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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (05): 440-443. doi: 10.3877/cma.j.issn.1674-3946.2019.05.003

Special Issue:

• Commentary • Previous Articles     Next Articles

Principle and evaluation of extended laparoscopic right colectomy for colon cancer

Yi Xiao1,(), Junyang Lu1   

  1. 1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2019-06-01 Online:2019-10-26 Published:2019-10-26
  • Contact: Yi Xiao
  • About author:
    Corresponding author: Xiao Yi, Email:
  • Supported by:
    Capital Clinical Characteristic Applied Research and Achievement Promotion Project(NO.Z161100000516014)

Abstract:

The principle of complete mesenteric excision (CME) has been applied in colon cancer surgery for ten years. The concept of CME emphasized embryological anatomical complete resection of mesocolon, dissection of the central lymph nodes and high ligation of feeding vessels However, in the subsequent clinical application and promotion, it was found that the principle has not been accurately defined in many aspects, such as the boundary of the central lymph node dissection and the length of the bowel resection in the right colectomy for colon cancer. The quality control standards for CME procedure has also been clarified in the process of continuous practice. This article reviews the definition of extended laparoscopic resection of right colon cancer and the principles of CME operation, and discusses the evaluation criteria of extended laparoscopic resection of right colon cancer.

Key words: Colonic neoplasms, Mesocolon, Laparoscopy, Complete mesocolic excision

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