Surgical Outcomes of Laparoscopic Right Colectomy with Complete Mesocolic Excision

Olmi, Stefano; Oldani, Alberto; Cesana, G; Ciccarese, Francesca; Uccelli, Matteo; Giorgi, Riccardo; Villa, Roberta; Carli, Stefano Maria De

doi:10.4293/jsls.2020.00023

Cited by 7 publications

(2 citation statements)

References 16 publications

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“…However, in that study, no postoperative complications occurred. The incidence of conventional laparoscopic right hemicolectomy postoperative complications has been reported to be from 5.0% to 16.7% [18,19]. Since the definition of postoperative complications was different in each article, we were unable to compare the incidence of postoperative complications between surgeries using the Senhance robotic system and those using conventional laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Right hemicolectomy with D3 lymph node dissection for right-sided transverse colon cancer using the Senhance robotic system: a case report

et al. 2020

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Background The evolution of remote systems and artificial intelligence technology has led to increase in robotic surgeries. One system used in this case report is the Senhance robotic system. The most important premise for using robotic surgery in cancer therapeutics is to ensure oncological safety. Similar to conventional laparoscopic surgery, robotic surgery needs to be a reliable and secure surgical procedure, such as complete mesocolic excisions with central vascular ligations in Western countries or D3 lymph node dissections (dissection of the lymph nodes that locates from the origin to the terminal branch of the main feeding artery of cancer) in Japan. Case presentation A 76-year-old man underwent clinical examination for severe anemia. He was diagnosed with transverse colon cancer of tumor (T)3, node (N)1a, metastasis (M)0 cancer stage IIIA. A right hemicolectomy with D3 lymph node dissection using the Senhance surgical system was performed. The operative time was 313 min and the estimated blood loss was 5 ml. He was discharged from our hospital 12 days after the surgery without any complications. What is the remarkable of this report, not only mobilization of right colon but also D3 lymph node dissection and vascular ligation were performed intraperitoneally by using Senhance robotic system as conventional laparoscopic surgery. We tried using fourth robotic arm to accomplish lymphadenectomies and middle colic artery dissection. A right hemicolectomy with D3 dissection using the Da Vinci surgical system was reported. Another report of a right hemicolectomy performed with the Senhance robotic system was identified; however, in that study, lymph node dissections were not performed intraperitoneally. Conclusions Therefore, to our knowledge, this is the first report using the Senhance robotic system for right hemicolectomy with D3 dissection. We hope that our case report will assist in the establishment of this robotic procedure in surgical practice.

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Section: Discussionmentioning

confidence: 99%

Right hemicolectomy with D3 lymph node dissection for right-sided transverse colon cancer using the Senhance robotic system: a case report

et al. 2020

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“…[12][13][14][15] Minimally invasive surgery has certain advantages over open surgery such as less postoperative pain, enhanced recovery and shorter length of hospital stay, better cosmetic outcomes, and lower risk for development of incisional hernia. 16,17 In addition to general advantages of minimally invasive surgery, robotic-assisted laparoscopic surgery (RALS) has several specific advantages which can mainly be attributed to enhanced manipulation capacity and better ergonomics. 18 In this article, the technical details and clinical and oncological outcomes of RAL-CME are described.…”

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confidence: 99%

Robotic-Assisted Laparoscopic Complete Mesocolic Excision

Sahin

Baca

2023

Digestive Disease Interventions

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Complete mesocolic excision (CME) with central vascular ligation is a relatively new technique in the surgical treatment of right-sided colon cancer. Although the technique was originally designed for open surgery, minimally invasive CME has quickly been embraced by colorectal surgeons. Robotic-assisted laparoscopic surgery has some certain advantages over open and standard laparoscopic surgery, and is increasingly utilized in colorectal surgery. In this review, the technical aspects and outcomes of robotic-assisted laparoscopic complete mesocolic excision will be described.

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Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review

et al. 2022

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Background Several procedures have been proposed to reduce the rates of recurrence in patients with right-sided colon cancer. Different procedures for a radical right colectomy (RRC), including extended D3 lymphadenectomy, complete mesocolic excision and central vascular ligation have been associated with survival benefits by some authors, but results are inconsistent. The aim of this study was to assess the variability in definition and reporting of RRC, which might be responsible for significant differences in outcome evaluation. Methods PRISMA-compliant systematic literature review to identify the definitions of RRC. Primary aims were to identify surgical steps and different nomenclature for RRC. Secondary aims were description of heterogeneity and overlap among different RRC techniques. Results Ninety-nine articles satisfied inclusion criteria. Eight surgical steps were identified and recorded as specific to RRC: Central arterial ligation was described in 100% of the included studies; preservation of mesocolic integrity in 73% and dissection along the SMV plane in 67%. Other surgical steps were inconstantly reported. Six differently named techniques for RRC have been identified. There were 35 definitions for the 6 techniques and 40% of these were used to identify more than one technique. Conclusions The only universally adopted surgical step for RRC is central arterial ligation. There is great heterogeneity and consistent overlap among definitions of all RRC techniques. This is likely to jeopardise the interpretation of the outcomes of studies on the topic. Consistent use of definitions and reporting of procedures are needed to obtain reliable conclusions in future trials. PROSPERO CRD42021241650.

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Surgical Outcomes of Laparoscopic Right Colectomy with Complete Mesocolic Excision

Cited by 7 publications

References 16 publications

Right hemicolectomy with D3 lymph node dissection for right-sided transverse colon cancer using the Senhance robotic system: a case report

Right hemicolectomy with D3 lymph node dissection for right-sided transverse colon cancer using the Senhance robotic system: a case report

Robotic-Assisted Laparoscopic Complete Mesocolic Excision

Definition and reporting of lymphadenectomy and complete mesocolic excision for radical right colectomy: a systematic review

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