TAILIEUCHUNG - Laparoscopic complete mesocolic excision in right colon cancer: Results of 74 cases

Surgery is the most important indication for radical treatment of colon cancer and the long-term results can be improved by improving the surgical treatment. Objectives: To assess the clinical outcomes of laparoscopy for right colon cancer. | Journal of military pharmaco-medicine no1-2019 LAPAROSCOPIC COMPLETE MESOCOLIC EXCISION IN RIGHT COLON CANCER: RESULTS OF 74 CASES Nguyen Anh Tuan1; Nguyen Van Du1; Nguyen To Hoai1 SUMMARY Surgery is the most important indication for radical treatment of colon cancer and the long-term results can be improved by improving the surgical treatment. Objectives: To assess the clinical outcomes of laparoscopy for right colon cancer. Subject and method: The database was created by retrospectively reviewing hospital of the patients who underwent laparoscopic right hemicolectomy in 108 Military Central Hospital (from April 2015 to June 2018). Results: Tumor site often occurred at ascending colon and hepatic flexure (). Patients commonly were operated at stages I - II based on phathology (). The median size of tumor was ± cm. Lymph node harvest was ± . The rate of positive lymph nodes was . The average of operation time was ± minutes. The mean time of hospital stay was ± 2 days. Two patients () were converted to open surgery. The rate of postoperative complication was . There was one case of anastomotic leakage, three cases with surgical site infection and one case of postoperative mortality. The three-year overall survival rate of all stages was . The 3-year overall survival rates according to stages were 100% in stage I, in stage II, and in stage III. Conclusion: Laparoscopic complete mesocolic excision in right colon cancer treatment is technically feasible, safe and with acceptable complication rate. * Keywords: Right colonic cancer; Complete mesocolic excision; Laparoscopy; Oncologic outcome. INTRODUCTION At the end of the 19th century, Emil Theodor Kocher was the first to theorize oncologic resections based on removal of the involved organ along with its lymphatic drainage; this concept was shortly after substantiated by Miles et al and Jemison et al for rectal and colonic cancer respectively in .

• Y khoa - Dược
• Right colonic cancer
• Complete mesocolic excision
• Laparoscopy complete mesocolic
• Oncologic outcome
• Surgical treatment
• Right colon cancer
• BMC Cancer
• Colonic neoplasms
• Neoplasm staging
• Right sided colon cancer
• Left sided colon cancer
• Total number of lymph nodes
• Lymph node ratio
• Left colon cancer
• Overall survival
• Three dimension laparoscopy
• Clinical and paraclinical characteristics
• Right hemicolectomy
• Lymph nodes obtained
• RNA binding proteins
• Xenobiotic metabolism
• GPCR signaling
• Non synchronous tumors
• Colon cancer
• Right sided
• Left sided
• Independent prognostic factor
• Cancer specific survival
• Modified complete mesocolic excision
• Laparoscopic surgery
• Oncologic outcomes
• Platelet lymphocyte ratio
• Negative lymph node
• Stage III colon cancer
• Tumor location
• Tumor perforation
• High carcinoembryonic antigen
• BMC Genomics
• Microsatellite instability status
• Gene expression profiles
• Relative gene expression orderings
• Qualitative transcriptional signature
• Second primary colorectal cancer
• Standardized incidence ratio
• Single port laparoscopic surgery
• Compromised oncologic outcome
• Patients’ general characteristics
• Colorectal cancer
• Signaling pathway
• Primary tumor location
• Gene expression
• Liver metastases