Laparoscopic complete mesocolic excision for right colon cancer Surgical Endoscopy, 05/11/2012

Adamina M et al. – The embedded didactic video demonstrates a straight laparoscopic complete mesocolic excision with high–vessel ligation for a patient who had a right colon cancer. Laparoscopic right complete mesocolic excision is a safe and effective procedure associated with excellent 3–year oncologic outcomes and accelerated postoperative recovery.

• A prospective series of 52 consecutive patients with right colon cancer underwent laparoscopic complete mesocolic excision with high–vessel ligation.
• Four of the patients required laparoscopic en bloc extended resections for local invasion.
• The median operative time was 136 min (interquartile range [IQR], 105–167 min), and the median blood loss was 20 ml (IQR, 10–45 ml).
• The median hospital stay was 3 days (IQR, 3–5 days).
• All the patients had an R0 oncologic resection with median margins of 12 cm, and a median of 22 lymph nodes (IQR, 18–29 lymph nodes) was retrieved.
• The median follow–up period was 38 months (IQR, 23–54 months).

• Of 14 patients with tumor–positive lymph nodes, 2 experienced distant recurrence.
• There were no local recurrences, but four patients experienced metastatic disease at a median of 37 months (IQR, 22–46 months).
• The median overall survival time was 38 months (IQR, 23–54 months).