D3 lymphadenectomy using a medial to lateral approach for curable right-sided colon cancer

Abstract

The findings indicate that a D3 lymphadenectomy using the MtL approach is a feasible and safe procedure for the treatment of curable right-sided colon cancer.

D3 Lymph Node Dissection in Right Hemicolectomy with a No-touch Isolation Technique in Patients With Colon Cancer

“…37 another study shows that a D3 lymphadenectomy using a medial to lateral approach is a feasible and safe procedure for the treatment of curable right-sided colon cancer in both the open and laparoscopic surgery. 38 a move toward Cme with central vascular ligation has been proposed by other european centers, resulting in a marked improvement in the oncologic quality of the specimen produced 39 that does not increase the postoperative complication or mortality rates. 40 there are limitations to our study.…”

The effect of laparoscopic surgery in stage II and III right-sided colon cancer: a retrospective study

“…The medial to lateral approach may be more aligned with the no-touch principle than the lateral to medial approach. Recently, some reports demonstrated that progress in laparoscopic techniques for colorectal cancer surgery has resulted in the development of a medial to lateral approach for D3 lymphadenectomy [21,22]. Compared with the classical lateral to medial approach, D3 lymphadenectomy using the medial to lateral has the advantage of abiding by the no-touch isolation technique for oncologic surgery [21].…”

Learning curve of assistants in laparoscopic colorectal surgery: overcoming mirror imaging

“…The assistant uses two working ports at the opposite side of the trocars used by the operator. For right-sided lesions, detailed procedures are described in our previous study [9]. After identification of the ileocolic and middle colic vessels, the assistant grasps the mesentery of the two vessels and pulls in the cephalic and lateral directions.…”