Segmental versus extended colectomy for tumours of the transverse colon: a systematic review and meta‐analysis

Morărașu, Ștefan; Clancy, Cillian; Cronin, Catherine Tracy; Matsuda, Takeru; Heneghan, Helen; Winter, Desmond C.

doi:10.1111/codi.15403

Cited by 23 publications

(11 citation statements)

References 33 publications

(187 reference statements)

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“…Extended transverse colon surgery, such as extended right or left hemicolectomy, or segmental resection, such as transverse colectomy, can be performed in transverse colon cancer. A meta-analysis using seven comparative series compared the outcomes of extended and segmental resection [ 8 ]. Segmental resection had better outcomes about operating time and postoperative ileus.…”

Section: General Consideration Of Surgery For Transverse Colon Cancermentioning

confidence: 99%

Surgical outcomes of various surgical approaches for transverse colon cancer

Kim

Park

2022

J Minim Invasive Surg

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The transverse colon has anatomical peculiarities in the middle position between the foregut and the midgut. Because the transverse colon harbors a flexure at both ends, mobilization of the transverse colon can be especially challenging compared with other colons. Although transverse colon cancer is relatively uncommon, an optimal surgical management for transverse colon cancer must be established. In transverse colon cancer, proximity to the pancreas and variation in arterial and venous anatomy make radical resection more difficult. Dissection of lymph nodes around the middle colic vessels is a critical step in transverse colon cancer resection. The proximity of the middle colic vessels to the superior mesenteric vessels contributes to the complexity of this step, making it challenging for less-trained surgeons. For these reasons, patients with transverse colon cancer were not included in most landmark studies that compared laparoscopic surgery with open surgery. More radical operations, such as subtotal colectomy or extended right or left hemicolectomy, can be performed for transverse colon cancer to secure an adequate lymphadenectomy. Such cancers have also been treated with limited segmental colectomies, such as right, transverse, or left colectomy. Currently, there is still a lack of standardized definitions and procedures. Therefore, it is time to discuss and establish optimal surgical treatments for transverse colon cancer.

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Section: General Consideration Of Surgery For Transverse Colon Cancermentioning

confidence: 99%

Surgical outcomes of various surgical approaches for transverse colon cancer

Kim

Park

2022

J Minim Invasive Surg

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“…In addition, the extended longitudinal resection margin should be broadly secured because the hepatic or splenic flexure area has dual lymphatic drainage. However, many studies have shown that there is no significant difference in the therapeutic effects of conventional radical resection and extended radical resection in colon cancer surgery [67][68][69][70].…”

Section: Longitudinal Resection Marginmentioning

confidence: 99%

Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version

Son

Park

Kim

et al. 2022

J Anus Rectum Colon

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Treatment for early colon cancer has progressed rapidly, with endoscopic resection and minimally invasive surgery. It is important to select patients without risk of lymph node metastasis before deciding on endoscopic resection for early colon cancer treatment. Pathological risk factors include histologic grade of cancer cell differentiation, lymphovascular invasion, perineural invasion, tumor budding, and deep submucosal invasion. These risk factors for predicting lymph node metastasis are crucial for determining the treatment strategy of endoscopic excision and radical resection for early colon cancer. A multidisciplinary approach is emphasized to establish a treatment strategy for early colon cancer to minimize the risk of complications and obtain excellent oncologic outcomes by selecting an appropriate treatment optimized for the patient's stage and condition. Therefore, we aimed to review the optimal multidisciplinary treatment strategies, including endoscopy and surgery, for early colon cancer.

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“…Аналогичные результаты отмечены в работе S. Morarasu и соавт. [25], однако [35][36][37]. Исходя из выводов другой работы, метастазы в ЛУ вдоль средних ободочных сосудов локализовались в единичных случаях [38], однако в это исследование вошли пациенты с разными стадиями заболевания, включая случаи отдаленного метастазирования.…”

Section: вариация применяемых хирургических методикunclassified