Techniques and Feasibility of the Caudal-to-Cranial Approach for Laparoscopic Right Colectomy With Complete Mesenteric Excision

Zou, Liaonan; Lu, Xinquan; Wan, Jin

doi:10.1097/dcr.0000000000000799

Cited by 14 publications

(8 citation statements)

References 6 publications

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“…[22][23][24] One possible reason for this is that the procedure can cause bleeding due to damage to the tributaries of the superior mesenteric vein, which has complex vascular variations, and pancreatic injury. 25 Although several laparoscopic approaches have been demonstrated, 26,27 no gold standard has yet been established for the entire process of lymph node dissection. In fact, according to the 2020 Japanese National Clinical Database Annual Report, the rate of laparoscopic surgery for RHC is only 54.2%, which is low compared to other CRC procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Although several laparoscopic approaches have been demonstrated, 26,27 no gold standard has yet been established for the entire process of lymph node dissection. In fact, according to the 2020 Japanese National Clinical Database Annual Report, the rate of laparoscopic surgery for RHC is only 54.2%, which is low compared to other CRC procedures.…”

Section: Discussionmentioning

confidence: 99%

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Surgical outcomes of a prospective, phase 2 trial of robotic surgery for resectable right‐sided colon cancer (the ROBOCOLO trial)

Numata

Watanabe

Ishibe

et al. 2023

Annals of Gastroent Surgery

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AimWe evaluated the safety of robotic surgery for right‐sided colon cancer in Japan.MethodsThis was a prospective, open‐label, single‐arm phase II trial conducted at two institutions. Patients ≥20 years old with stage I–III right‐sided colon cancer and scheduled for radical resection with ≥D2 lymph node dissection were eligible. The criterion for surgeons was experience performing robot‐assisted rectal resection in ≥40 cases. The primary endpoint was the postoperative complication rate ≤30 days after surgery.ResultsFrom August 2021 to February 2023, 42 patients were enrolled; three were excluded, with 39 analyzed as the full analysis set. The median age was 72 years, and the median body mass index was 23.2. The tumor was located in the cecum in 13 cases (33.3%), ascending colon in 20 cases (51.3%), and transverse colon in six cases (15.4%). Ileocolic resection was performed in 17 cases (43.5%) and right hemicolectomy in 22 cases (56.5%), both with D3 lymph node dissection. The median console time was 109 min, and the operative time was 170 min. The mean blood loss was 7.7 mL. Intracorporeal anastomosis was performed in 28 patients (71.8%). There were no conversions and no intraoperative adverse events. The median postoperative stay was 5 days. Postoperative complications occurred in four patients (10.2%; paralytic ileus [n = 3] and pneumonia [n = 1]). All postoperative complications were grade 1 or 2, with no mortalities noted. R0 resection was achieved in all patients.ConclusionsThis study demonstrated the safety and feasibility of robotic surgery for right‐sided colon cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of a prospective, phase 2 trial of robotic surgery for resectable right‐sided colon cancer (the ROBOCOLO trial)

Numata

Watanabe

Ishibe

et al. 2023

Annals of Gastroent Surgery

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“…The approaches for ligating the ARCV were classified as caudal‐to‐cranial or cranial‐to‐caudal. The caudal‐to‐cranial approach 8 involves CVL after raising the transverse mesocolon ventrally (Fig. 1a,b), whereas the cranial‐to‐caudal approach 9 involves CVL after pulling down the transverse mesocolon (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…During laparoscopic right hemicolectomy in patients with transverse colon cancer in the hepatic flexure, caudal‐to‐cranial 8 and cranial‐to‐caudal 9 approaches have been preferentially used to complete CVL (Fig. S1).…”

Section: Introductionmentioning

confidence: 99%

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Establishment of deformable three‐dimensional printed models for laparoscopic right hemicolectomy in transverse colon cancer

Hojo

Kawai

Murono

et al. 2021

ANZ Journal of Surgery

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Background Applications of three‐dimensional (3‐D) printed solid organ models for navigation and simulation were previously reported for abdominal surgeries, and their usefulness was shown by subjective evaluation. However, thus far, no study has examined the effect of intraoperative movements for tissue handling. Novel, deformable 3‐D printed models of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) were created to optimize laparoscopic right hemicolectomy. The aim of this study was to establish a method using these individualized models for use in surgical practice. Methods Deformable 3‐D models for laparoscopic right hemicolectomy were created using a 3‐D printing flexible filamentous material (thermoplastic polyurethane). Five patients with transverse colon cancer who underwent laparoscopic right hemicolectomy with D3 lymphadenectomy between April 2017 and September 2019 were enrolled in this study. Then, the created patient‐specific models were compared with the previously recorded intraoperative video views. Results Transverse colon mobilization changed the spatial arrangement of the branches of the SMA and SMV. The 3‐D models reproduced the intraoperative view, although approaches to the dominant vessels to complete D3 lymphadenectomy may vary. Conclusions Deformable 3‐D models of the SMA and SMV with added branches may aid in optimizing laparoscopic right hemicolectomy operations.

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Caudal-to-Cranial Approach for Right Colectomy with Complete Mesocolic Excision in Colon Cancer: A Systematic Review and Meta-analysis

Maatouk

Safta²,

Kbir

et al. 2022

J Gastrointest Canc

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Techniques and Feasibility of the Caudal-to-Cranial Approach for Laparoscopic Right Colectomy With Complete Mesenteric Excision

Cited by 14 publications

References 6 publications

Surgical outcomes of a prospective, phase 2 trial of robotic surgery for resectable right‐sided colon cancer (the ROBOCOLO trial)

Surgical outcomes of a prospective, phase 2 trial of robotic surgery for resectable right‐sided colon cancer (the ROBOCOLO trial)

Establishment of deformable three‐dimensional printed models for laparoscopic right hemicolectomy in transverse colon cancer

Caudal-to-Cranial Approach for Right Colectomy with Complete Mesocolic Excision in Colon Cancer: A Systematic Review and Meta-analysis

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