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Techniques and Feasibility of the Caudal-to-Cranial Approach for Laparoscopic Right Colectomy With Complete Mesenteric Excision

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收录情况: ◇ SCIE

机构: [1]Department of Gastrointestinal (Tumour) Surgery, Guangdong Province Hospital of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China [2]Guangzhou University of Chinese Medicine, Guangzhou, China
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关键词: Caudal-to-cranial approach Complete mesenteric excision Laparoscopic right colectomy

摘要:
Complete mesenteric excision (CME) is a novel concept for right colon cancer surgery. It derives from an embryological concept that the enveloped planes of viscera and fascia cover the lymphatic drainage and the mesentery. Research1-5 has shown that CME is a feasible and safe procedure and can reduce the rate of local recurrence and improve long-term survival in open surgeries. Recently, a consensus statement6 has stated that CME is as equally well suited for an open right colectomy as a laparoscopic right colectomy. However, laparoscopic right radical colectomy with CME is technically challenging because the procedure involves many organs and complex anatomical structures. 7 Therefore, it is necessary to develop an approach to reduce the procedural complexity and difficulty for advanced right colon cancer. Based on our more than 2000 previous laparoscopic surgeries for colon cancer and our understanding of surgical oncol-ogy and the anatomical structures of the right mesocolon, we present a caudal-to-cranial approach for laparoscopic right colectomy with CME.

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基金编号: 2015

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出版当年[2016]版:
大类 | 2 区 医学
小类 | 2 区 外科 3 区 胃肠肝病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 外科 3 区 胃肠肝病学
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出版当年[2015]版:
Q1 SURGERY Q2 GASTROENTEROLOGY & HEPATOLOGY
最新[2023]版:
Q1 SURGERY Q2 GASTROENTEROLOGY & HEPATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Department of Gastrointestinal (Tumour) Surgery, Guangdong Province Hospital of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China [*1]Department of Gastrointestinal (Tumour) Surgery, Guangdong Province Hospital of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No.111, 510120 Guangzhou, China
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通讯机构: [1]Department of Gastrointestinal (Tumour) Surgery, Guangdong Province Hospital of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China [*1]Department of Gastrointestinal (Tumour) Surgery, Guangdong Province Hospital of Chinese Medicine, Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No.111, 510120 Guangzhou, China
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