Complete Mesocolic Excision—A Marker of Surgical Quality?

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Can the quality of colonic surgery be improved by standardization of surgical technique with complete mesocolic excision?

AIM we analysed the influence of standardization of colon cancer surgery with complete mesocolic excision (CME) on the quality of surgery measured by the pathological end-points of number of harvested lymph nodes, high tie of supplying vessels, plane of mesocolic resection and rate of R0 resection. METHOD One hundred and ninety-eight patients with colonic carcinoma who underwent radical surge...

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Surgical and pathological outcomes of complete mesocolic excision compared with conventional surgery in right colon cancers

Objective: To compare the surgical and pathological outcomes of complete mesocolic excision (CME) with conventional surgery in colon cancers. Methods: 125 patients with right colon cancer received surgical treatment were enrolled in the retrospective study, of whom, 59 underwent CME surgery (CME group) and 66 underwent conventional radical surgery (control group). Surgical specimens of the CME ...

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Three surgical planes identified in laparoscopic complete mesocolic excision for right-sided colon cancer.

BACKGROUND Complete mesocolic excision provides a correct anatomical plane for colon cancer surgery. However, manifestation of the surgical plane during laparoscopic complete mesocolic excision versus in computed tomography images remains to be examined. METHODS Patients who underwent laparoscopic complete mesocolic excision for right-sided colon cancer underwent an abdominal computed tomogra...

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Clinical outcome of laparoscopic complete mesocolic excision in the treatment of right colon cancer

BACKGROUND This study aimed to investigate the clinical outcome of complete mesocolic excision (CME) with a caudal-to-cranial medial approach in the treatment of right colon cancer. METHODS The clinical data of 172 patients who underwent laparoscopic CME for right colon cancer and were admitted to the First Affiliated Hospital of Nanjing Medical University from January 2010 to April 2015 were...

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Historical development of mesenteric anatomy provides a universally applicable anatomic paradigm for complete/total mesocolic excision

Although total mesorectal excision has now become the 'gold standard' for the surgical management of rectal cancer, this is not so for colon cancer. Recent data, provided by Hohenberger and West et al. and others, have demonstrated excellent oncological outcomes when mesenterectomy is extensive (as is implicit in the concept of a 'high tie') and the mesenteric package not violated. Such studies...

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ژورنال

عنوان ژورنال: Journal of Gastrointestinal Surgery

سال: 2009

ISSN: 1091-255X,1873-4626

DOI: 10.1007/s11605-009-0976-6