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| http://dx.doi.org/10.5144/0256-4947.2005.437 | DOI Listing |
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Pancreas-guided C-shaped surgical procedure: a safer and more efficient procedure for laparoscopic left hemicolectomy in obese patients.
Updates Surg
January 2025
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, No. 81 Lingnan Avenue North, Foshan, China.
The surgical risk is higher for obese patients undergoing laparoscopic left hemicolectomy. To enhance the surgical safety and efficacy for obese patients, we have innovatively integrated the advantages of various surgical approaches to modify a pancreas-guided C-shaped surgical procedure. The safety and quality were assessed through a retrospective analysis.
View Article and Find Full Text PDF[Comparison of effect of different medial boundaries in laparoscopic right hemicolectomy: a meta-analysis].
Zhonghua Wei Chang Wai Ke Za Zhi
December 2024
Department of General Surgery, the Second Affiliated Hospital, Zhengzhou University, Zhengzhou450014, China.
To investigate and compare the clinical efficacy and prognosis of D3 lymphadenectomy/complete mesocolic excision in treatment of right colon cancer with different medial boundaries. We searched The Cochrane Library, Pubmed, Embase, CBM, VIP, CNKI, and WanFang data bases for superior mesenteric artery (SMA)-oriented and superior mesenteric vein (SMV)-oriented D3 lymphadenectomy/complete mesocolic excision from inception to December, 2023. The resultant data were submitted to meta-analysis using RevMan 5.
View Article and Find Full Text PDFLaparoscopic left colectomy with complete mesocolic excision and central vascular ligation (video).
Tech Coloproctol
November 2024
Surgical Clinic 2, Hospital Maciel, 174, 25 de Mayo St, Montevideo, Uruguay.
Simplified and reproducible laparoscopic complete mesocolic excision with D3 right hemicolectomy.
Colorectal Dis
January 2025
Department of Surgical Oncology, Prolife Cancer Centre and Research Institute, Pune, India.
Article Synopsis
- Laparoscopic complete mesocolic excision (CME) with D3 lymphadenectomy for right colon cancer is becoming more accepted, but it's not yet standardized like other surgical procedures; this study presents 10 straightforward, reproducible steps to improve the surgery's ergonomics and vascular anatomy identification.
- The procedure involves adopting the French position with specific port placements designed for optimal comfort and access, allowing surgeons to efficiently dissect alongside major vascular structures like the superior mesenteric artery (SMA).
- Identifying important anatomical landmarks, specifically the ligamentum teres and SMA/superior mesenteric vein (SMV) axis, is crucial for avoiding injury during dissection, making the surgical approach both effective and safer.
[Chinese expert consensus on the surgical treatment of right-sided colon cancer (2024 edition)].
Zhonghua Wei Chang Wai Ke Za Zhi
September 2024
In the past two decades, with the development and application of laparoscopic technique and the promotion of the concept of complete mesocolic excision, significant changes have occurred in the surgical treatment of right-sided colon cancer. The Chinese Society of Colorectal Surgery and Chinese Colorectal Research Consortium (CCRC) Organized national experts in colorectal surgery to form a consensus on 14 key clinical issues related to right hemicolectomy, taking into account the preferences of Chinese doctors and patients as well as the pros and cons of intervention measures, with a view to standardizing the surgical treatment of right colon cancer. The consensus recommendations were focused on three main aspects: (1) surgical anatomy: the key structures and its definitions related to the mesentery and vascular anatomy were clarified.
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