Laparoscopic-Assisted Versus Open Complete Mesocolic Excision and Central Vascular Ligation for Right-Sided Colon Cancer

Background A concept of complete mesocolic excision (CME) and central vascular ligation for colonic cancer has been recently introduced. The aim of this study was to evaluate and compare perioperative and oncologic outcomes after laparoscopic-assisted CME (LCME) and open CME (OCME) for right-sided c...

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Bibliographic Details
Published in:Annals of surgical oncology 2014-07, Vol.21 (7), p.2288-2294
Main Authors: Bae, Sung Uk, Saklani, Avanish P., Lim, Dae Ro, Kim, Dong Wook, Hur, Hyuk, Min, Byung Soh, Baik, Seung Hyuk, Lee, Kang Young, Kim, Nam Kyu
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Colectomy
Colonic Neoplasms - blood supply
Colonic Neoplasms - mortality
Colonic Neoplasms - pathology
Colonic Neoplasms - surgery
Colorectal Cancer
Female
Follow-Up Studies
Humans
Laparoscopy
Ligation
Male
Medicine
Medicine & Public Health
Mesocolon - pathology
Mesocolon - surgery
Middle Aged
Neoplasm Staging
Oncology
Prognosis
Surgery
Surgical Oncology
Survival Rate
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Summary:Background A concept of complete mesocolic excision (CME) and central vascular ligation for colonic cancer has been recently introduced. The aim of this study was to evaluate and compare perioperative and oncologic outcomes after laparoscopic-assisted CME (LCME) and open CME (OCME) for right-sided colon cancers. Methods The study group included 128 patients who underwent an LCME and 137 patients who underwent an OCME for right-sided colon cancer between June 2006 and December 2008. The propensity scoring matching for sex, body mass index, tumor location, and pathologic T and TNM stage produced 85 matched pairs. Results The median time to soft diet (LCME 6 days vs. OCME 7 days, p  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-014-3614-9