Comparison of laparoscopic versus open complete mesocolic excision for right colon cancer

Huang, Jian; H, Wei; Fang, Jiafeng; Zheng, Zongheng; Chen, Tufeng; Wei, Bo; Huang, Yong; Liu, Jianpei

doi:10.1016/j.ijsu.2015.08.037

Cited by 40 publications

(39 citation statements)

References 24 publications

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“…The postoperative complication rate showed no statistical difference between the laparoscopic CME and open CME groups. The number of lymph nodes harvested in the laparoscopic CME group was slightly higher than that in the open CME group, but there was no statistical difference, which is in line with other reports [14] . All of the patients received follow-ups in this study.…”

Section: Discussionsupporting

confidence: 91%

Safety and Short-term Efcacy of a Laparoscopic Complete Mesocolic Excision for the Surgical Treatment of Right Hemicolon Cancer

Li¹,

Meng²,

Chen³

2018

Clin Surg Res Commun

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Objective: This study was designed to evaluate the safety and short-term efficacy of a laparoscopic complete mesocolic excision (CME) in patients with right hemicolon cancer. Methods: A total of 88 patients with right hemicolon cancer were retrospectively reviewed. Forty patients underwent laparoscopic CMEs, and 48 patients underwent open CMEs. The clinical data were analyzed and the outcomes were compared between the two groups. Result: There was no significant difference between the laparoscopic CME group and open CME group with regard to the harvested lymph node number (16.60±3.20 vs. 15.33±3.10, respectively, P=0.060), hospital stay length (18.15±5.17 days vs. 17.21±4.47 days, respectively, P=0.360), and postoperative complications (10.0% vs. 10.4%, respectively, P=0.950). The operation time in the laparoscopic CME group (3.02±0.55 hours) was significantly longer than that in the open CME group (2.58±0.50 hours, P=0.004). The time to first flatus (3.28±0.75 days vs 3.92±0.71 days, respectively, P=0.001) and getting out of bed time (1.95±0.75 days vs 3.54±0.71 days, respectively, P=0.001) were both earlier in the laparoscopic CME group than in the open CME group. Conclusion: A laparoscopic CME is a safe and effective minimally invasive surgery for the treatment of right hemicolon cancer.

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Section: Discussionsupporting

confidence: 91%

Safety and Short-term Efcacy of a Laparoscopic Complete Mesocolic Excision for the Surgical Treatment of Right Hemicolon Cancer

Li¹,

Meng²,

Chen³

2018

Clin Surg Res Commun

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“…The two vascular injuries of the jejunal branch of SMV were repaired uneventfully. The mean number of harvested lymph node was 41.9 and this number is found be high considering the current literature data in open, classical laparoscopic and robotic CME series (1)(2)(3)(4)(5)7,16). The number of harvested lymph nodes is an important surrogate marker for the quality of surgical resection and prognosis of the disease (17).…”

Section: Discussionmentioning

confidence: 86%

“…In its original definition, CME was first described using an open approach, and in the following years, laparoscopic approach has also been preferred because of the advantages of minimal invasive surgery in the postoperative recovery period (4,5). However, some disadvantages of classical laparoscopic surgery, including restriction of movement due to the use of rigid instruments, instability of the camera and tissue traction can make this operation cumbersome, especially during vascular dissection and intracorporeal anastomosis of the procedure (6,7).…”

Section: Introductionmentioning

confidence: 99%

Short-term Outcomes of Robotic Complete Mesocolic Excision for the Surgical Treatment of Colon Cancer

Özben¹,

Muijnck²,

Korkmaz³

et al. 2018

Kocaeli Med J

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So ol l K Ko ol lo on n K Ka an ns se er ri in ni in n C Ce er rr ra ah hi i T Te ed da av vi is si in nd de e R Ro ob bo ot ti ik k K Ko om mp pl le et t M Me ez zo ok ko ol li ik k E Ek ks si iz zy yo on nu un n K Kı ıs sa a D Dö ön ne em m S So on nu uç çl la ar rı ı S Sh ho or rt t-t te er rm m O Ou ut tc co om me es s o of f R Ro ob bo ot ti ic c C Co om mp pl le et te e M Me es so oc co ol li ic c E Ex xc ci is si io on n f fo or r t th he e S Su ur rg gi ic ca al l T Tr re ea at tm me en nt t o of f C Co ol lo on n C Ca an nc ce er r

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“…The lengths of resected specimens in the laparoscopic and open groups were the same (216±71 vs. 204±51 mm, respectively, p=0.322), as were the average number of harvested lymph nodes (14±6 vs. 13±5, respectively, p=0.313). 16 Kang et al, 2014 demonstrated that, the effect of the number of harvested lymph nodes after right colon cancer surgery on oncological outcomes has recently been emphasized. Harvesting an adequate number of lymph nodes is essential for accurate tumor staging in the surgical treatment of colorectal cancer.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open complete mesocolic excision with central vascular ligation in right colon cancer

et al. 2019

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Background: The purpose of this study was to compare between laparoscopic and open complete mesocolic excision (CME) with central vascular ligation (CVL) in right colon cancer.Methods: From January 2016 to December 2018, a prospective cohort study of 60 patients who diagnosed as operable right sided colon cancer was performed. The patients were classified into laparoscopic CME with CVL and open CME with CVL groups. Demographic variables, comorbidities, tumor location, intraoperative parameters, duration of hospital study, histopathological findings, postoperative complications and follow up data were compared between the two groups. Demographic variables included age and sex distribution. Intraoperative parameters included incision length, operative time and operative blood loss.Results: 60 patients were selected in this study. Both groups were the same in the age and sex distribution, potential comorbidities and tumor location. Patients in the Laparoscopic CME with CVL group had shorter incision lengths, longer operative times, less operative blood loss, shorter hospital stay, less number of retrieved lymph nodes , the same TNM (tumor nodes metastasis) classifications, similar histopathological findings and comparable incidence of postoperative complications.Conclusions: Laparoscopic CME with CVL procedure is a safe, valid and feasible surgical method for right colon cancers.

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Comparison of laparoscopic versus open complete mesocolic excision for right colon cancer

Abstract: Laparoscopic CME is a safe, feasible, and effective minimally invasive procedure for right colon cancer.

Cited by 40 publications

References 24 publications

Safety and Short-term Efcacy of a Laparoscopic Complete Mesocolic Excision for the Surgical Treatment of Right Hemicolon Cancer

Safety and Short-term Efcacy of a Laparoscopic Complete Mesocolic Excision for the Surgical Treatment of Right Hemicolon Cancer

Short-term Outcomes of Robotic Complete Mesocolic Excision for the Surgical Treatment of Colon Cancer

Laparoscopic versus open complete mesocolic excision with central vascular ligation in right colon cancer

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