BACKGROUND: Its relatively low incidence and its surgical complexity mean that a standardized technique for left colectomy has not yet been established for splenic flexure and descending colon cancer (SF-DCC). METHODS: Seventy-three patients (robot-assisted left colectomy with complete mesocolectomy [R-LCCM], n = 20; laparoscopic left colectomy with complete mesocolectomy [L-LCCM], n = 53) with SF-DCC were enrolled at the Asan Medical Center (Seoul, Korea). RESULTS: R-LCCM conveniently enables dexterous dissection for the multi-directional approaches during left mesocolic mobilization. A conversion to open surgery was required in two patients of the L-LCCM group, but not in the R-LCCM group. A positive circumferential resection margin was exclusively identified in two patients in the L-LCCM group. Mean lymph node harvest was 21 with no difference between the two groups. CONCLUSIONS: Although R-LCCM provided few remarkable advantages over L-LCCM, it could be considered as an efficient approach in patients with SF-DCC.
BACKGROUND: Its relatively low incidence and its surgical complexity mean that a standardized technique for left colectomy has not yet been established for splenic flexure and descending colon cancer (SF-DCC). METHODS: Seventy-three patients (robot-assisted left colectomy with complete mesocolectomy [R-LCCM], n = 20; laparoscopic left colectomy with complete mesocolectomy [L-LCCM], n = 53) with SF-DCC were enrolled at the Asan Medical Center (Seoul, Korea). RESULTS: R-LCCM conveniently enables dexterous dissection for the multi-directional approaches during left mesocolic mobilization. A conversion to open surgery was required in two patients of the L-LCCM group, but not in the R-LCCM group. A positive circumferential resection margin was exclusively identified in two patients in the L-LCCM group. Mean lymph node harvest was 21 with no difference between the two groups. CONCLUSIONS: Although R-LCCM provided few remarkable advantages over L-LCCM, it could be considered as an efficient approach in patients with SF-DCC.
Authors: V Ozben; C de Muijnck; M Karabork; E Ozoran; S Zenger; I A Bilgin; E Aytac; B Baca; E Balik; I Hamzaoglu; T Karahasanoglu; D Bugra Journal: Tech Coloproctol Date: 2019-08-27 Impact factor: 3.781
Authors: Pedja Cuk; Randi Maria Simonsen; Mirjana Komljen; Michael Festersen Nielsen; Per Helligsø; Andreas Kristian Pedersen; Christian Backer Mogensen; Mark Bremholm Ellebæk Journal: World J Surg Oncol Date: 2021-05-22 Impact factor: 2.754
Authors: Marco Milone; Michele Manigrasso; Pietro Anoldo; Anna D'Amore; Ugo Elmore; Mariano Cesare Giglio; Gianluca Rompianesi; Sara Vertaldi; Roberto Ivan Troisi; Nader K Francis; Giovanni Domenico De Palma Journal: J Pers Med Date: 2022-02-18
Authors: Chetna Ravindra; Emmanuelar O Igweonu-Nwakile; Safina Ali; Salomi Paul; Shreyas Yakkali; Sneha Teresa Selvin; Sonu Thomas; Viktoriya Bikeyeva; Ahmed Abdullah; Aleksandra Radivojevic; Anas A Abu Jad; Anvesh Ravanavena; Prachi Balani Journal: Cureus Date: 2022-07-19