Locally Advanced Cancer of the Ascending Colon - Laparoscopic Right Colectomy with Complete Mesocolic Excision

Antonio La Terra, Nicoletta Sveva Federico Pipitone, Patrizia Marsanic, Francesco Amico and Andrea Muratore

Department of General Surgery, E. Agnelli Hospital, Pinerolo (TO), Italy

^*Correspondance to: Andrea Muratore 

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Abstract:

Background: Complete Mesocolic Excision (CME) in colon cancer surgery seems to improve oncological outcome. CME is technically demanding with increased risks of vascular injury. Study
Design: a 51-year old female patient with a bulky cancer of the ascending colon undergoes a laparoscopic right colectomy with CME. The key-points of the CME procedure are shown in the video (https://youtu.be/kKAKxZBLFDc). Technical Notes: A caudal-to-cranial and medial-to-lateral approach is used. Adequate dissection of the Toldt’s plane, complete exposition of the superior mesenteric vein, and opening of the right part of the gastro-colic ligament with complete detachment of the duodenum-pancreas from the transverse mesocolon are the key-points to perform a safe CME.
Conclusion: At final pathology the stage of the cancer was pT3N1bM0 (3 positive lymph nodes out of 52 harvested). Postoperative stay was uneventful.

Keywords:

Colon cancer; CME; Laparoscopy; Technique

Cite the Article:

La Terra A, Federico Pipitone NS, Marsanic P, Amico F, Muratore A. Locally Advanced Cancer of the Ascending Colon - Laparoscopic Right Colectomy with Complete Mesocolic Excision. World J Surg Surgical Res. 2018; 1: 1078.