Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek. Keimyung University and Dongsan Medical Center
Aims: We present a video presentation of single-port laparoscopic complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided cancer
Method: A 67-year-old man was referred to our department for treatment of a cecal colon cancer. Colonoscopy revealed a 4-cm, ulcerofungating mass at cecum and abdominal CT scan revealed several enlarged lymph nodes at pericolic area close to central vascular trunk. The patient underwent single-port laparoscopic right hemicolectomy. After placement of single-port and laparoscopic exploration, medial-to-lateral dissection of the ascending colon, primary vascular control with complete mesocolic excision principle, hepatic flexure mobilization, and extracorporeal anastomosis were performed.
Results: Total procedure time was 310 minutes. Pathologic examination of the specimen showed a 4.5 × 4.0 cm sized moderately differentiated T4aN2bM0 adenocarcinoma. The numbers of total and positive lymph nodes harvested were 33 and 8, respectively. Among the 8 positive lymph nodes, there was one positive lymph node at the central area (D3). The proximal and distal resection margins were 34 and 22, respectively. The patient was discharged on postoperative day 9. Chyle leakage was occurred and treated conservatively.
Conclusion: Single-port laparoscopic CME and CVL with needle instrument for right-sided colon cancer could be performed safely with favorable clinopathological results.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86423
Program Number: V202
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop
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