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Cited 45 time in webofscience Cited 47 time in scopus
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Laparoscopic complete mesocolic excision: West meets East

Authors
Chow, Carina F. K.Kim, Seon Hahn
Issue Date
Oct-2014
Publisher
BAISHIDENG PUBLISHING GROUP INC
Keywords
Complete mesocolic excision; Colorectal surgery; Laparoscopy; Colonic neoplasms; D3 lymphadenectomy
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.20, no.39, pp 14301 - 14307
Pages
7
Indexed
SCIE
SCOPUS
Journal Title
WORLD JOURNAL OF GASTROENTEROLOGY
Volume
20
Number
39
Start Page
14301
End Page
14307
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/8827
DOI
10.3748/wjg.v20.i39.14301
ISSN
1007-9327
2219-2840
Abstract
Complete mesocolic excision is a relatively new concept in western literature. It follows the same concept of total mesorectal excision and units' routinely performing complete mesocolic excisions have good pathological results as well as good improvements in overall survival, disease free survival and local recurrence. And yet unlike total mesorectal excision, uptake in the West has been relatively slow with many units sceptical of the true benefits gained by taking up a more technically challenging and potentially more morbid procedure when there is a paucity of literature to support these claims. This article reviews complete mesocolic excision for colon cancer, attempting to identify the risks and benefits of the technique and particularly looking at the reasons why its uptake has not been universal. It also discusses the similarities of a complete mesocolic excision to a colon resection with a D3 lymphadenectomy as well as the role of a laparoscopic approach to this technique. Considering a D3 lymphadenectomy has been the standard of care for stage. and. colon cancers in many of our Asian neighbours for over 20 years, combining this data with data on complete mesocolic excision may provide enough evidence to support or refute the need for complete mesocolic excisions. Maybe there might be lessons to be learnt from our colleagues in the east. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
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2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles

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