Laparoscopic complete mesocolic excision with central vascular ligation for right colonic cancer(feasibility & safety).

Document Type : Original Article

Authors

1 Department of Surgery, Minia University, Egypt

2 Center of Oncology - Al-Salam- Cairo

Abstract

Background: Laparoscopic complete mesocolic excision with central vascular ligation, when 
performed in the right mesocolic plane, produces high quality surgical specimens. Aim of the work: 
Assessment of feasibility, safety, and quality of surgical specimen after laparoscopic complete 
mesocolic excision with central vascular ligation in right colon. Patients and Methods: Fifty patients 
with right colonic cancer were assigned to receive laparoscopic complete mesocolic excision with 
central vascular ligation during the period from April, 2017 till June, 2019 and their data were 
prospectively collected. Results: The average length of the ileocolic segment was 26.67±2.10 cm ,the 
average distance from near bowel wall to high vascular tie was 85.26±5.32 mm, the average distance 
from tumor to high vascular tie was 107.82±3.39 mm, and Average number of LN harvest was 
number 22.72±10.17. Conclusion: Laparoscopic complete mesocolic excision with central vascular 
ligation procedure is associated with minimal operative blood loss, rapid recovery after operation, 
and short hospital stay and adequate number of harvested lymph nodes.

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Minia Journal of Medical Research
Volume 31, Issue 1
January 2020
Pages 262-267

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