Laparoscopic complete mesocolic excision with true central vascular ligation for right-sided colon cancer.

ABSTRACT:

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).

Methods

We started performing laparoscopic CME with true CVL for right-sided colon cancer using the SMA as a landmark in 2015, and by 2019, we had completed it for 60 patients. To start, the mesocolon is opened well to the caudal side of the ileocolic vessels. The mesentery is th

SUBMITTER: Enomoto M 

PROVIDER: S-EPMC7644539 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature