Implementing complete mesocolic excision for colon cancer - mission completed?

ABSTRACT: The definition of complete mesocolic excision (CME) for colon carcinomas revolutionized the way of colon surgery. This technique conquered the world starting from Erlangen. Nevertheless, currently new developments especially in minimally invasive surgery challenge CME to become settled as a standard of care. To understand the evolution of CME, anatomical details occurring during embryogenesis and their variations have to be considered. This knowledge is indispensable to transfer CME from an open to a minimally invasive setting. Conventional surgery for colon cancer (non-CME) has a morbidity of 12.1-28.5% and a 3.7% mortality risk vs. 12-36.4% morbidity and 2.1-3% mortality for open CME. The morbidity of laparoscopic CME is between 4 and 31% with a mortality of 0.5-0.9%. In robotic assisted

SUBMITTER: Croner RS 

PROVIDER: S-EPMC6754049 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature