Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
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 demographic variables, perioperative parameters, and follow-up data. Demographic variables included age, sex distribution, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, previous abdominal surgery, tumor localization, and potential comorbidities. Perioperative parameters included incision length, operative time, blood loss, conversion rate, postoperative pain score, postoperative first passage of flatus, duration of hospital stay, total cost, number of lymph nodes retrieved, TNM classification, and postoperative complications. Follow-up data included follow-up time, use of chemotherapy, local recurrence rate, distant metastasis rate, and short-term survival rate.
Results: In total, 150 patients (HAL-CME, 78; O-CME, 72) were included. The groups were similar in age, sex distribution, BMI, ASA classification, history of previous abdominal surgeries, tumor localization, and potential comorbidities. Patients in the HAL-CME group had shorter incision lengths, longer operative times, less operative blood loss, lower pain scores, earlier first passage of flatus, shorter hospital stay, higher total costs, similar numbers of lymph nodes retrieved, similar TNM classifications, and a comparable incidence of postoperative complications. The 2 groups were also similar in local recurrence rate, distant metastasis rate, and short-term survival rate.
Conclusion: The results demonstrate that the HAL-CME procedure is a safe, valid, and feasible surgical method for right hemicolon cancers.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5309182 | PMC |
| http://dx.doi.org/10.4174/astr.2017.92.2.90 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Easier Complete Mesocolic Excision and D3 Dissection in Robotic Right Colectomy for Obese Patients: Gastrocolic (Henle's) Trunk Approach First.
Dis Colon Rectum
September 2025
Department of Colorectal Surgery, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.
Study on sufficient blood vessel ligation and bowel mobilization in laparoscopic surgery for ascending colon cancer.
Glob Health Med
August 2025
Department of Surgery, National Center for Global Health and Medicine, Japan Institute for Health Security, Tokyo, Japan.
Although well established, laparoscopic surgery for ascending colon cancer is a difficult procedure due to the presence of many blood vessels requiring treatment and the need for sufficient mobilization to extract the right colon through a small laparotomy. This is the first study to investigate the adequacy of vascular ligation and bowel mobilization for laparoscopic resection of ascending colon cancer and extracorporeal reconstruction. This retrospective study included 103 consecutive patients who underwent laparoscopic colectomy for ascending colon cancer from 2015 to 2022 at the Center Hospital of the National Center for Global Health and Medicine.
View Article and Find Full Text PDFComplete Mesocolic Excision for Colon Cancer: Insight into Potential Mechanisms of Oncologic Benefit.
Cancers (Basel)
August 2025
Third Department of General Surgery, Evaggelismos General Hospital of Athens, 10676 Athens, Greece.
Background/objectives: Complete mesocolic excision (CME) has recently been proposed as a radical operation for the treatment of colon cancer. Increasing evidence suggests a survival benefit from this operation, although the exact reasons for this remain largely unknown.
Methods: We have undertaken a comprehensive review of the literature in PubMed and Embase databases, examining the potential mechanisms explaining this oncologic benefit.
Learning curve of minimally invasive complete mesocolic excision for right-sided colon cancer: a systematic review.
Surg Endosc
August 2025
Colorectal Surgery Unit, Department of Digestive Surgery, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 4th Floor, 8330077, Santiago, Chile.
Background: Complete mesocolic excision (CME) for right-sided colon cancer offers oncological advantages but remains technically demanding, which limits its widespread adoption. Understanding the learning curve (LC) for this complex procedure is essential to ensure safe implementation and to guide structured surgical training. This systematic review aims to evaluate the learning curve of minimally invasive CME for right-sided colon cancer, focusing on operative metrics and complications, and estimating the number of cases required to achieve proficiency.
View Article and Find Full Text PDFProtocol for a phase II interventional trial investigating indocyanine green (ICG) fluorescence guided lymph node mapping for determination of bowel resection margins in colon cancer (ISCAPE).
Int J Surg Protoc
June 2025
Department of Surgery, Royal Bournemouth Hospital, University Hospitals Dorset, Bournemouth, United Kingdom.
Background: Optimal extent of lymph node dissection for colon cancer is debatable. Extensive lymphadenectomy may increase complication rate, while limited lymph node dissection may compromise oncological outcome. One of promising ways to find balance is to tailor extent of lymph node dissection to patient's individual anatomy using ICG lymphatic mapping.
View Article and Find Full Text PDF