Radical surgery for colorectal cancer is undoubtedly necessary for stages I, II and III and must consider the removal of the intestinal segment and the relative afferent lymph node stations affected by the tumor. This surgical technique called Complete Mesocolon Excision seems to satisfy an optimal oncological quality. The aim of this retrospective preliminary study is to verify the actual possibility of performing CME by laparoscopy on the left and right colon. After this fundamental requirement is met, the study aims to evaluate whether the laparoscopic technique is a valid alternative to the open approach, in terms of oncological quality. We retrospective analysed the chart of 38 pts affected by colon cancer. 20 patients underwent left resection. Of these, 9 in open surgery and 11 using the laparoscopic approach. The remaining 18 patients underwent right hemicolectomy, open for 14 of these, laparoscopic for the remaining 4. After check of the integrity of the mesocolon we collected data regarding the length of the removed colon, the distance of the tumor from the central vascular ligation, the peritoneal area and the number of lymph node removed. The statistic analysis of the samples was carried out using the Student's T test, Fisher's exact test and Mann-Whitney's U test, where appropriate. Our data showed despite a small sample size, that CME performed laparoscopically is oncologically equivalent to open CME. With sufficient training and experience, the laparoscopic approach seems to offer a lower number of complications with comparable results.

Laparoscopic Reproducibility of Complete Mesocolon Excision: A Retrospective Analysis

Emanuele CEA
Formal Analysis
;
Giuseppe PICCINNI
Supervision
2017

Abstract

Radical surgery for colorectal cancer is undoubtedly necessary for stages I, II and III and must consider the removal of the intestinal segment and the relative afferent lymph node stations affected by the tumor. This surgical technique called Complete Mesocolon Excision seems to satisfy an optimal oncological quality. The aim of this retrospective preliminary study is to verify the actual possibility of performing CME by laparoscopy on the left and right colon. After this fundamental requirement is met, the study aims to evaluate whether the laparoscopic technique is a valid alternative to the open approach, in terms of oncological quality. We retrospective analysed the chart of 38 pts affected by colon cancer. 20 patients underwent left resection. Of these, 9 in open surgery and 11 using the laparoscopic approach. The remaining 18 patients underwent right hemicolectomy, open for 14 of these, laparoscopic for the remaining 4. After check of the integrity of the mesocolon we collected data regarding the length of the removed colon, the distance of the tumor from the central vascular ligation, the peritoneal area and the number of lymph node removed. The statistic analysis of the samples was carried out using the Student's T test, Fisher's exact test and Mann-Whitney's U test, where appropriate. Our data showed despite a small sample size, that CME performed laparoscopically is oncologically equivalent to open CME. With sufficient training and experience, the laparoscopic approach seems to offer a lower number of complications with comparable results.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11586/254114
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