to be examined. METHODS Patients who underwent laparoscopic complete mesocolic excision for right-sided colon cancer underwent an abdominal computed tomogra...
متن کاملHistorical development of mesenteric anatomy provides a universally applicable anatomic paradigm for complete/total mesocolic excision
Although total mesorectal excision has now become the 'gold standard' for the surgical management of rectal cancer, this is not so for colon cancer. Recent data, provided by Hohenberger and West et al. and others, have demonstrated excellent oncological outcomes when mesenterectomy is extensive (as is implicit in the concept of a 'high tie') and the mesenteric package not violated. Such studies...
متن کاملPreoperative 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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ژورنال
عنوان ژورنال: Techniques in Coloproctology
سال: 2014
ISSN: 1123-6337,1128-045X
DOI: 10.1007/s10151-014-1182-4