Feasibility and Safety of Laparoscopic Complete Mesocolic Excision (CME) for Right-sided Colon Cancer

Buono, Giuseppe Di; Buscemi, Salvatore; Cocorullo, Gianfranco; Sorce, Vincenzo; Amato, Giuseppe; Bonventre, Giulia; Maienza, Elisa; Galia, Massimo; Gulotta, Leonardo; Agrusa, Antonino

doi:10.1097/sla.0000000000004557

Cited by 57 publications

(29 citation statements)

References 27 publications

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“…Furthermore, laparoscopic right hemicolectomy using the complete mesocolic excision (CME) seems to be a safe technique in patients with right‐side colon cancer. 15 …”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal mass, a rare manifestation of mucinous adenocarcinoma of appendix: A case report

Salehipour

Haghpanah

Dehghani

et al. 2022

Clinical Case Reports

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The retroperitoneum (RP) might be affected by a variety of infections, inflammations, and tumors, including benign and malignant ones. Although primary malignant tumors are the most prevalent ones in this anatomic area, metastatic and invasive tumors rarely involve the retroperitoneum. Gastrointestinal stromal tumors (GISTs) are considered as the most common tumors that invade the retroperitoneum, but, to the best of our knowledge, it is the first time a surgery team has encountered the appendiceal tumor as a huge retroperitoneal mass. A 68‐year‐old man was referred to the emergency department with abdominal distension and weight loss. In his course of hospitalization, a huge right retroperitoneal mass was detected by a computed tomography (CT) scan; after that, the patient underwent laparotomy, evacuation of massive mucinous tissue located in the right retroperitoneum, and right hemicolectomy due to appendiceal tumor. The histopathological examination showed “mucinous appendiceal neoplasm.” This is the first case study showing the invasion of an appendiceal tumor through the visceral peritoneum into the retroperitoneum, so an invasion of the peritoneal tumor to the retroperitoneum should be considered when a urologist approaches retroperitoneal masses.

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“…Furthermore, laparoscopic right hemicolectomy using the complete mesocolic excision (CME) seems to be a safe technique in patients with right‐side colon cancer. 15 …”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal mass, a rare manifestation of mucinous adenocarcinoma of appendix: A case report

Salehipour

Haghpanah

Dehghani

et al. 2022

Clinical Case Reports

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“…We performed a resection of a tract of 20 cm of medium ileum, including the site of perforation, using ultrasonic devices (Harmonic ACE+7 Shears with Advanced Hemostasis) and a linear surgical stapler (Echelon Flex 45 mm, white reload), followed by totally intracorporeal side-to-side mechanical anastomosis (Echelon Flex 45 mm, white reload). Stapler-access enterotomy was closed through double line continuous barbed suture (V-Loc 3–0, Medtronic) ( 33 ). Exploration of intestinal loops, from ileocecal valve to Treitz ligament, did not evidence further macroscopically detectable lesions.…”

Section: Therapeutic Interventionmentioning

confidence: 99%

Totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation: The first case report in worldwide literature with a brief review

et al. 2022

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IntroductionBowel perforation is a relatively rare presentation of abdominal tuberculosis, whose diagnosis is challenging but fundamental to minimize morbidity and mortality. Laparoscopy is considered an effective modality for diagnosis, but its role in surgical treatment is still not established. We reported the first worldwide case of totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation.Case presentationA 30-year-old man with a history of weight loss, preceded by 2 years of nonproductive cough, was admitted to the Infectious Disease Department with a presumed diagnosis of tuberculosis. A microbiological culture test confirmed the diagnosis, and the patient undertook quadruple antituberculous therapy. During hospitalization, he presented sudden abdominal pain, fever, and vomit. An abdominal CT scan showed small bowel perforation with granulomatous reaction. Laparoscopy was performed and revealed a 2 cm perforation on the medium ileum. Small bowel resection and totally intracorporeal side-to-side anastomosis were performed. No complication occurred until a clinical follow-up of 2 months.ConclusionIn consideration of the increasing incidence of intestinal TB in both underdeveloped and Western countries, the diagnosis of this pathology should be taken into account in high-risk patients. Probably, the diagnostic challenges and emergency settings of intestinal TB with perforation and peritonitis, together with the lack of standardized guidelines regarding surgical management, make the use of laparoscopy apparently arduous, but the known advantages of laparoscopy and its technical feasibility should make it a conceivable option for the treatment of complicated cases.

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“…A Veress needle was used to induce pneumoperitoneum in the left subcostal region ( 5 ) and the trocars were positioned as in left colectomy. The optical trocar was placed in the right para-umbilical region (2 cm from the median line) ( 6 ). Three additional trocars were inserted in the right iliac fossa (12 mm), in the right hypochondrium (5 mm), and in the left flank (5 mm).…”

Section: Therapeutic Interventionmentioning

confidence: 99%

Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report

Buono

Micheli²,

Russo³

et al. 2022

Front. Surg.

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Endometriosis is a disease affecting approximately 10% of women of fertile age. A particular presentation is deep infiltrating endometriosis of the rectosigmoid colon with symptoms that can mimic an intestinal obstruction or neoplasm. We report the case of a 39-year-old woman with pelvic pain during the menstrual cycle and significant anemia who presented an ectopic endometrial tissue in correspondence of the rectum. Because of the thickness of the lesion the patient underwent a segmental laparoscopic colorectal resection with end-to-end anastomosis.

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Feasibility and Safety of Laparoscopic Complete Mesocolic Excision (CME) for Right-sided Colon Cancer

Cited by 57 publications

References 27 publications

Retroperitoneal mass, a rare manifestation of mucinous adenocarcinoma of appendix: A case report

Retroperitoneal mass, a rare manifestation of mucinous adenocarcinoma of appendix: A case report

Totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation: The first case report in worldwide literature with a brief review

Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report

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