Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome

@article{Hohenberger2009StandardizedSF,
  title={Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome},
  author={Werner M Hohenberger and Klaus Weber and K E Matzel and Thomas I. Papadopoulos and Susanne Merkel},
  journal={Colorectal Disease},
  year={2009},
  volume={11}
}
OBJECTIVE Total mesorectal excision (TME) as proposed by R.J. Heald more than 20 years ago, is nowadays accepted worldwide for optimal rectal cancer surgery. [] Key Method Patient data of three subdivided time periods were compared. RESULTS By consequent application of the procedure of CME, we were able to reduce local 5-year recurrence rates in colon cancer from 6.5% in the period from 1978 to 1984 to 3.6% in 1995 to 2002.
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TLDR
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Aim  we analysed the influence of standardization of colon cancer surgery with complete mesocolic excision (CME) on the quality of surgery measured by the pathological end‐points of number of…
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The optimal technique for curative resection of colonic cancer includes high ligation of the mesenteric vessels, wide excision of the colonic mesentery and prevention of tumour cell spillage. This…
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TLDR
To examine the outcome of patients treated with complete mesocolic excision with central vascular ligation after conventional and laparoscopic surgery, CME-CVL is paired with CME/CVL for the first time.
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While complete mesocolic excision (CME) has been shown to have an oncological benefit as compared to conventional colonic surgery for colon surgery, this benefit must be weighed up against the risk…
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