Hongming Li, MD, Liaonan Zou. Department of GI,Guangdong Province Hospital of traditional Chinese Medicine
Background: Complete mesocolic excision (CME) with central vascular ligation for right-sided colon cancer has been proven to provide superior oncologic outcomes and survival advantage when compared to standard lymphadenectomy. Although a laparoscopic approach for right colon cancer is performed frequently, identifying an adequate dissection plane is not always easy. Consequently, we have explored a novel caudal-to-cranial approach in the laparoscopic right colectomy with curative intent for colon cancer.
Methods: We retrospectively analyzed the data obtained from a prospectively established database on 80 consecutive patients who had undergone laparoscopic right hemicolectomy with caudally approached radical lymph node dissection for curable right-sided colon cancer.
Results: There were 38 male and 42 female patients, with a mean age of 72.5 years (range, 53 – 83). All procedures were successful without any serious intraoperative complications or any conversion to open surgery. The mean operation time was 178.3 min (range, 150 – 215), and the mean blood loss was 81.6 ml (range, 50 – 200). The mean number of harvested lymph nodes was 19 (range, 12 – 25).
Conclusions: The findings indicate that laparoscopic CME for right colon cancer with caudal-to-cranial approach is feasible and safe. Initial ileocecal mobilization may be useful for identifying the avascular anatomic plane and identifying the anatomical location of the SMV and its branches.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79925
Program Number: V081
Presentation Session: Friday Exhibit Hall Video Presentations Session 2 (Non CME)
Presentation Type: EHVideo